[No authors listed]
To explore the role of CD72 in the pathogenesis of immune thrombocytopenia (ITP), we detected CD72, Sema4D, IL-2, IL-4, and IFN-γ mRNA expressions and the levels of plasma Sema4D, IL-2, IL-4, IL-6, and IFN-γ in ITP patients (nâ=â39) and controls (nâ=â23). The levels of plasma IL-2, IL-4, and IL-6 were assayed by radioimmunoassay, and the levels of plasma IFN-γ and Sema4D were analyzed by enzyme-linked immunosorbent assay. Sema4D, CD72, IL-2, IFN-γ, and IL-4mRNA expressions were analyzed by real-time quantitative reverse-transcription polymerase chain reaction. The expression of CD72 mRNA in ITP patients (nâ=â23) with active disease was significantly lower than that in patients in remission (pâ=â0.029) (nâ=â16) and controls (pâ=â0.0296) (nâ=â23). The IFN-γ/IL-4 mRNA (Th1/Th2) expression in ITP patients with active disease and in remission was significantly higher than that in controls (pâ=â0.0023, pâ=â0.0125, respectively). The expression of IL-2 mRNA in ITP patients with active disease was significantly lower than that in patients in remission (pâ=â0.0418) and controls (pâ=â0.004). The level of plasma IL-2 in ITP patients with active disease was significantly lower than that in patients in remission (pâ=â0.0029) and controls (pâ=â0.0101). The levels of plasma IL-4 in ITP patients with active disease and in remission were significantly higher than that of controls (pâ=â0.0093, pâ=â0.0053, respectively). CD72 mRNA expression level might correlate with Sema4D mRNA expression in peripheral blood mononuclear cells and level of plasma IL-2 in active ITP patients (pâ=â0.024 and pâ=â0.036). Our findings suggest that CD72 might be involved in the pathophysiological process of the ITP disease by increasing B-cell receptor signals.
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