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Göteborgs universitets publikationer

Circulating survivin indicates severe course of juvenile idiopathic arthritis.

Författare och institution:
L Galeotti (-); Katrin Adrian (Institutionen för kliniska vetenskaper, sektionen för kvinnors och barns hälsa, Avdelningen för pediatrik); Stefan Berg (Institutionen för kliniska vetenskaper, sektionen för kvinnors och barns hälsa, Avdelningen för pediatrik); Andrej Tarkowski (Institutionen för medicin, avdelningen för reumatologi och inflammationsforskning); Maria Bokarewa (Institutionen för medicin, avdelningen för reumatologi och inflammationsforskning)
Publicerad i:
Clinical and experimental rheumatology, 26 ( 2 ) s. 373-8
Artikel, refereegranskad vetenskaplig
Sammanfattning (abstract):
BACKGROUND: Survivin is an anti-apoptotic protein that has been recently suggested as a predictive marker of joint destruction in adult rheumatoid arthritis. We assessed the presence of extracellular survivin in patients with juvenile idiopathic arthritis (JIA). METHODS: Survivin levels were assessed in the circulation of 46 patients with JIA and in the age- and gender-matched controls (n=46) having no inflammatory disease, by ELISA. Survivin levels were analyzed with respect to the onset type and the activity of the joint disease. The intensity of inflammation and cartilage turnover was measured as levels of IL-6, serum amyloid A protein (SAA), and cartilage oligomeric matrix protein (COMP), respectively. RESULTS: The levels of extracellular survivin were significantly higher in JIA compared to the controls (p=0.0002). High levels of survivin (above mean + 2SD of the controls) were detected in 8/46 (17% JIA patients. High survivin expression was associated with polyarticular onset, active phase of arthritis. In contrast, survivin was neither related to the levels of IL-6, SAA, nor to COMP. CONCLUSION: Circulating survivin is expressed in a significant group of patients with JIA being associated to a severe course of the disease. It may be potentially used to select children with unfavorable prognosis of JIA who are in need of active pharmacologic treatment.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Adolescent, Arthritis, Juvenile Rheumatoid, diagnosis, metabolism, Biological Markers, blood, Child, Extracellular Matrix Proteins, blood, Extracellular Space, metabolism, Female, Glycoproteins, blood, Humans, Interleukin-6, blood, Male, Microtubule-Associated Proteins, blood, Neoplasm Proteins, blood, Predictive Value of Tests, Prognosis, Serum Amyloid A Protein, metabolism, Severity of Illness Index
Postens nummer:
Posten skapad:
2009-01-07 13:08
Posten ändrad:
2011-05-11 14:25

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