Macrophage phenotype in the subclinical gut inflammation of patients with ankylosing spondylitis

Long-term evolution of subclinical gut inflammation to overt Crohn's disease (CD) has been described in AS patients. The aim of this study was to evaluate macrophage polarization occurring in the inflamed gut of patients with AS. Twenty-seven HLA-B27(+) AS patients, 20 CD patients and 17 normal...

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Veröffentlicht in:Rheumatology (Oxford, England) England), 2014-01, Vol.53 (1), p.104-113
Hauptverfasser: Ciccia, Francesco, Alessandro, Riccardo, Rizzo, Aroldo, Accardo-Palumbo, Antonina, Raimondo, Stefania, Raiata, Francesca, Guggino, Giuliana, Giardina, AnnaRita, De Leo, Giacomo, Sireci, Guido, Triolo, Giovanni
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container_title Rheumatology (Oxford, England)
container_volume 53
creator Ciccia, Francesco
Alessandro, Riccardo
Rizzo, Aroldo
Accardo-Palumbo, Antonina
Raimondo, Stefania
Raiata, Francesca
Guggino, Giuliana
Giardina, AnnaRita
De Leo, Giacomo
Sireci, Guido
Triolo, Giovanni
description Long-term evolution of subclinical gut inflammation to overt Crohn's disease (CD) has been described in AS patients. The aim of this study was to evaluate macrophage polarization occurring in the inflamed gut of patients with AS. Twenty-seven HLA-B27(+) AS patients, 20 CD patients and 17 normal controls were consecutively enrolled. Classic M1 (iNOS(+)IL-10(-)), resolution phase (iNOS(+)IL-10(+)), M2 and CD14(+) macrophages were characterized by immunohistochemistry and flow cytometry. Quantitative gene expression analysis of IFN-γ, IL-4, IL-5, IL-33 and STAT6 was performed by real time PCR. Classic M1 macrophages were expanded in CD and AS, where resolution phase macrophages predominate. A large increase in CD163(+) (M2) macrophages was observed in AS strictly correlated with the expression of IL-33, a Th2 cytokine involved in M2 polarization. Unlike in CD, CD14(+) macrophages were virtually absent in the gut of AS patients and controls. The absence of CD14(+) macrophages together with the expansion of resolution phase and M2 macrophages is the immunological signature of subclinical ileal inflammation in AS.
doi_str_mv 10.1093/rheumatology/ket323
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subjects Adult
Aged
Biopsy
Cytokines - genetics
Cytokines - immunology
Cytokines - metabolism
DNA - genetics
Female
Flow Cytometry
Gene Expression Regulation
Humans
Ileitis - etiology
Ileitis - genetics
Ileitis - metabolism
Ileum - immunology
Ileum - metabolism
Ileum - pathology
Immunohistochemistry
Macrophages - immunology
Macrophages - metabolism
Male
Middle Aged
Phenotype
Real-Time Polymerase Chain Reaction
Spondylitis, Ankylosing - complications
Spondylitis, Ankylosing - genetics
Spondylitis, Ankylosing - immunology
Young Adult
title Macrophage phenotype in the subclinical gut inflammation of patients with ankylosing spondylitis
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