Elevated Il-4 And Ifn-Gamma Levels In Muscle Tissue Of Patients With Dermatomyositis

Background/Aim: To investigate the contribution of muscle tissue-derived cytokines in dermatomyositis DM). Materials and Methods: Muscle homogenates were prepared from deltoid muscle biopsy specimens of 10 patients with DM and eight controls with no pathological signs of myopathy. Interleukin IL)-4, interferon IFN)-gamma and IL-17 levels were evaluated by enzyme-linked immunosorbent assay ELISA) and immunoblotting analysis. Muscle strength grades were recorded. Results: Patients with DM showed significantly elevated muscle tissue IL-4 and IFN-gamma levels, whereas IL-17 levels were comparable between patients with DM and controls. Immunoblotting studies confirmed ELISA results. In DM muscle specimens, IL-4 and IFN-gamma levels were positively correlated, while no correlation was observed between IL-17 and the other two cytokines. Moreover, IL-4 and IFN-gamma levels were significantly negative correlated with muscle strength grades for the deltoid muscle. Conclusion: Our results confirm the involvement of T helper Th) 1-type and Th2-type immunity in DM pathogenesis. Muscle tissue appears to contribute to muscle weakness in DM by producing inflammatory cytokines.