Elevated serum levels of soluble CX3CL1 in patients with microscopic polyangiitis.
OBJECTIVE
To test the hypothesis that CX3CL1 contributes to the pathogenesis of microscopic polyangiitis.


METHODS
Serum samples from 18 patients with microscopic polyangiitis (MPA), who fulfilled the revised criteria of the American College of Rheumatology (ACR), were collected during both the newly diagnosed, untreated active disease states and inactive disease states. Also serum was from patients with large vessel vasculitis (LVV), including giant cell arteritis (n=4) and Takayasu arteritis (n=3), and from 52 healthy individuals. Soluble (s)CX3CL1 levels in serum were measured using an enzyme-linked immunosorbent assay. Disease activity was assessed using Birmingham vasculitis activity scores (BVAS). Expression of CX3CR1 was examined by flow cytometry.


RESULTS
Serum sCX3CL1 levels were significantly higher in MPA patients than in either LVV group or healthy individuals. The elevated sCX3CL1 levels seen in MPA patients correlated positively with BVAS, as well as with CRP levels and ESR, and similarly increased expression of cell-surface CX3CR1 was seen on peripheral blood CD4 and CD8 T cells from patients with MPA. Notably, sCX3CL1 levels and CX3CR1 expression were diminished during clinical remission following treatment.


CONCLUSIONS
Our findings suggest that CX3CL1 may be involved in the pathogenesis of MPA, and may serve as a useful serologic marker of disease activity in systemic vasculitis.
Matsunawa
M
M
Department of Internal Medicine, Showa University School of Medicine, Tokyo, Japan.
Odai
T
T
Wakabayashi
K
K
Isozaki
T
T
Yajima
N
N
Miwa
Y
Y
Nohtomi
K
K
Takeuchi
H
H
Kasama
T
T