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P-glycoprotein-1 functional activity in CD5+CD7+ and CD20+ lymphocytes in systemic lupus erythematosus children: relation to disease activity, complications and steroid response.

P-glycoprotein-1 functional activity in CD5+CD7+ and CD20+ lymphocytes in systemic lupus erythematosus children: relation to disease activity, complications and steroid response.
The multi-drug resistance protein -1 or P-glycoprotein-1 ( P-gp1) functions as Energy-dependent efflux pump responsible for decreased drug accumulation in multidrug-resistant cells. Increased P-gp1 expression in lymphocytes of patients with systemic lupus erythematosus (SLE) may influence steroid requirements for disease control. This study evaluates P-gp1 functional activity in CD5+, CD7+ and CD20+ lymphocytes in SLE children and its impact on clinical outcome. 44 SLE children and 50 healthy controls were studied. Estimation of P-gp1 function was based on the efflux of Rhodamine-123 using flow cytometry. Results were expressed as percentage of lymphocytes with high P-gp1 activity. The P-gp1 function in CD5+, CD7+ and CD20+ lymphocytes was significantly higher in patients compared to controls (with P value or = 11 while receiving 1 mg/Kg/day of prednisolone demonstrated higher P-gp1 functions in CD 5+ and CD 7+ lymphocytes compared to high responders whose SLEDAI were < 11 while receiving < 1 mg/Kg/day of prednisolone. CD5+ lymphocyte's P-gp1 function was found to be lower in the patients receiving cyclophosphamide in addition to steroids compared to those on steroids only. It is concluded that measuring P-gp1 function in CD5+ and CD7+ lymphocytes could be one of the prognostic and therapeutic indices in SLE.
Male, ATP Binding Cassette Transporter, Subfamily B, Adolescent, ATP-Binding Cassette Sub-Family B Member 4, Antigens, CD7, Blood Sedimentation, Antigens, CD20, CD5 Antigens, Severity of Illness Index, Adrenal Cortex Hormones, Humans, Lupus Erythematosus, Systemic, Female, Lymphocytes, Child
Male, ATP Binding Cassette Transporter, Subfamily B, Adolescent, ATP-Binding Cassette Sub-Family B Member 4, Antigens, CD7, Blood Sedimentation, Antigens, CD20, CD5 Antigens, Severity of Illness Index, Adrenal Cortex Hormones, Humans, Lupus Erythematosus, Systemic, Female, Lymphocytes, Child
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