Analysis of IL-17.sup.+ .sup.cells in facet joints of patients with spondyloarthritis suggests that the innate immune pathway might be of greater relevance than the Th17-mediated adaptive immune response

Introduction In this study, we analysed the number of IL-17.sup.+ .sup.cells in facet joints, in the peripheral blood (PB) and synovial fluid (SF) of spondyloarthritis (SpA) patients and compared these results with those of patients with other rheumatic diseases and controls. Methods Immunohistochem...

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Veröffentlicht in:Arthritis research & therapy 2011-06, Vol.13, p.R95
Hauptverfasser: Appel, Heiner, Maier, René, Wu, Peihua, Scheer, Rebecca, Hempfing, Axel, Kayser, Ralph, Thiel, Andreas, Radbruch, Andreas, Loddenkemper, Christoph, Sieper, Joachim
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container_start_page R95
container_title Arthritis research & therapy
container_volume 13
creator Appel, Heiner
Maier, René
Wu, Peihua
Scheer, Rebecca
Hempfing, Axel
Kayser, Ralph
Thiel, Andreas
Radbruch, Andreas
Loddenkemper, Christoph
Sieper, Joachim
description Introduction In this study, we analysed the number of IL-17.sup.+ .sup.cells in facet joints, in the peripheral blood (PB) and synovial fluid (SF) of spondyloarthritis (SpA) patients and compared these results with those of patients with other rheumatic diseases and controls. Methods Immunohistochemical analysis of IL-17.sup.+ .sup.cells was performed in facet joints of 33 ankylosing spondylitis (AS) patients and compared with data from 20 osteoarthritis (OA) patients. The frequency of IL-17.sup.+.sup.CD4.sup.+ .sup.T cells in PB and SF of SpA patients (PB n = 30, SF n = 11), rheumatoid arthritis (RA) patients (PB n = 14, SF n = 7), OA patients (PB n = 10) and healthy controls (PB n = 12) was analysed after stimulation with Staphylococcus aureus Enterotoxin B and phorbol 12-myristate 13-acetate/ionomycin and quantified by flow cytometry. Results In AS facet joints, the frequency of IL-17-secreting cells was significantly higher than in samples obtained from OA patients (P [less than] 0.001), with a slight predominance of IL-17.sup.+ .sup.cells among the mononuclear cells (61.5% [+ -] 14.9%) compared to cells with polysegmental nuclei. Immunofluorescence microscopy revealed that the majority of IL-17.sup.+ .sup.cells were myeloperoxidase-positive (35.84 [+ -] 13.06/high-power field (HPF) and CD15.sup.+ .sup.neutrophils (24.25 [+ -] 10.36/HPF), while CD3.sup.+ .sup.T cells (0.51 [+ -] 0.49/HPF) and AA-1.sup.+ .sup.mast cells (2.28 [+ -] 1.96/HPF) were less often IL-17-positive. The frequency of IL-17.sup.+.sup.CD4.sup.+ .sup.T cells in the PB and SF of SpA patients did not differ significantly compared to RA patients, OA patients or healthy controls. Conclusions Our data suggest an important role for IL-17 in the inflammatory processes in AS. However, the innate immune pathway might be of greater relevance than the Th17-mediated adaptive immune response.
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Methods Immunohistochemical analysis of IL-17.sup.+ .sup.cells was performed in facet joints of 33 ankylosing spondylitis (AS) patients and compared with data from 20 osteoarthritis (OA) patients. The frequency of IL-17.sup.+.sup.CD4.sup.+ .sup.T cells in PB and SF of SpA patients (PB n = 30, SF n = 11), rheumatoid arthritis (RA) patients (PB n = 14, SF n = 7), OA patients (PB n = 10) and healthy controls (PB n = 12) was analysed after stimulation with Staphylococcus aureus Enterotoxin B and phorbol 12-myristate 13-acetate/ionomycin and quantified by flow cytometry. Results In AS facet joints, the frequency of IL-17-secreting cells was significantly higher than in samples obtained from OA patients (P [less than] 0.001), with a slight predominance of IL-17.sup.+ .sup.cells among the mononuclear cells (61.5% [+ -] 14.9%) compared to cells with polysegmental nuclei. Immunofluorescence microscopy revealed that the majority of IL-17.sup.+ .sup.cells were myeloperoxidase-positive (35.84 [+ -] 13.06/high-power field (HPF) and CD15.sup.+ .sup.neutrophils (24.25 [+ -] 10.36/HPF), while CD3.sup.+ .sup.T cells (0.51 [+ -] 0.49/HPF) and AA-1.sup.+ .sup.mast cells (2.28 [+ -] 1.96/HPF) were less often IL-17-positive. The frequency of IL-17.sup.+.sup.CD4.sup.+ .sup.T cells in the PB and SF of SpA patients did not differ significantly compared to RA patients, OA patients or healthy controls. Conclusions Our data suggest an important role for IL-17 in the inflammatory processes in AS. However, the innate immune pathway might be of greater relevance than the Th17-mediated adaptive immune response.</description><identifier>ISSN: 1478-6354</identifier><identifier>DOI: 10.1186/ar3370</identifier><language>eng</language><publisher>BioMed Central Ltd</publisher><subject>Care and treatment ; Facet joint ; Immune response ; Physiological aspects ; Spondyloarthropathies ; T cells</subject><ispartof>Arthritis research &amp; therapy, 2011-06, Vol.13, p.R95</ispartof><rights>COPYRIGHT 2011 BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids></links><search><creatorcontrib>Appel, Heiner</creatorcontrib><creatorcontrib>Maier, René</creatorcontrib><creatorcontrib>Wu, Peihua</creatorcontrib><creatorcontrib>Scheer, Rebecca</creatorcontrib><creatorcontrib>Hempfing, Axel</creatorcontrib><creatorcontrib>Kayser, Ralph</creatorcontrib><creatorcontrib>Thiel, Andreas</creatorcontrib><creatorcontrib>Radbruch, Andreas</creatorcontrib><creatorcontrib>Loddenkemper, Christoph</creatorcontrib><creatorcontrib>Sieper, Joachim</creatorcontrib><title>Analysis of IL-17.sup.+ .sup.cells in facet joints of patients with spondyloarthritis suggests that the innate immune pathway might be of greater relevance than the Th17-mediated adaptive immune response</title><title>Arthritis research &amp; therapy</title><description>Introduction In this study, we analysed the number of IL-17.sup.+ .sup.cells in facet joints, in the peripheral blood (PB) and synovial fluid (SF) of spondyloarthritis (SpA) patients and compared these results with those of patients with other rheumatic diseases and controls. Methods Immunohistochemical analysis of IL-17.sup.+ .sup.cells was performed in facet joints of 33 ankylosing spondylitis (AS) patients and compared with data from 20 osteoarthritis (OA) patients. The frequency of IL-17.sup.+.sup.CD4.sup.+ .sup.T cells in PB and SF of SpA patients (PB n = 30, SF n = 11), rheumatoid arthritis (RA) patients (PB n = 14, SF n = 7), OA patients (PB n = 10) and healthy controls (PB n = 12) was analysed after stimulation with Staphylococcus aureus Enterotoxin B and phorbol 12-myristate 13-acetate/ionomycin and quantified by flow cytometry. Results In AS facet joints, the frequency of IL-17-secreting cells was significantly higher than in samples obtained from OA patients (P [less than] 0.001), with a slight predominance of IL-17.sup.+ .sup.cells among the mononuclear cells (61.5% [+ -] 14.9%) compared to cells with polysegmental nuclei. Immunofluorescence microscopy revealed that the majority of IL-17.sup.+ .sup.cells were myeloperoxidase-positive (35.84 [+ -] 13.06/high-power field (HPF) and CD15.sup.+ .sup.neutrophils (24.25 [+ -] 10.36/HPF), while CD3.sup.+ .sup.T cells (0.51 [+ -] 0.49/HPF) and AA-1.sup.+ .sup.mast cells (2.28 [+ -] 1.96/HPF) were less often IL-17-positive. The frequency of IL-17.sup.+.sup.CD4.sup.+ .sup.T cells in the PB and SF of SpA patients did not differ significantly compared to RA patients, OA patients or healthy controls. Conclusions Our data suggest an important role for IL-17 in the inflammatory processes in AS. However, the innate immune pathway might be of greater relevance than the Th17-mediated adaptive immune response.</description><subject>Care and treatment</subject><subject>Facet joint</subject><subject>Immune response</subject><subject>Physiological aspects</subject><subject>Spondyloarthropathies</subject><subject>T cells</subject><issn>1478-6354</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNptkF1LwzAUhnuh4Jz6GwJeSmfSpF-XY_gxGHiz-3GanrQZbVqSbGO_0T9lOkW8kEDeQ_K8DyFR9MDogrEiewbLeU6vohkTeRFnPBU30a1ze0qTpEzELPpcGujOTjsyKLLexCxfuMO4eCKXkNh1jmhDFEj0ZD9o4y_kCF7jNJ-0b4kbB1OfuwGsb632QeYOTYMu3PsWfNgwSAz4EH1_MDj12xOcSa-b1pMKJ2djMRCWWOzwCEbiVDaX8rZledxjrQNQE6hh9Pr4K7M4PcDhXXStoHN4_5PzaPv6sl29x5uPt_VquYmbLBex4GkOKhMCEXldpnWRVpWs0vBPFaVZnuapYoorKKikIKuMc6CiLDHhVV0WyOfR47e2gQ532qjBW5C9dnK3TDJaUsYSEajFP1RYNfZaDgaVDud_Cl8SBYnT</recordid><startdate>20110606</startdate><enddate>20110606</enddate><creator>Appel, Heiner</creator><creator>Maier, René</creator><creator>Wu, Peihua</creator><creator>Scheer, Rebecca</creator><creator>Hempfing, Axel</creator><creator>Kayser, Ralph</creator><creator>Thiel, Andreas</creator><creator>Radbruch, Andreas</creator><creator>Loddenkemper, Christoph</creator><creator>Sieper, Joachim</creator><general>BioMed Central Ltd</general><scope/></search><sort><creationdate>20110606</creationdate><title>Analysis of IL-17.sup.+ .sup.cells in facet joints of patients with spondyloarthritis suggests that the innate immune pathway might be of greater relevance than the Th17-mediated adaptive immune response</title><author>Appel, Heiner ; Maier, René ; Wu, Peihua ; Scheer, Rebecca ; Hempfing, Axel ; Kayser, Ralph ; Thiel, Andreas ; Radbruch, Andreas ; Loddenkemper, Christoph ; Sieper, Joachim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g674-4357af644eee3d95d85bbcb5370b0067575f1f3fa80c0acb633a0499e23bd98e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Care and treatment</topic><topic>Facet joint</topic><topic>Immune response</topic><topic>Physiological aspects</topic><topic>Spondyloarthropathies</topic><topic>T cells</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Appel, Heiner</creatorcontrib><creatorcontrib>Maier, René</creatorcontrib><creatorcontrib>Wu, Peihua</creatorcontrib><creatorcontrib>Scheer, Rebecca</creatorcontrib><creatorcontrib>Hempfing, Axel</creatorcontrib><creatorcontrib>Kayser, Ralph</creatorcontrib><creatorcontrib>Thiel, Andreas</creatorcontrib><creatorcontrib>Radbruch, Andreas</creatorcontrib><creatorcontrib>Loddenkemper, Christoph</creatorcontrib><creatorcontrib>Sieper, Joachim</creatorcontrib><jtitle>Arthritis research &amp; therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Appel, Heiner</au><au>Maier, René</au><au>Wu, Peihua</au><au>Scheer, Rebecca</au><au>Hempfing, Axel</au><au>Kayser, Ralph</au><au>Thiel, Andreas</au><au>Radbruch, Andreas</au><au>Loddenkemper, Christoph</au><au>Sieper, Joachim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of IL-17.sup.+ .sup.cells in facet joints of patients with spondyloarthritis suggests that the innate immune pathway might be of greater relevance than the Th17-mediated adaptive immune response</atitle><jtitle>Arthritis research &amp; therapy</jtitle><date>2011-06-06</date><risdate>2011</risdate><volume>13</volume><spage>R95</spage><pages>R95-</pages><issn>1478-6354</issn><abstract>Introduction In this study, we analysed the number of IL-17.sup.+ .sup.cells in facet joints, in the peripheral blood (PB) and synovial fluid (SF) of spondyloarthritis (SpA) patients and compared these results with those of patients with other rheumatic diseases and controls. Methods Immunohistochemical analysis of IL-17.sup.+ .sup.cells was performed in facet joints of 33 ankylosing spondylitis (AS) patients and compared with data from 20 osteoarthritis (OA) patients. The frequency of IL-17.sup.+.sup.CD4.sup.+ .sup.T cells in PB and SF of SpA patients (PB n = 30, SF n = 11), rheumatoid arthritis (RA) patients (PB n = 14, SF n = 7), OA patients (PB n = 10) and healthy controls (PB n = 12) was analysed after stimulation with Staphylococcus aureus Enterotoxin B and phorbol 12-myristate 13-acetate/ionomycin and quantified by flow cytometry. Results In AS facet joints, the frequency of IL-17-secreting cells was significantly higher than in samples obtained from OA patients (P [less than] 0.001), with a slight predominance of IL-17.sup.+ .sup.cells among the mononuclear cells (61.5% [+ -] 14.9%) compared to cells with polysegmental nuclei. Immunofluorescence microscopy revealed that the majority of IL-17.sup.+ .sup.cells were myeloperoxidase-positive (35.84 [+ -] 13.06/high-power field (HPF) and CD15.sup.+ .sup.neutrophils (24.25 [+ -] 10.36/HPF), while CD3.sup.+ .sup.T cells (0.51 [+ -] 0.49/HPF) and AA-1.sup.+ .sup.mast cells (2.28 [+ -] 1.96/HPF) were less often IL-17-positive. The frequency of IL-17.sup.+.sup.CD4.sup.+ .sup.T cells in the PB and SF of SpA patients did not differ significantly compared to RA patients, OA patients or healthy controls. Conclusions Our data suggest an important role for IL-17 in the inflammatory processes in AS. However, the innate immune pathway might be of greater relevance than the Th17-mediated adaptive immune response.</abstract><pub>BioMed Central Ltd</pub><doi>10.1186/ar3370</doi></addata></record>
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subjects Care and treatment
Facet joint
Immune response
Physiological aspects
Spondyloarthropathies
T cells
title Analysis of IL-17.sup.+ .sup.cells in facet joints of patients with spondyloarthritis suggests that the innate immune pathway might be of greater relevance than the Th17-mediated adaptive immune response
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