[An IL-6 level in the serum and urine in estimation of cryoglobulinemic vasculitis activity in patients with chronic hepatitis C associated with renal damage].

Abstract:

AIM:To estimate serum and urine IL-6 levels and to study its role in diagnosis of nephritis activity in patients with cryoglobulinemic glomerulonephritis (CGN) associated with chronic hepatitis C (CHC). MATERIAL AND METHODS:Enzyme immunoassay was used to assay IL-6 in blood serum of 124 patients having different stages of CHC. IL-6 was also estimated in the urine of 57 patients with CHC systemic manifestations including renal damage. RESULTS:Abnormal serum IL-6 level was seen in 36% CHC patients. Patients with elevated level of IL-6 in the serum vs. patients with normal IL-6 level had cryoglobulinemia (CGE) (56% vs. 26%, p < 0.01) and related systemic manifestations including cryoglobulinemic glomerulonephritis (30% vs. 9%, p < 0.01). Most of (90%) patients with CHC-associated CGN had urinary IL-6 excretion correlating with severity of renal damage: the highest urinary level of IL-6 was seen in development of acute nephritic and nephritic syndromes (from 83.5 to 250 pg/ml). It did not correlate with IL-6 in the serum and proteinuria. This is evidence that IL-6 in the urine had a local origin (intrarenal), reflecting activity of immune inflammation in the kidney. CONCLUSION:Control of IL-6 levels in the blood serum and urine of patients suffering from CHC with cryoglobulinemic syndrome and renal damage can be used for monitoring of the disease activity.

journal_name

Ter Arkh

journal_title

Terapevticheskii arkhiv

authors

Korotchaeva IuV,Kozlovskaia LV,Gordovskaia NB,Speranskiĭ AI

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

52-6

issue

2

eissn

0040-3660

issn

2309-5342

journal_volume

83

pub_type

杂志文章
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    doi:

    authors: Samson EI,Kushnir LD

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    authors: Mustafin DG,Orlova EA

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  • [The level of R proteins in reactive arthritis].

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    doi:

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  • [Local radiotherapy in combined treatment of rheumatoid arthritis].

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    doi:

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    doi:

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    doi:

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