Circulating soluble selectins in Kawasaki disease.

Abstract:

:To investigate the significance of circulating adhesion molecules associated with leucocyte-endothelial cell interaction in Kawasaki disease (KD), serum levels of soluble E-, P-, L-selectin (sE-, sP-, sL-selectin), and vascular cell adhesion molecule-1 (VCAM-1) were measured in 16 patients with KD, eight with other febrile diseases, six with Henoch-Schonlein purpura (HSP), and 10 healthy children using an ELISA. Serum sE-selectin levels from patients in the acute phase of KD were significantly higher than from those in other groups (P < 0.01). The levels of sP-selectin in the subacute phase of KD were significantly higher than in other groups (P < 0.01). Serum sL-selectin levels tended to rise in the convalescent phase of KD. There were also significant correlations between sE-selectin levels and C-reactive protein (r = 0.80, P < 0.0001), and between sP-selectin levels and platelet counts (r = 0.57, P < 0.0001) in KD patients. These data indicate that circulating soluble forms of three selectins may have different kinetics during the clinical course of KD, suggesting that they may reflect its inflammatory process.

journal_name

Clin Exp Immunol

authors

Takeshita S,Dobashi H,Nakatani K,Koike Y,Tsujimoto H,Hirayama K,Kawamura Y,Mori K,Sekine I,Yoshioka S

doi

10.1046/j.1365-2249.1997.3852128.x

subject

Has Abstract

pub_date

1997-06-01 00:00:00

pages

446-50

issue

3

eissn

0009-9104

issn

1365-2249

journal_volume

108

pub_type

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