DIFFERENTIAL-EFFECTS OF CYCLOSPORINE AND ETRETINATE ON SERUM CYTOKINE LEVELS IN PATIENTS WITH PSORIASIS

被引:20
作者
SHIOHARA, T [1 ]
IMANISHI, K [1 ]
SAGAWA, Y [1 ]
NAGASHIMA, M [1 ]
机构
[1] TOKYO WOMENS MED COLL,DEPT MICROBIOL,TOKYO 162,JAPAN
关键词
D O I
10.1016/0190-9622(92)70224-4
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background: The in vivo effects of cyclosporine and etretinate on the immune system are still unclear. Objective: Our purpose was to determine the effects of these drugs on in vivo production of various cytokines. Methods: Serum cytokine levels were measured sequentially by radioimmunoassay in psoriasis patients treated with either cyclosporine or etretinate. Results: Interferon-gamma levels were initially elevated and rapidly returned to baseline levels before clinical improvement in both treatment groups. A transient increase before the relapse was also observed in some patients. Etretinate treatment resulted in a substantial decrease in tumor necrosis factor-alpha levels, whereas an unpredictable increase was found during the late phase of cyclosporine treatment. Conclusion: The in vivo effects of the antipsoriatic drugs on cytokine production are different from those demonstrated in vitro. Measurement of serum cytokine levels is useful for monitoring patients with psoriasis.
引用
收藏
页码:568 / 574
页数:7
相关论文
共 27 条
[1]   THE EFFECTS OF CYCLOSPORINE-A ON LYMPHOCYTE-T AND DENDRITIC CELL SUBPOPULATIONS IN PSORIASIS [J].
BAKER, BS ;
GRIFFITHS, CEM ;
LAMBERT, S ;
POWLES, AV ;
LEONARD, JN ;
VALDIMARSSON, H ;
FRY, L .
BRITISH JOURNAL OF DERMATOLOGY, 1987, 116 (04) :503-510
[2]   CYCLOSPORIN-A MEDIATES IMMUNOSUPPRESSION OF PRIMARY CYTO-TOXIC T-CELL RESPONSES BY IMPAIRING THE RELEASE OF INTERLEUKIN-1 AND INTERLEUKIN-2 [J].
BUNJES, D ;
HARDT, C ;
ROLLINGHOFF, M ;
WAGNER, H .
EUROPEAN JOURNAL OF IMMUNOLOGY, 1981, 11 (08) :657-661
[3]  
DENNERT G, 1984, RETINOIDS, V2, P373
[4]   FLARE-UP OF RHEUMATOID-ARTHRITIS DURING GM-CSF TREATMENT AFTER CHEMOTHERAPY [J].
DEVRIES, EGE ;
WILLEMSE, PHB ;
BIESMA, B ;
STERN, AC ;
LIMBURG, PC ;
VELLENGA, E .
LANCET, 1991, 338 (8765) :517-518
[5]   ADHESION OF T-LYMPHOBLASTS TO EPIDERMAL-KERATINOCYTES IS REGULATED BY INTERFERON-GAMMA AND IS MEDIATED BY INTERCELLULAR-ADHESION MOLECULE-1 (ICAM-1) [J].
DUSTIN, ML ;
SINGER, KH ;
TUCK, DT ;
SPRINGER, TA .
JOURNAL OF EXPERIMENTAL MEDICINE, 1988, 167 (04) :1323-1340
[6]  
ELDER JT, 1991, J INVEST DERMATOL, V96, P612
[7]   CYCLOSPORINE IMPROVES PSORIASIS IN A DOUBLE-BLIND-STUDY [J].
ELLIS, CN ;
GORSULOWSKY, DC ;
HAMILTON, TA ;
BILLINGS, JK ;
BROWN, MD ;
HEADINGTON, JT ;
COOPER, KD ;
BAADSGAARD, O ;
DUELL, EA ;
ANNESLEY, TM ;
TURCOTTE, JG ;
VOORHEES, JJ .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1986, 256 (22) :3110-3116
[8]   ETRETINATE THERAPY [J].
ELLIS, CN ;
VOORHEES, JJ .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1987, 16 (02) :267-291
[9]   LEVELS OF CYCLOSPORIN IN EPIDERMIS OF TREATED PSORIASIS PATIENTS DIFFERENTIALLY INHIBIT GROWTH OF KERATINOCYTES CULTURED IN SERUM FREE VERSUS SERUM CONTAINING MEDIA [J].
FISHER, GJ ;
DUELL, EA ;
NICKOLOFF, BJ ;
ANNESLEY, TM ;
KOWALKE, JK ;
ELLIS, CN ;
VOORHEES, JJ .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1988, 91 (02) :142-146
[10]   INTERLEUKIN-1-ALPHA, TUMOR-NECROSIS-FACTOR-ALPHA, AND INTERFERON-GAMMA IN PSORIASIS [J].
GOMI, T ;
SHIOHARA, T ;
MUNAKATA, T ;
IMANISHI, K ;
NAGASHIMA, M .
ARCHIVES OF DERMATOLOGY, 1991, 127 (06) :827-830