Clinical significance of osteopontin in systemic lupus erythematosus
- VernacularTitle:骨桥蛋白在系统性红斑狼疮中的临床意义
- Author:
Ying GONG
;
Qing ZHONG
;
Lin QIAO
- Publication Type:Journal Article
- Keywords:
Lupus erythematosus,systemic;
Serum;
Osteopontin
- From:
Chinese Journal of Rheumatology
2008;12(4):245-249
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical significance of osteopontin (OPN) in systemic lupus erythematosus (SLE) and its pathogenic role in SLE by studying the correlation between OPN and clinical manifestations,laboratory parameters and disease activity.Methods The enzyme-linked immunosorbent assay(ELISA)was used to measure the level of OPN in serum of 68 SLE patients and 20 healthy controls.the clin-ical data and laboratory parameters were recorded.Results The positive rate of OPN was 79.41%in 68 SLEpatients and could not be detected in healthy controls.Compared with healthy controls.the positive rate and level of OPN in SLE patients was significantly higher(P<0.01).There was no significant difference in age.gender and disease duration between OPN positive and negative lupus patients(P>0.05).The Drevalence of fever,hair loss,WBC decrease,liver damage,serum C4 decrease,proteinuria and anti-dsDNA antibody in OPN positive SLE were significantly higher than those of OPN negative SLE(P<0.05).The positive rate of serum OPN in SLE patients was significantly higher than that of anti-dsDNA antibody and anti-Sm antibody (P<0.01).The level of plasma OPN was associated with systemic lupus erythematosus disease activity index (SLEDAI)(r=0.292,P<0.05).The positive rate and level of OPN in active SLE patients was significantly higher than that of inactive SLE patients(P<O.05).Conclusion The level of plasma OPN has a close rela-tionship with the activity of SLE.It may serve as an active disease marker of SLE.