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Published in: Rheumatology International 7/2007

01-05-2007 | Original Article

Lupus patients with pulmonary involvement have a pro-inflammatory cytokines profile

Authors: Sana Al-Mutairi, Adel Al-Awadhi, Raj Raghupathy, Hanaa Al-Khawari, Prio Sada, Adeebah Al-Herz, Parvez Rawoot

Published in: Rheumatology International | Issue 7/2007

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Abstract

Objectives

The literature on cytokine response in systemic lupus erythematosus (SLE) is confusing. It is possible that different disease phenotypes have different cytokine profiles. Our aim was to examine the levels of selected pro-inflammatory and anti-inflammatory cytokines in SLE patients with and without pulmonary involvement.

Methods and subjects

Patients with SLE were interviewed and were subjected to the pulmonary function test and high-resolution computed tomography studies. Serum levels of interleukin (IL)-6, IL-8, IL-10, Il-12, interferon (IFN) γ, and tumor necrosis factor (TNF) α were estimated by enzyme-linked immunosorbent assay.

Results

Forty-nine of the 61 SLE patients had pulmonary involvement. Median levels of IL-8, IFNγ, and TNFα were significantly higher in the pulmonary group as compared to the non-pulmonary group (p = 0.027, 0.027 and 0.002, respectively). Ratios of pro-inflammatory cytokines to anti-inflammatory cytokines were higher in the pulmonary group as compared to the non-pulmonary group as well as in the pulmonary restrictive subgroup compared to the obstructive subgroup.

Conclusion

Lupus patients with pulmonary involvement have a stronger pro-inflammatory cytokine bias than those without pulmonary involvement.
Literature
2.
go back to reference Lauwerys BR, Houssiau FA (2003) Involvement of cytokines in the pathogenesis of systemic lupus erythematosus. In: Santamaria P (ed) Cytokines and chemokines in autoimmune disease. Plenum Publishers, New York, pp 237–251 Lauwerys BR, Houssiau FA (2003) Involvement of cytokines in the pathogenesis of systemic lupus erythematosus. In: Santamaria P (ed) Cytokines and chemokines in autoimmune disease. Plenum Publishers, New York, pp 237–251
4.
go back to reference Dean GS, Tyrrell-Price J, Crawley E, Isenberg DA (2000) Cytokines and systemic lupus erythematosus. Ann Rheum Dis 59:243–251PubMedCrossRef Dean GS, Tyrrell-Price J, Crawley E, Isenberg DA (2000) Cytokines and systemic lupus erythematosus. Ann Rheum Dis 59:243–251PubMedCrossRef
5.
go back to reference Tam EM, Cohen AS, Fries JF, Masi AT, McShane DJ, Rothfield NF, Schaller JG, Talal N, Winchester RJ (1982) The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 25:1271–1277CrossRef Tam EM, Cohen AS, Fries JF, Masi AT, McShane DJ, Rothfield NF, Schaller JG, Talal N, Winchester RJ (1982) The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 25:1271–1277CrossRef
6.
go back to reference Bombardier C, Gladman DD, Urowitz MB, Caron D, Chang CH (1992) The Committee on Prognosis Studies in SLE. Derivation of the SLEDAI: a disease activity index for Lupus patients. Arthritis Rheum 35:630–640PubMedCrossRef Bombardier C, Gladman DD, Urowitz MB, Caron D, Chang CH (1992) The Committee on Prognosis Studies in SLE. Derivation of the SLEDAI: a disease activity index for Lupus patients. Arthritis Rheum 35:630–640PubMedCrossRef
7.
go back to reference Burney PGJ, Luczynska C, Chinn S, Jarvis D (1994) The European Community Respiratory Health Survey. Eur Respir J 7:954–960PubMed Burney PGJ, Luczynska C, Chinn S, Jarvis D (1994) The European Community Respiratory Health Survey. Eur Respir J 7:954–960PubMed
8.
go back to reference The European Community Respiratory Health Survey “Medicine and Health” (1994) EC Directorate General XIII. Office for Official Publications, Luxemburg The European Community Respiratory Health Survey “Medicine and Health” (1994) EC Directorate General XIII. Office for Official Publications, Luxemburg
9.
go back to reference Medical Research Council Respiratory Symptoms Questionnaire (1976) The Council, London Medical Research Council Respiratory Symptoms Questionnaire (1976) The Council, London
10.
go back to reference Toren K, Brisman J, Jarvholm B (1993) Asthma and asthma-like symptoms in adults assessed by questionnaires: a literature review. Chest 104:600–608PubMed Toren K, Brisman J, Jarvholm B (1993) Asthma and asthma-like symptoms in adults assessed by questionnaires: a literature review. Chest 104:600–608PubMed
11.
go back to reference Burney PGJ, Laitinen LA, Predrizet S, Huckauf H, Tattersfield AE, Chinn S, Poisson N, Heeren A, Britton JR, Jones T (1989) Validity and repeatability of the IUATLD (1984) bronchial symptoms questionnaire: an international comparison. Eur Respir J 2:940–945PubMed Burney PGJ, Laitinen LA, Predrizet S, Huckauf H, Tattersfield AE, Chinn S, Poisson N, Heeren A, Britton JR, Jones T (1989) Validity and repeatability of the IUATLD (1984) bronchial symptoms questionnaire: an international comparison. Eur Respir J 2:940–945PubMed
12.
go back to reference Burney PGJ, Chinn S, Britton JR, Tattersfield AE, Papacosta AO (1989) What symptoms predict the bronchial response to histamine? Evaluation in a community survey of the bronchial symptoms questionnaire (1984) of the International Union Against Tuberculosis and Lung Disease. Int J Epidemiol 18:165–173PubMedCrossRef Burney PGJ, Chinn S, Britton JR, Tattersfield AE, Papacosta AO (1989) What symptoms predict the bronchial response to histamine? Evaluation in a community survey of the bronchial symptoms questionnaire (1984) of the International Union Against Tuberculosis and Lung Disease. Int J Epidemiol 18:165–173PubMedCrossRef
13.
go back to reference Burney PGJ, Papacosta AO, Withey CH, Colley JRT, Holland WW (1991) Hospital admission rates and the prevalence of asthma symptoms in 20 local authority districts. Thorax 46:574–579PubMedCrossRef Burney PGJ, Papacosta AO, Withey CH, Colley JRT, Holland WW (1991) Hospital admission rates and the prevalence of asthma symptoms in 20 local authority districts. Thorax 46:574–579PubMedCrossRef
14.
go back to reference Jarvis D, Lai E, Luczynska C, Chinn S, Burney P (1994) Prevalence of asthma and asthma-like symptoms in young adults living in three East Anglian towns. Br J General Patrice 44:493–497 Jarvis D, Lai E, Luczynska C, Chinn S, Burney P (1994) Prevalence of asthma and asthma-like symptoms in young adults living in three East Anglian towns. Br J General Patrice 44:493–497
15.
go back to reference Sunyer J, Basagana X, Burney P, Anto JM (2000) International assessment of the internal consistency of respiratory symptoms. European Community Respiratory Health Study (ECRHS). Am J Resp Crit Care Med 162:930–935PubMed Sunyer J, Basagana X, Burney P, Anto JM (2000) International assessment of the internal consistency of respiratory symptoms. European Community Respiratory Health Study (ECRHS). Am J Resp Crit Care Med 162:930–935PubMed
16.
go back to reference Abramson M, Matheson M, Wharton C, Sim M, Walters HE (2002) Prevalence of respiratory symptoms related to chronic obstructive pulmonary disease and asthma among middle aged and older adults. Respirology 7:325–331PubMedCrossRef Abramson M, Matheson M, Wharton C, Sim M, Walters HE (2002) Prevalence of respiratory symptoms related to chronic obstructive pulmonary disease and asthma among middle aged and older adults. Respirology 7:325–331PubMedCrossRef
17.
go back to reference National Institute for Clinical Excellence (NICE) (2004) Chronic obstructive pulmonary disease: national clinical guideline for management of chronic obstructive pulmonary disease in adults in primary and secondary care. Thorax 59 (Suppl 1):1–232 National Institute for Clinical Excellence (NICE) (2004) Chronic obstructive pulmonary disease: national clinical guideline for management of chronic obstructive pulmonary disease in adults in primary and secondary care. Thorax 59 (Suppl 1):1–232
18.
go back to reference Grassi M, Villani S, Marinoni A, for ECRHS Group (2001) Classification methods for the identification of “case” in epidemiological diagnosis of asthma. Eur J Epidemiol 17:19–29PubMedCrossRef Grassi M, Villani S, Marinoni A, for ECRHS Group (2001) Classification methods for the identification of “case” in epidemiological diagnosis of asthma. Eur J Epidemiol 17:19–29PubMedCrossRef
19.
go back to reference Standardization of Spirometry, 1994 Update (1995) American Thoracic Society. Am J Respir Crit Care Med 152:1107–1136 Standardization of Spirometry, 1994 Update (1995) American Thoracic Society. Am J Respir Crit Care Med 152:1107–1136
20.
go back to reference British Thoracic Society, Scottish Intercollegiate Guideline Network (2003) British Guidelines on the management of asthma. Thorax 58(Suppl 1):1–94 British Thoracic Society, Scottish Intercollegiate Guideline Network (2003) British Guidelines on the management of asthma. Thorax 58(Suppl 1):1–94
21.
go back to reference American Thoracic Society (1991) Lung function testing: selection of reference values and interpretative strategies. Am Rev Respir Dis 144:1202–1216 American Thoracic Society (1991) Lung function testing: selection of reference values and interpretative strategies. Am Rev Respir Dis 144:1202–1216
22.
go back to reference Morimoto S, Tokano Y, Kaneko H, Nowaza K, Amano H, Hashimoto H (2001) The increased interleukin-13 in patients with systemic lupus erythematosus: relation to other Th1-, Th2-related cytokines and clinical findings. Autoimmunity 34:19–25PubMedCrossRef Morimoto S, Tokano Y, Kaneko H, Nowaza K, Amano H, Hashimoto H (2001) The increased interleukin-13 in patients with systemic lupus erythematosus: relation to other Th1-, Th2-related cytokines and clinical findings. Autoimmunity 34:19–25PubMedCrossRef
23.
go back to reference Furuse S, Fujii H, Kaburagi Y, Fujimoto M, Hasegawa M, Takehara K, Sato S (2003) Serum concentration of CXC chemokines interleukin 8 a growth-related oncogene-alpha are elevated in patients with systemic sclerosis. J Rheumatol 30:1524–1528PubMed Furuse S, Fujii H, Kaburagi Y, Fujimoto M, Hasegawa M, Takehara K, Sato S (2003) Serum concentration of CXC chemokines interleukin 8 a growth-related oncogene-alpha are elevated in patients with systemic sclerosis. J Rheumatol 30:1524–1528PubMed
24.
go back to reference Yoshio T, Masuyama JI, Kohda N, Hirata D, Sato H, Iwamoto M, Mimori A, Takeda A, Minota S, Kano S (1997) Association of interleukin-6 release from endothelial cells and pulmonary hypertension in SLE. J Rheumatol 24:489–495PubMed Yoshio T, Masuyama JI, Kohda N, Hirata D, Sato H, Iwamoto M, Mimori A, Takeda A, Minota S, Kano S (1997) Association of interleukin-6 release from endothelial cells and pulmonary hypertension in SLE. J Rheumatol 24:489–495PubMed
25.
go back to reference Cross JT, Benton HP (1999) The roles of interleukin-6 and interleukin-10 in B cell hyperactivity in systemic lupus erythematosus. Inflamm Res 48:255–261PubMedCrossRef Cross JT, Benton HP (1999) The roles of interleukin-6 and interleukin-10 in B cell hyperactivity in systemic lupus erythematosus. Inflamm Res 48:255–261PubMedCrossRef
26.
27.
go back to reference Romognani S (2000) T-cell subsets (Th1 versus Th2). Ann Aller Asthma Immunol 85:9–18 Romognani S (2000) T-cell subsets (Th1 versus Th2). Ann Aller Asthma Immunol 85:9–18
28.
go back to reference Llorente L, Richaud-Patin Y, Garcia-Padilla C, Claret E, Jakez-Ocampo J, Cardiel MH, Alcocer-Varela J, Grangeot-Keros L, Alarcon-Segovia D, Wijdenes J, Galanaud P, Emilie D (2000) Clinical and biological effects of anti-interleukin-10 monoclonal antibody administration in systemic lupus erythematosus. Arthritis Rheum 43:1790–800PubMedCrossRef Llorente L, Richaud-Patin Y, Garcia-Padilla C, Claret E, Jakez-Ocampo J, Cardiel MH, Alcocer-Varela J, Grangeot-Keros L, Alarcon-Segovia D, Wijdenes J, Galanaud P, Emilie D (2000) Clinical and biological effects of anti-interleukin-10 monoclonal antibody administration in systemic lupus erythematosus. Arthritis Rheum 43:1790–800PubMedCrossRef
29.
go back to reference Tokano Y, Morimoto S, Kaneko H, Amano H, Nozawa K, Yakasaki Y, Hashimoto H (1999) Levels of IL-12 in the sera of patients with systemic lupus erythematosus (SLE)-relation to Th1- and Th2-derived cytokines. Clin Exp Immunol 116:169–173PubMedCrossRef Tokano Y, Morimoto S, Kaneko H, Amano H, Nozawa K, Yakasaki Y, Hashimoto H (1999) Levels of IL-12 in the sera of patients with systemic lupus erythematosus (SLE)-relation to Th1- and Th2-derived cytokines. Clin Exp Immunol 116:169–173PubMedCrossRef
30.
go back to reference Robak E, Robak T, Wozniacka A, Zak-Prelich M, Sysa-Jedrzejowska A, Stepien H (2002) Pro-inflammatory interferon-γ-inducing monokines (interleukin-12, interleukin-18, interleukin-15)-serum profile in patients with systemic lupus erythematosus. Eur Cytokine Network 13:364–368 Robak E, Robak T, Wozniacka A, Zak-Prelich M, Sysa-Jedrzejowska A, Stepien H (2002) Pro-inflammatory interferon-γ-inducing monokines (interleukin-12, interleukin-18, interleukin-15)-serum profile in patients with systemic lupus erythematosus. Eur Cytokine Network 13:364–368
31.
go back to reference Wong CK, Ho CY, Li EK, Lam CWK (2000) Elevation of pro-inflammatory cytokine (IL-18, IL-17, IL-12) and Th2-cytokine (IL-4) concentrations in patients with systemic lupus erythematosus. Lupus 9:589–593PubMedCrossRef Wong CK, Ho CY, Li EK, Lam CWK (2000) Elevation of pro-inflammatory cytokine (IL-18, IL-17, IL-12) and Th2-cytokine (IL-4) concentrations in patients with systemic lupus erythematosus. Lupus 9:589–593PubMedCrossRef
32.
go back to reference Liu TF, Jones BM (1994) Impaired production of IL-12 in systemic lupus erythematosus. II. IL-12 production in vitro is correlated negatively with serum IL-10, positively with serum IFNγ and negatively with disease activity in SLE. Cytokines 10:148–153CrossRef Liu TF, Jones BM (1994) Impaired production of IL-12 in systemic lupus erythematosus. II. IL-12 production in vitro is correlated negatively with serum IL-10, positively with serum IFNγ and negatively with disease activity in SLE. Cytokines 10:148–153CrossRef
33.
go back to reference Liu TF, Jones BM, Wong RW, Srivastava G (1999) Impaired production of IL-12 in systemic lupus erythematosus. III. Deficient IL-12 p40 gene expression and cross-regulation of IL-12, IL-10 and IFN-gamma gene expression. Cytokines 11:805–811CrossRef Liu TF, Jones BM, Wong RW, Srivastava G (1999) Impaired production of IL-12 in systemic lupus erythematosus. III. Deficient IL-12 p40 gene expression and cross-regulation of IL-12, IL-10 and IFN-gamma gene expression. Cytokines 11:805–811CrossRef
34.
go back to reference Horwitz DA, Gray JD, Behrendsen SC, Kubin M, Rengaraju M, Oht K, Trinchieri G (1998) Decreased production of interleukin-12 and other Th1-type cytokines in patients with recent-onset systemic lupus erythematosus. Arthritis Rheum 41:838–844PubMedCrossRef Horwitz DA, Gray JD, Behrendsen SC, Kubin M, Rengaraju M, Oht K, Trinchieri G (1998) Decreased production of interleukin-12 and other Th1-type cytokines in patients with recent-onset systemic lupus erythematosus. Arthritis Rheum 41:838–844PubMedCrossRef
35.
go back to reference Spadaro A, Scrivo R, Rinaldi T, Riccieri V, Sili Scavalli A, Taccari E, Valesini G (2002) The role of interleukin-12 in immune-mediated rheumatic diseases. Reumatismo 54:113–121PubMed Spadaro A, Scrivo R, Rinaldi T, Riccieri V, Sili Scavalli A, Taccari E, Valesini G (2002) The role of interleukin-12 in immune-mediated rheumatic diseases. Reumatismo 54:113–121PubMed
36.
go back to reference Davas EM, Tsirogianni A, Kappou I, Karamitsos D, Economidou I, Dantis PC (1999) Serum IL-6, TNF alpha, p55 srTNF alpha, p75 srTNF alpha, srIL-12 alpha levels and disease activity in systemic lupus erythematosus. Clin Rheumatol 18:17–22PubMedCrossRef Davas EM, Tsirogianni A, Kappou I, Karamitsos D, Economidou I, Dantis PC (1999) Serum IL-6, TNF alpha, p55 srTNF alpha, p75 srTNF alpha, srIL-12 alpha levels and disease activity in systemic lupus erythematosus. Clin Rheumatol 18:17–22PubMedCrossRef
37.
go back to reference Nakajima A, Hirose S, Yagita H, Okumura K (1997) Roles of IL-4 and IL-12 in the development of lupus in NZB/W F1 mice. J Immunol 158:1466–1472PubMed Nakajima A, Hirose S, Yagita H, Okumura K (1997) Roles of IL-4 and IL-12 in the development of lupus in NZB/W F1 mice. J Immunol 158:1466–1472PubMed
38.
go back to reference Viallard JF, Pellegrin JL, Ranchin V, Schaeverbeke T, Dehais J, Longy-Boursier M, Ragnaud JM, Leng B, Moreau JF (1999) Th1 (IL-2, interferon-gamma IFN-gamma) and Th2 (IL-10, IL-4) cytokine production by peripheral blood mononuclear cells (PBMC) from patients with systemic lupus erythematosus (SLE). Clin Exp Immunol 115:189–195PubMedCrossRef Viallard JF, Pellegrin JL, Ranchin V, Schaeverbeke T, Dehais J, Longy-Boursier M, Ragnaud JM, Leng B, Moreau JF (1999) Th1 (IL-2, interferon-gamma IFN-gamma) and Th2 (IL-10, IL-4) cytokine production by peripheral blood mononuclear cells (PBMC) from patients with systemic lupus erythematosus (SLE). Clin Exp Immunol 115:189–195PubMedCrossRef
39.
go back to reference Sturfelt G, Roux-Lombard P, Wollheim FA, Dayer JM (1997) Low levels of interleukin-1 receptor antagonist coincides with kidney involvement in systemic lupus erythematosus. Br J Rheumatol 36:1283–1289PubMedCrossRef Sturfelt G, Roux-Lombard P, Wollheim FA, Dayer JM (1997) Low levels of interleukin-1 receptor antagonist coincides with kidney involvement in systemic lupus erythematosus. Br J Rheumatol 36:1283–1289PubMedCrossRef
40.
go back to reference Holcombe RF, Baethge BA, Wolf RE, Betzing KW, Stewart RM, Hal VC, Fukuda M (1994) Correlation of serum interleukin-8 and cell surface lysosome-associated membrane protein expression with clinical disease activity in systemic lupus erythematosus. Lupus 3:97–102PubMed Holcombe RF, Baethge BA, Wolf RE, Betzing KW, Stewart RM, Hal VC, Fukuda M (1994) Correlation of serum interleukin-8 and cell surface lysosome-associated membrane protein expression with clinical disease activity in systemic lupus erythematosus. Lupus 3:97–102PubMed
41.
go back to reference Hsieh SC, Tsai CY, Sun KH, Yu HS, Tsai ST, Wang JC, Tsai YY, Han SH, Yu CL (1994) Decreased spontaneous and lipopolysaccharide stimulated production of interleukin 8 by polymorphonuclear neutrophils of patients with active systemic lupus erythematosus. Clin Exp Immunol 12:627–633 Hsieh SC, Tsai CY, Sun KH, Yu HS, Tsai ST, Wang JC, Tsai YY, Han SH, Yu CL (1994) Decreased spontaneous and lipopolysaccharide stimulated production of interleukin 8 by polymorphonuclear neutrophils of patients with active systemic lupus erythematosus. Clin Exp Immunol 12:627–633
42.
go back to reference Hsieh SC, Yu HS, Lin WW, Sun KH, Tsai CY, Huang DF, Tsai YY, Yu CL (2003) Anti-SSB/La is one of the antineutrophil antibodies responsible for neutropenia and functional impairment of polymorphonuclear neutrophils in patients with systemic lupus erythematosus. Clin Exp Immunol 131:506–516PubMedCrossRef Hsieh SC, Yu HS, Lin WW, Sun KH, Tsai CY, Huang DF, Tsai YY, Yu CL (2003) Anti-SSB/La is one of the antineutrophil antibodies responsible for neutropenia and functional impairment of polymorphonuclear neutrophils in patients with systemic lupus erythematosus. Clin Exp Immunol 131:506–516PubMedCrossRef
43.
go back to reference Linker-Israeli M, Deans RJ, Wallace DJ, Prehn J, Ozeri-Chen T, Klinenberg JR (1991) Elevated levels of endogenous IL-6 in systemic lupus erythematosus. A putative role in pathogenesis. J Immunol 147:117–123PubMed Linker-Israeli M, Deans RJ, Wallace DJ, Prehn J, Ozeri-Chen T, Klinenberg JR (1991) Elevated levels of endogenous IL-6 in systemic lupus erythematosus. A putative role in pathogenesis. J Immunol 147:117–123PubMed
44.
go back to reference Al-Janadi M, Al-Balla S, Al-Dalaan A, Raziuddin S (1993) Cytokine profiles in systemic lupus erythematosus, rheumatoid arthritis, and other rheumatic diseases. J Clin Immunol 13:58–67PubMedCrossRef Al-Janadi M, Al-Balla S, Al-Dalaan A, Raziuddin S (1993) Cytokine profiles in systemic lupus erythematosus, rheumatoid arthritis, and other rheumatic diseases. J Clin Immunol 13:58–67PubMedCrossRef
45.
go back to reference Barcellini W, Rizzardi GP, Borghi MO, Nicoletti F, Fain C, Del-Papa N, Meroni PL (1996) In vitro type-1 and type-2 cytokines production in systemic lupus erythematosus: lack of relationship with clinical disease activity. Lupus 5:139–145PubMed Barcellini W, Rizzardi GP, Borghi MO, Nicoletti F, Fain C, Del-Papa N, Meroni PL (1996) In vitro type-1 and type-2 cytokines production in systemic lupus erythematosus: lack of relationship with clinical disease activity. Lupus 5:139–145PubMed
46.
go back to reference Emilie D, Llorente L, Galanaud P (1996) Cytokines and lupus. Ann Med Intern (Paris) 147:480–484 Emilie D, Llorente L, Galanaud P (1996) Cytokines and lupus. Ann Med Intern (Paris) 147:480–484
47.
go back to reference Lauwerys BR, Van Snick J, Houssiau FA (2002) Serum IL-12 in systemic lupus erythematosus: absence of p70 heterodimers but presence of p40 monomers correlating with disease activity. Lupus 11:384–387PubMedCrossRef Lauwerys BR, Van Snick J, Houssiau FA (2002) Serum IL-12 in systemic lupus erythematosus: absence of p70 heterodimers but presence of p40 monomers correlating with disease activity. Lupus 11:384–387PubMedCrossRef
48.
go back to reference Abal At, Nair MGP, Behbehani NA, Sharma PN (2001) Hospital admissions and death rates from asthma in Kuwait during pre- and post-Gulf War periods. Ann Aller Asthma Immunol 86:465–468CrossRef Abal At, Nair MGP, Behbehani NA, Sharma PN (2001) Hospital admissions and death rates from asthma in Kuwait during pre- and post-Gulf War periods. Ann Aller Asthma Immunol 86:465–468CrossRef
49.
go back to reference Behbehani NA, Abal A, Syabbalo NC, Azeem AA, Shareef E, Al-Momen J (2000) Prevalence of asthma, allergic rhinitis, and eczema in 13- to 14-year-old children in Kuwait: an ISAAC study. Ann Allergy Asthma Immunol 85:58–63PubMed Behbehani NA, Abal A, Syabbalo NC, Azeem AA, Shareef E, Al-Momen J (2000) Prevalence of asthma, allergic rhinitis, and eczema in 13- to 14-year-old children in Kuwait: an ISAAC study. Ann Allergy Asthma Immunol 85:58–63PubMed
Metadata
Title
Lupus patients with pulmonary involvement have a pro-inflammatory cytokines profile
Authors
Sana Al-Mutairi
Adel Al-Awadhi
Raj Raghupathy
Hanaa Al-Khawari
Prio Sada
Adeebah Al-Herz
Parvez Rawoot
Publication date
01-05-2007
Publisher
Springer-Verlag
Published in
Rheumatology International / Issue 7/2007
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-006-0268-3

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