Systemic Lupus Erythematosus Clinical Trial
Official title:
Evaluation of Serum Galectin-9 Level in Systemic Lupus Erythematosus Patients and it's Association With Disease Activity and Organ Damage
Study aims to evaluate serum galectin-9 in systemic lupus erythematosus patients and determine it's correlation with overall disease process
Systemic lupus erythematosus (SLE) is an autoimmune disease characterized by producing large
quantities of antibodies directed against self-antigens, particularly double stranded DNA
(dsDNA) and small nuclear RNA-binding proteins such as Ro, La, Sm, and nRNP.
SLE-associated autoantibodies and high serum interferon alpha (IFN-α) are two important
heritable phenotypes in SLE which are thought to play a role in disease pathogenesis . The
most remarkable feature of the anti DNA response is its association with immunopathologic
events especially glomerulonephritis . Immune complexes containing DNA can promote the
expression of interferon alpha (IFN-alpha) by a specialized population of dendritic cells
known as plasmacytoid dendritic cells .
Activation of the type I interferon (IFN) system is associated with disease pathogenesis in
SLE, with affected patients typically demonstrating high concentrations of type I IFN
proteins . Overexpression of type I IFN-induced genes that includes hundreds of gene
transcripts; which is termed interferon signature (IFNGS), has been observed in 60-80% of
adults and the majority of children with SLE .
Galectin-9 (Gal-9) is recognized as a novel, easy to measure biomarker for type1 IFN
signatures and galectin-9 could aid in clinical decision making in SLE as a marker for
disease activity and organ damage.
Galectin-9 is expressed by T cells, macro-phages, fibroblasts, and endothelial cells, its
secreted form is barely detected under physiological conditions, it plays an recognizable
role in the regulation of inflammation and immune responses by down-regulating
pro-inflammatory T cells.
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