Journal of Arak University of Medical Sciences

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Association of GADD45A Gene Polymorphism with Systemic Lupus Erythematosus Disease among Patients in South of Iran

Shekoofeh Rahimi, Mahboobeh Nasiri, Saeideh Arian Nia, Reza Farrokh Seresht,
Volume 19, Issue 9 (12-2016)

Abstract

Abstract

Background: Systemic lupus erythematosus (SLE) is an autoimmune disease with broad clinical manifestations, but unclear etiology. Extensive tissue damage occurs due to the production of auto-antibody against nuclear and cytoplasmic antigens. Regarding the involvement of GADD45A gene in cell cycle control, T-cell proliferation suppression, and genome epigenetic regulation, this case-control study was done for the first time to evaluate the association of rs581000 polymorphism in 5’ near gene with the risk of SLE among patients in south of Iran.

Materials and Methods: This study was performed on 102 patients with SLE in comparison with 118 healthy controls. Genotyping of the GADD45A rs581000 polymorphism was performed using T-ARMS PCR.

Results: The T allele was significantly more frequent in the controls (0.13) than in the patients (0.01) with SLE (p<0.001). The frequency of genotypes carrying at least one C allele (CC+CG) was higher in control group (14.4%) compared to patient group (1%), and this allele showed protective effect against the risk of SLE (p<0.001, CI: 0.009-0.5, OR=0.06)

Conclusion: It seems that GADD45A rs581000 polymorphism involved in the SLE pathogenesis.

Lupus Nephritis, Pauci Immune Rapidly Progressive Glomerolu Nephritis: Case Report

Naser Saeidi, Zahra Shiravand,
Volume 20, Issue 11 (2-2018)

Abstract

Abstract
Background: Systemic lupus erythematosus is a systemic disease that can lead to lupus nephritis, as one of the most dangerous sign of this disease. In this report, a woman with acute renal failure subsequent from lupus nephritis is introduced.
Case report: 27-year-old woman with no history of systemic disease caused by swelling around the eyes of one month, nausea without vomiting, anorexia, dizziness and a 2-month history of hypertension was admitted. ESR in high range, hypertension and dizziness were also observed. Important findings in the laboratory exam were including pre-orbital edema, azotemia, anemia, hematuria, proteinuria, nephropathy normal size, high titers of anti-nuclear antibody, anti-DNA antibodies and lupus anticoagulant was in a field. Renal biopsy was done and the kidney biopsy response was pauci-immune glomerolu, and the patient was treated by pulse corton and hemodialysis.
Conclusion: Lupus nephritis as an important complication of systemic lupus erythematosus should be considered, so in patients with acute renal failure, lupus nephritis should be considered, while it isn’t usually observed pausi-immune nephritisin renal biopsy in patient with lupus.

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