SERUM-SOLUBLE INTERLEUKIN-2 RECEPTOR LEVELS BEFORE AND AFTER SURGICAL-TREATMENT FOR GRAVES-DISEASE

被引:5
作者
MURAKAMI, S [1 ]
KOBAYASHI, A [1 ]
KUMA, K [1 ]
MURAI, H [1 ]
OKAMURA, Y [1 ]
SATOMI, A [1 ]
ISHIDA, K [1 ]
机构
[1] KUMA HOSP,CHUO KU,KOBE,HYOGO 650,JAPAN
来源
SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1995年 / 25卷 / 01期
关键词
INTERLEUKIN-2; RECEPTOR; GRAVES DISEASE; TRAB;
D O I
10.1007/BF00309386
中图分类号
R61 [外科手术学];
学科分类号
摘要
Serum-soluble interleukin-2 receptor (ssIL-2R) is released from its specific affinity membrane receptor on activated T lymphocytes and is detected as a form of the alpha-chain of IL-2R in the peripheral blood. We measured the ssIL-2R levels by enzyme-linked immunosorbent assay in 29 healthy subjects and 39 patients with Graves' disease who were given antithyroid drugs to prepare them for surgical treatment. The preoperative ssIL-2R levels in Graves' patients were significantly higher than those in the healthy controls (681 +/- 387 vs 369 +/- 149 U/ml); in particular, the preoperative levels in hyperthyroid patients were significantly higher than those in euthyroid patients. On the 5th day after thyroid resection, their ssIL-2R levels (560 +/- 296 U/ml) were significantly lower than the preoperative levels. There were no correlations between the preoperative ssIL-2R levels and the immunological parameters such as thyroglobulin antibody, microsomal antibody, and thyroid-stimulating hormone receptor antibody. Thus, we conclude that ssIL-2R levels can be decreased by surgical resection of goiter in Graves' patients whose hyperthyroid status does not respond to the administration of antithyroid drugs, and this may be a useful indicator of immunological status after surgical treatment of Graves' disease.
引用
收藏
页码:55 / 58
页数:4
相关论文
共 21 条
[1]  
Smith K.A., Interleukin-2, inception, impact and implications, Science, 240, (1988)
[2]  
Rubin L.A., Kurman C.C., Fritz M.E., Biddison W.E., Boutin B., Yarchoan R., Nelson D.L., Soluble interleukin-2 receptors are released from activated human lymphoid cells in vitro, J Immunol, 135, pp. 3172-3177, (1985)
[3]  
Symons J.A., Wod N.C., Di Giovine F.S., Duff G.W., Soluble IL-2 receptor in rheumatoid arthritis: correlation with disease activity, IL-1 and IL-2 inhibition, J Immunol, 141, pp. 2612-2618, (1988)
[4]  
Yamaguchi K., Nishimura Y., Kiyokawa T., Matsuzaki H., Ishii T., Kubota K., Kawahara M., Furuse K., Yoshinaga T., Kinuwaki E., Takatsuki K., Elevated serum levels of soluble interleukin 2 receptors in small cell lung carcinoma, J Lab Clin Med, 116, pp. 457-461, (1990)
[5]  
Pui C.H., Ip S.H., Iflah S., Behm F.G., Grose B.H., Dodge R.K., Crist W.M., Furman W.L., Murphy S.B., Rivera G.K., Serum Interleukin 2 receptor levels in childhood acute lymphoblastic leukemia, Blood, 71, pp. 1135-1137, (1988)
[6]  
Honda M., Kitamura K., Matsuda K., Yokota Y., Yamamoto N., Mitsuyasu R., Chermann J.C., Tokunaga T., Soluble IL-2 receptor in AIDS, J Immunol, 142, pp. 4248-4255, (1989)
[7]  
Weryha G., Gobert B., Leclere J., Bene M.C., Faure G., Hartemann P., Dynamic changes in soluble interleukin-2 receptor levels during treatment of Graves' disease, Horm Res, 35, pp. 8-12, (1991)
[8]  
Mariotti S., Caturegli P., Barbesino G., Prete G.F.D., Chiovato L., Pinchera A., Circulating soluble interleukin-2 receptor concentration is increased in both immunogenic and nonimmunogenic hyperthyroidism, J Endocrinol Invest, 14, pp. 777-781, (1991)
[9]  
Chow C.C., Lai K.N., Leung J.C.K., Chan J.C.N., Cockram C.S., Serum soluble interleukin-2 receptor in hyperthyroid Graves' disease and effect of carbimazole therapy, Clin Endocrinol, 33, pp. 317-321, (1990)
[10]  
Balazs C.Z., Farid N.R., Soluble interleukin-2 receptor in sera of patients with Graves' diseases, J Autoimmun, 4, pp. 681-688, (1991)