title: Serum trypsin and TCR as novel markers for predicting disease activity in IgG4-related disease.
abstract: BACKGROUND
  IgG4-related disease (IgG4-RD) is a novel disease named in recent years. Because of its varied clinical manifestations, like tumor but not tumor, it brings a great challenge to clinical diagnosis. Trypsin and T-cell receptor (TCR) are thought to mediate the regulation of B cell maturation, survival and antibody production. In this study, we investigated the clinical features and important novel markers of IgG4-RD.
  
  
  METHODS
  A prospective cohort study of 22 patients with IgG4-RD was carried out from May 2009 to December 2012, and 65 cases with acute pancreatitis, 60 cases with pancreatic cancer and 120 healthy individuals were studied as controls. Serum TCR, trypsin and IgG4 levels were measured during pre- and post-treatment in the patients with IgG4-RD and their correlations with IgG4 were also assessed.
  
  
  RESULTS
  Serum IgG4 and IgE levels in all patients were significantly increased, and tumor markers (carbohydrate antigen 19-9 and/or carbohydrate antigen 125) were also increased (12/22). Serum trypsin in patients with IgG4-RD was lower than in the ones with acute pancreatitis, pancreatic cancer, and healthy individuals. But serum TCR of IgG4-RD was significantly higher than in the pancreatic cancer group and normal controls and it was inversely correlated with the levels of IgG4 (r = -3.160, p = 0.042).
  
  
  CONCLUSIONS
  The results indicate that serum TCR and trypsin might be useful markers for predicting disease activity in IgG4-RD.
authors.affiliation: Department of Laboratory Medicine, the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian Province, PR China.
authors.forename: Wang
authors.initials: W
authors.lastname: Fengqing
authors.affiliation: Department of Laboratory Medicine, the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian Province, PR China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Qiang
authors.affiliation: Department of Pathology, the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian Province, PR China.
authors.forename: Gao
authors.initials: G
authors.lastname: Feng
authors.affiliation: Department of Gastroenterology, the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian Province, PR China.
authors.forename: Zhuang
authors.initials: Z
authors.lastname: Zehao
authors.affiliation: Department of Laboratory Medicine, the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian Province, PR China.
authors.forename: Ma
authors.initials: M
authors.lastname: Yuefei
authors.affiliation: Department of Laboratory Medicine, the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian Province, PR China.
authors.forename: Chen
authors.initials: C
authors.lastname: Jing
authors.affiliation: University Students' innovative team of Fujian Medical University, Fujian Medical University, Fuzhou, Fujian Province, PR China.
authors.forename: Wang
authors.initials: W
authors.lastname: Guina
authors.affiliation: University Students' innovative team of Fujian Medical University, Fujian Medical University, Fuzhou, Fujian Province, PR China.
authors.forename: Hu
authors.initials: H
authors.lastname: Bing
authors.affiliation: University Students' innovative team of Fujian Medical University, Fujian Medical University, Fuzhou, Fujian Province, PR China.
authors.forename: Zheng
authors.initials: Z
authors.lastname: Jing
authors.affiliation: University Students' innovative team of Fujian Medical University, Fujian Medical University, Fuzhou, Fujian Province, PR China.
authors.forename: Zhang
authors.initials: Z
authors.lastname: Jingjing
authors.affiliation: University Students' innovative team of Fujian Medical University, Fujian Medical University, Fuzhou, Fujian Province, PR China.
authors.forename: Lu
authors.initials: L
authors.lastname: Danfeng
authors.affiliation: University Students' innovative team of Fujian Medical University, Fujian Medical University, Fuzhou, Fujian Province, PR China.
authors.forename: Ha
authors.initials: H
authors.lastname: Rui
authors.affiliation: Department of Laboratory Medicine, the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian Province, PR China.
authors.forename: Liu
authors.initials: L
authors.lastname: Qi-Cai
keywords: IgG4-RD; TCR; serum IgG4; trypsin