Background: Soluble interleukin 7 receptor (sIL7R) is secreted by fibroblasts after stimulation with proinflammatory cytokines. SIL7R has been implicated in many autoimmune diseases such as rheumatoid arthritis (RA) , inflammatory bowel diseases (IBD) and graft-versus-host disease (GVHD).
Objectives: we aimed to evaluate urine and serum sIL7R levels in patients with systemic lupus erythematosus and their association with the disease activity.
Subjects and methods: For a case control study, 54 patients with systemic lupus erythematosus and 27 age and sex matched healthy controls were involved. Serum and urine sIL7R levels (ng/mL) were determined by a sandwich ELISA kit. Disease activity was measured by SLE disease activity index (SLEDAI) score, complement C3, C4 levels and anti-dsDNA titre.
Results: Serum sIL7R levels were significantly higher in SLE patients (p<0.0001) than in control group . Patients with lupus nephritis had significantly higher serum levels of sIL7R than those without nephritis . There was significant correlation between sIL7R levels and SLE disease activity including SLEDAI, C3,C4, anti dsDNA. Urine levels of sIL7R showed non-significant difference between SLE patients and control group and did not correlate with disease activity.
Conclusions: Serum sIL7R is a valuable marker of SLE disease activity, especially in patients with lupus nephritis.