Cargando…
Serum and Urine Soluble HLA Class I Antigen Concentrations are Increased in Patients with Hemorrhagic Fever with Renal Syndrome
OBJECTIVES: In order to evaluate the association between the Hantaan virus-induced cellular-immune response and clinical severity in patients with hemorrhagic fever with renal syndrome (HFRS). METHODS: We serially measured the serum (n = 16) and urine (n =6) concentrations of soluble HLA class I ant...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Association of Internal Medicine
1997
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4531974/ https://www.ncbi.nlm.nih.gov/pubmed/9159038 http://dx.doi.org/10.3904/kjim.1997.12.1.52 |
_version_ | 1782385149197942784 |
---|---|
author | Park, Choel Whee Yun, Sung No Yang, Chul Woo Kim, Tai Gyu Han, Hoon Choi, Euy Jin Chang, Yoon Sik Bang, Byung Kee |
author_facet | Park, Choel Whee Yun, Sung No Yang, Chul Woo Kim, Tai Gyu Han, Hoon Choi, Euy Jin Chang, Yoon Sik Bang, Byung Kee |
author_sort | Park, Choel Whee |
collection | PubMed |
description | OBJECTIVES: In order to evaluate the association between the Hantaan virus-induced cellular-immune response and clinical severity in patients with hemorrhagic fever with renal syndrome (HFRS). METHODS: We serially measured the serum (n = 16) and urine (n =6) concentrations of soluble HLA class I antigen (sHLA-I) and clinical powameters in patients with HFRS. RESULTS: Serum sHLA-I concentrations in patients with HFRS were significantly higher than those in controls throughout all clinical phases (p<0.01). The highly elevated Serum sHLA-I concentrations peaked in the oliguric phase and declined gradually through the phases of HFRS. Serum sHLA-I concentrations in patients with hypotensive episode were higher than in those without the episode (5,585±2,184 vs. 2,389±860ng/ml in oliguric phase, 4.111±1,952 vs. 1,502+592 ng/ml in diuretic phase, p<0.05), and serum sHLA-I levels showed a significant correlation with blood WBC count (r=0.75 in the febrile and hypotensive phase, p<0.01 and serum creatinine concentrations (r=0.64 in the oliguric phase, p<0.01), respectively. Urine sHLA-I levels in the oliguric phase were significantly higher than those in the diuretic phase (390±155 vs. 214±45 ng/mg Cr, p<0.05) and urine sHLA- I levels are associated with severe illness in patients with HFRS. The higher serum sHLA-I are associated with severe illness in patients with HFRS. The persistent elevation of serum sHLA-I during all phases of HFRS might be related to increased production due to prolonged cellular immunologic stimulation by the Hantaan virus rather than decreased excretion of sHLA- I through the kidney. CONCLUSION: We suggest that the serum and urine sHLA- I concentrations can be used as a stable and objective parameter for monitoring clinical severity and renal dysfunction in patients with HFRS. |
format | Online Article Text |
id | pubmed-4531974 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 1997 |
publisher | Korean Association of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-45319742015-10-02 Serum and Urine Soluble HLA Class I Antigen Concentrations are Increased in Patients with Hemorrhagic Fever with Renal Syndrome Park, Choel Whee Yun, Sung No Yang, Chul Woo Kim, Tai Gyu Han, Hoon Choi, Euy Jin Chang, Yoon Sik Bang, Byung Kee Korean J Intern Med Original Article OBJECTIVES: In order to evaluate the association between the Hantaan virus-induced cellular-immune response and clinical severity in patients with hemorrhagic fever with renal syndrome (HFRS). METHODS: We serially measured the serum (n = 16) and urine (n =6) concentrations of soluble HLA class I antigen (sHLA-I) and clinical powameters in patients with HFRS. RESULTS: Serum sHLA-I concentrations in patients with HFRS were significantly higher than those in controls throughout all clinical phases (p<0.01). The highly elevated Serum sHLA-I concentrations peaked in the oliguric phase and declined gradually through the phases of HFRS. Serum sHLA-I concentrations in patients with hypotensive episode were higher than in those without the episode (5,585±2,184 vs. 2,389±860ng/ml in oliguric phase, 4.111±1,952 vs. 1,502+592 ng/ml in diuretic phase, p<0.05), and serum sHLA-I levels showed a significant correlation with blood WBC count (r=0.75 in the febrile and hypotensive phase, p<0.01 and serum creatinine concentrations (r=0.64 in the oliguric phase, p<0.01), respectively. Urine sHLA-I levels in the oliguric phase were significantly higher than those in the diuretic phase (390±155 vs. 214±45 ng/mg Cr, p<0.05) and urine sHLA- I levels are associated with severe illness in patients with HFRS. The higher serum sHLA-I are associated with severe illness in patients with HFRS. The persistent elevation of serum sHLA-I during all phases of HFRS might be related to increased production due to prolonged cellular immunologic stimulation by the Hantaan virus rather than decreased excretion of sHLA- I through the kidney. CONCLUSION: We suggest that the serum and urine sHLA- I concentrations can be used as a stable and objective parameter for monitoring clinical severity and renal dysfunction in patients with HFRS. Korean Association of Internal Medicine 1997-01 /pmc/articles/PMC4531974/ /pubmed/9159038 http://dx.doi.org/10.3904/kjim.1997.12.1.52 Text en Copyright © 1997 The Korean Association of Internal Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Park, Choel Whee Yun, Sung No Yang, Chul Woo Kim, Tai Gyu Han, Hoon Choi, Euy Jin Chang, Yoon Sik Bang, Byung Kee Serum and Urine Soluble HLA Class I Antigen Concentrations are Increased in Patients with Hemorrhagic Fever with Renal Syndrome |
title | Serum and Urine Soluble HLA Class I Antigen Concentrations are Increased in Patients with Hemorrhagic Fever with Renal Syndrome |
title_full | Serum and Urine Soluble HLA Class I Antigen Concentrations are Increased in Patients with Hemorrhagic Fever with Renal Syndrome |
title_fullStr | Serum and Urine Soluble HLA Class I Antigen Concentrations are Increased in Patients with Hemorrhagic Fever with Renal Syndrome |
title_full_unstemmed | Serum and Urine Soluble HLA Class I Antigen Concentrations are Increased in Patients with Hemorrhagic Fever with Renal Syndrome |
title_short | Serum and Urine Soluble HLA Class I Antigen Concentrations are Increased in Patients with Hemorrhagic Fever with Renal Syndrome |
title_sort | serum and urine soluble hla class i antigen concentrations are increased in patients with hemorrhagic fever with renal syndrome |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4531974/ https://www.ncbi.nlm.nih.gov/pubmed/9159038 http://dx.doi.org/10.3904/kjim.1997.12.1.52 |
work_keys_str_mv | AT parkchoelwhee serumandurinesolublehlaclassiantigenconcentrationsareincreasedinpatientswithhemorrhagicfeverwithrenalsyndrome AT yunsungno serumandurinesolublehlaclassiantigenconcentrationsareincreasedinpatientswithhemorrhagicfeverwithrenalsyndrome AT yangchulwoo serumandurinesolublehlaclassiantigenconcentrationsareincreasedinpatientswithhemorrhagicfeverwithrenalsyndrome AT kimtaigyu serumandurinesolublehlaclassiantigenconcentrationsareincreasedinpatientswithhemorrhagicfeverwithrenalsyndrome AT hanhoon serumandurinesolublehlaclassiantigenconcentrationsareincreasedinpatientswithhemorrhagicfeverwithrenalsyndrome AT choieuyjin serumandurinesolublehlaclassiantigenconcentrationsareincreasedinpatientswithhemorrhagicfeverwithrenalsyndrome AT changyoonsik serumandurinesolublehlaclassiantigenconcentrationsareincreasedinpatientswithhemorrhagicfeverwithrenalsyndrome AT bangbyungkee serumandurinesolublehlaclassiantigenconcentrationsareincreasedinpatientswithhemorrhagicfeverwithrenalsyndrome |