Soluble Interleukin-2 Receptor: A Potential Marker for Monitoring Disease Activity in IgG4-Related Disease

الملخص EN

Background.

IgG4-related disease (IgG4-RD) is a fibroinflammatory condition.

T-cells play a crucial role in the pathogenesis, and therefore, serum soluble interleukin-2 receptor (sIL-2R) may be a potential biomarker.

Method.

We studied the levels of sIL-2R in 26 histologically proven IgG4-RD patients with available serum sIL-2R and compared them to those in newly diagnosed and untreated sarcoidosis patients (n=78) and controls (n=101) and the serum sIL-2R levels in patients after treatment of IgG4-RD (n=15).

The disease activity was measured using the IgG4-Related Disease Responder Index (IgG4-RD RI).

Results.

Median serum sIL-2R in IgG4-RD patients was 4667 pg/ml compared to 1515 pg/ml in controls (P<0.001) and 6050 pg/ml in sarcoidosis patients (P=0.004 compared to IgG4-RD).

All IgG4-RD patients had elevated serum sIL-2R levels compared to the reference value of <2500 pg/ml in controls and 85% elevated serum IgG4; however, these did not correlate with each other.

Both serum sIL-2R and IgG4 levels declined significantly after treatment (P=0.001 and P=0.01, resp.).

Before treatment, serum sIL-2R level and IgG4-RD RI did not correlate with each other.

However, the decrease in serum sIL-2R upon treatment did correlate significantly (P=0.04) with the decrease in disease activity assessed by IgG-RD RI.

Conclusion.

Serum sIL-2R is elevated in IgG4-RD reflecting the inflammatory process with enhanced T-cell activation.

Furthermore, serum sIL-2R might serve as a potential marker of response to treatment in IgG4-RD.