KL-6 as a novel marker for activities of interstitial pneumonia in connective tissue diseases

被引:31
作者
Fukaya, S [1 ]
Oshima, H [1 ]
Kato, K [1 ]
Komatsu, Y [1 ]
Matsumura, H [1 ]
Ishii, K [1 ]
Miyama, H [1 ]
Nagai, T [1 ]
Tanaka, I [1 ]
Mizutani, A [1 ]
Katayama, M [1 ]
Yoshida, S [1 ]
Torikai, K [1 ]
机构
[1] Fujita Hlth Univ, Sch Med, Dept Med, Toyoake, Aichi 4701192, Japan
关键词
interstitial pneumonia; KL-6; corticosteroids; marker;
D O I
10.1007/s002960000064
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The objective of this study was to determine the role of serum KL-6 levels as a marker for the activity of interstitial pneumonia in patients with connective tissue diseases. The serum concentrations of KL-6, a glycoprotein produced mainly by pulmonary type II epithelial cells, were measured in 21 patients with connective tissue disease. The activity of interstitial pneumonia was compared with the associated serum KL-6 concentrations. Serum KL-6 concentrations in patients with interstitial pneumonia were significantly higher than those in the controls. Among patients with active interstitial pneumonia, serum KL-6 concentrations following the treatment (after improvement) were significantly lower than the pretreatment values. The extent of the pulmonary fibrosis correlated positively with the serum KL-6 concentrations during the inactive phase of the interstitial pneumonia. These results suggest that sequential measurement of serum KL-6 levels is a new and useful means for the evaluation of interstitial pneumonia in patients with connective tissue diseases.
引用
收藏
页码:223 / 225
页数:3
相关论文
共 10 条
[1]   PRELIMINARY CRITERIA FOR THE CLASSIFICATION OF SYSTEMIC-SCLEROSIS (SCLERODERMA) [J].
不详 .
ARTHRITIS AND RHEUMATISM, 1980, 23 (05) :581-590
[2]   THE AMERICAN-RHEUMATISM-ASSOCIATION 1987 REVISED CRITERIA FOR THE CLASSIFICATION OF RHEUMATOID-ARTHRITIS [J].
ARNETT, FC ;
EDWORTHY, SM ;
BLOCH, DA ;
MCSHANE, DJ ;
FRIES, JF ;
COOPER, NS ;
HEALEY, LA ;
KAPLAN, SR ;
LIANG, MH ;
LUTHRA, HS ;
MEDSGER, TA ;
MITCHELL, DM ;
NEUSTADT, DH ;
PINALS, RS ;
SCHALLER, JG ;
SHARP, JT ;
WILDER, RL ;
HUNDER, GG .
ARTHRITIS AND RHEUMATISM, 1988, 31 (03) :315-324
[3]   COMPUTER-ASSISTED ANALYSIS OF 153 PATIENTS WITH POLYMYOSITIS AND DERMATOMYOSITIS [J].
BOHAN, A ;
PETER, JB ;
BOWMAN, RL ;
PEARSON, CM .
MEDICINE, 1977, 56 (04) :255-286
[4]   Comparative studies of circulating KL-6, type III procollagen N-terminal peptide and type IV collagen 7S in patients with interstitial pneumonitis and alveolar pneumonia [J].
Kohno, N ;
Yokoyama, A ;
Hirasawa, Y ;
Kondo, K ;
Fujino, S ;
Abe, M ;
Hiwada, K .
RESPIRATORY MEDICINE, 1997, 91 (09) :558-561
[5]  
KOHNO N, 1988, JPN J CLIN ONCOL, V18, P203
[6]   Tacrolimus in refractory polymyositis with interstitial lung disease [J].
Oddis, CV ;
Sciurba, FC ;
Abu Elmagd, K ;
Starzl, TE .
LANCET, 1999, 353 (9166) :1762-1763
[7]   Detection of interstitial pneumonitis in patients with rheumatoid arthritis by measuring circulating levels of KL-6, a human MUC1 mucin [J].
Oyama, T ;
Kohno, N ;
Yokoyama, A ;
Hirasawa, Y ;
Hiwada, K ;
Oyama, H ;
Okuda, Y ;
Takasugi, K .
LUNG, 1997, 175 (06) :379-385
[8]  
Schnabel A, 1998, ARTHRITIS RHEUM-US, V41, P1215, DOI 10.1002/1529-0131(199807)41:7<1215::AID-ART11>3.0.CO
[9]  
2-Y
[10]   SPECIAL ARTICLE - THE 1982 REVISED CRITERIA FOR THE CLASSIFICATION OF SYSTEMIC LUPUS-ERYTHEMATOSUS [J].
TAN, EM ;
COHEN, AS ;
FRIES, JF ;
MASI, AT ;
MCSHANE, DJ ;
ROTHFIELD, NF ;
SCHALLER, JG ;
TALAL, N ;
WINCHESTER, RJ .
ARTHRITIS AND RHEUMATISM, 1982, 25 (11) :1271-1277