Cytokine balance and behavioral intervention; findings from the Peer Approaches to Lupus Self-Management (PALS) project. Hum Immunol 2017 Sep;78(9):574-581
Date
07/19/2017Pubmed ID
28716698Pubmed Central ID
PMC6013837DOI
10.1016/j.humimm.2017.07.005Scopus ID
2-s2.0-85025117495 (requires institutional sign-in at Scopus site) 7 CitationsAbstract
The Peer Approaches to Lupus Self-Management program sought to address the disparate impact of systemic lupus erythematosus (SLE) on African American women through a peer mentoring intervention with aims of reducing stress, anxiety, and depression. Given the association between psychological health and immune function this study examines the relationship between patient reported outcomes (PROs) in these domains and immunologic indicators of disease activity. Twenty-three African American women with SLE served as mentees in the intervention from whom PRO measures were collected at the outset, midpoint, and end of the 12week pilot study. Blood samples were collected pre- and post-intervention. Plasma was collected from the samples and cryopreserved for subsequent analyses. The strongest correlations were between the Generalized Anxiety Disorder measure and Th1/Th2 cytokine balance. Weaker correlations existed between depression and the Th1/Th2 cytokine balance. Assessment of fresh versus cryopreserved samples revealed that changes in Th1/Th2 cytokine balance within the intervention were generally equivalent, regardless of sample type. The PALS intervention resulted in significant improvements to anxiety and depression levels which were significantly associated with positive changes in Th1/Th2 cytokine balance indicating a possible underlying mechanism of action. The nature of this relationship warrants further study.
Author List
Williams EM, Hyer JM, Viswanathan R, Faith TD, Egede L, Oates JC, Marshall GDAuthor
Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAged
Anxiety
Behavior Therapy
Cells, Cultured
Cytokines
Depression
Female
Humans
Lupus Erythematosus, Systemic
Male
Mentoring
Middle Aged
Self-Management
Stress, Psychological
Th1-Th2 Balance
Women
