RT info:eu-repo/semantics/article T1 Increased intraepithelial V a 24 Invariant NKT cells in the celiac duodenum A1 Montalvillo Álvarez, Enrique A1 Bernardo Ordiz, David A1 Martínez Abad, Beatriz A1 Allegretti, Yessica A1 Fernández Salazar, Luis Ignacio A1 Calvo Romero, María del Carmen A1 Chirdo, Fernando G. A1 Garrote Adrados, José Antonio A1 Arranz Sanz, Eduardo K1 Enfermedad celíaca K1 Biopsia duodenal AB Celiac Disease (CD) is an interferon (IFN)γ-mediated duodenal hypersensitivity to wheat gluten occurring in genetically predisposed individuals. Gluten-free diet (GFD) leads to a complete remission of the disease. Vα24-restricted invariant NKT (iNKT) cells are important to maintain immune homeostasis in the gut mucosa because of their unique capacity to rapidly produce large quantities of both T-helper (Th)1 and Th2 cytokines upon stimulation. We studied the presence of these cells in the CD duodenum. Duodenal biopsies were obtained from 45 untreated-CD patients (uCD), 15 Gluten Free Diet-CD patients (GFD-CD), 44 non-inflamed non-CD controls (C-controls) and 15 inflamed non-CD controls (I-controls). Two populations from Spain and Argentina were recruited. Messenger RNA (mRNA) expression of Vα24-Jα18 (invariant TCRα chain of human iNKT cells), IFNγ and intracellular transcription factor Forkhead Box P3 (Foxp3), and flow cytometry intraepithelial lymphocyte (IEL) profile were determined. Both uCD and GFD-CD patients had higher Vα24-Jα18 mRNA levels than non-CD controls (I and C-controls). The expression of Vα24-Jα18 correlated with Marsh score for the severity of mucosal lesion and also with increased mRNA IFNγ levels. uCD and GFD-CD patients had decreased mRNA expression of FoxP3 but increased expression of Vα24-Jα18, which revealed a CD-like molecular profile. Increased numbers of iNKT cells were confirmed by flow cytometry within the intraepithelial lymphocyte compartment of uCD and GFD-CD patients and correlated with Vα24-Jα18 mRNA expression. In conclusion, we have found an increased number of iNKT cells in the duodenum from both uCD and GFD-CD patients, irrespective of the mucosal status. A CD-like molecular profile, defined by an increased mRNA expression of Vα24-Jα18 together with a decreased expression of FoxP3, may represent a pro-inflammatory signature of the CD duodenum. PB MDPI YR 2015 FD 2015 LK http://uvadoc.uva.es/handle/10324/22565 UL http://uvadoc.uva.es/handle/10324/22565 LA spa NO Nutrients, vol. 7, 2015, p. 8960-8976 NO Producción Científica DS UVaDOC RD 18-nov-2024