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Related Experiment Videos

Serial circulating adhesion molecule levels reflect disease severity in systemic sclerosis

C P Denton1, M C Bickerstaff, X Shiwen

  • 1Rheumatology Research Unit, Royal Free Hospital, London.

British Journal of Rheumatology
|November 1, 1995
PubMed
Summary

Serial measurements of soluble vascular cell adhesion molecule-1 (VCAM-1) and E-selectin in systemic sclerosis (SSc) patients correlate with disease activity. These markers may serve as indicators for SSc progression or remission.

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Area of Science:

  • Immunology
  • Rheumatology
  • Vascular Biology

Background:

  • Systemic sclerosis (SSc) involves microvascular damage and increased endothelial adhesion molecules.
  • Elevated soluble forms of intercellular adhesion molecule-1 (ICAM-1), vascular cell adhesion molecule-1 (VCAM-1), and E-selectin have been reported in SSc.

Purpose of the Study:

  • To investigate the relationship between serial measurements of circulating ICAM-1, VCAM-1, and E-selectin and disease activity in systemic sclerosis.
  • To assess the potential of these soluble adhesion molecules as surrogate markers for SSc progression or remission.

Main Methods:

  • Collected serial serum samples from 12 SSc patients over 4-12 month intervals (mean 44 months observation).
  • Measured circulating ICAM-1, VCAM-1, and E-selectin using ELISA.

Related Experiment Videos

  • Correlated adhesion molecule levels with disease activity parameters: skin sclerosis score, serum creatinine, erythrocyte sedimentation rate, and pulmonary function tests.
  • Main Results:

    • Mean levels: ICAM-1 627 ng/ml, VCM-1 959 ng/ml, E-selectin 81 ng/ml.
    • In 88% of patients with significant disease parameter changes, VCAM-1 or E-selectin levels reflected disease severity, decreasing with improvement and increasing with deterioration.
    • A peak VCAM-1 level preceded an acute renal SSc crisis in one case; ICAM-1 levels did not correlate with clinical changes.

    Conclusions:

    • Endothelial cell dysfunction is further evidenced in systemic sclerosis.
    • Serial measurements of VCAM-1 and E-selectin show potential as valuable surrogate markers for monitoring clinical progression or remission in SSc.