Macrophage-derived soluble CD163 level in young patients with Gaucher disease: relation to phenotypes, disease

Amira Abdel Moneam Adly1, Eman Abdel Rahman Ismail2, Taghreed Mahmoud Ibraheem1

  • 1Pediatrics Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Abstract

Insights

Soluble CD163 (sCD163) is elevated in Gaucher disease (GD) patients, indicating macrophage activation. Higher sCD163 levels correlate with disease severity and complications, aiding in risk prediction for bone and lung involvement.

Area of Science:

  • Biochemistry
  • Immunology
  • Pediatrics

Background:

  • Gaucher disease (GD) is a lysosomal storage disorder with significant bone and lung morbidity.
  • Soluble CD163 (sCD163) reflects macrophage activation and is a potential biomarker in inflammatory and metabolic diseases.

Purpose of the Study:

  • To determine sCD163 levels in pediatric GD patients.
  • To assess the correlation of sCD163 with GD phenotypes, disease severity, and complications.
  • To evaluate sCD163 as a biomarker for predicting bone and lung involvement.

Main Methods:

  • Studied 30 children and adolescents with GD (10 type 1, 20 type 3) and 30 healthy controls.
  • Assessed skeletal, pulmonary, and neurological manifestations, enzyme replacement therapy (ERT), hematological profile, chitotriosidase activity, D-dimer, and sCD163 levels.
  • Measured liver and spleen volumes and bone mineral density (BMD).

Main Results:

  • sCD163 levels were significantly elevated in GD patients compared to controls.
  • Type 3 GD patients showed higher D-dimer, chitotriosidase, and sCD163 levels than type 1.
  • Elevated sCD163 correlated with specific GD complications including dysphagia, developmental delay, pulmonary hypertension risk, and abnormal BMD.
  • A cutoff of 9400 ng/mL for sCD163 effectively predicted pulmonary hypertension risk.

Conclusions:

  • sCD163 serves as a valuable biomarker for assessing macrophage activity in GD.
  • sCD163 aids in the clinical assessment and risk prediction of bone and lung involvement in GD.
  • sCD163 monitoring can help track treatment response in Gaucher disease patients.

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