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406033

Serum Level of Interleukin-2 and Renal Involvement in Lupus Erythematosus Patients

Article

Last updated: 20 Jan 2025

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Abstract

Background: Systemic lupus erythematosus (SLE) is an autoimmune condition with potential multiorgan involvement. Defective interleukin-2 (IL-2) production contributes to immunological dysregulation in SLE. IL-2 insufficiency impacts T-cell activity and immunological tolerance. Objective: The current work aimed to assess the connection between renal involvement and serum IL-2 levels in patients with SLE. Patients and Methods: Sixty adult SLE patients were divided into two groups: those with active lupus nephritis and those without. Clinical data, including medical history, physical examination, and laboratory investigations were collected. Disease activity and serum IL-2 levels were measured. Statistical analyses, non-parametric tests, correlation analyses, and logistic regression were performed. Results: Predominance in females. Patients with nephritis had considerably lower median serum IL-2 levels compared to those without. A statistically significant negative association was observed between serum IL-2 levels and both serum creatinine and the protein/creatinine ratio, indicating an association between lower IL-2 levels and worse renal function. No statistically significant association was found between total SLE disease activity and serum IL-2 levels, though a trend towards greater IL-2 levels was seen in patients with milder disease activity. Multivariate logistic regression identified elevated serum creatinine and decreased serum IL-2 levels as independent predictors of lupus nephritis in SLE patients. Conclusion: This study demonstrates a significant association between reduced serum IL-2 levels and lupus nephritis in SLE patients. The negative correlations between IL-2, renal dysfunction markers, and the independent predictive value of IL-2 for nephritis, suggest that IL-2 may be a valuable biomarker for identifying and potentially predicting renal involvement in SLE.  

DOI

10.21608/ejhm.2025.406033

Keywords

Systemic lupus erythematosus, autoimmune diseases, Lupus nephritis, Interleukin-2

Volume

98

Article Issue

1

Related Issue

52551

Issue Date

2025-01-01

Receive Date

2025-01-19

Publish Date

2025-01-01

Page Start

403

Page End

411

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_406033.html

Detail API

http://journals.ekb.eg?_action=service&article_code=406033

Order

60

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Serum Level of Interleukin-2 and Renal Involvement in Lupus Erythematosus Patients

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Type

Article

Created At

20 Jan 2025