RT info:eu-repo/semantics/article T1 Ascorbate-dependent decrease of the mucosal immune inflammatory response to gliadin in coeliac disease patients A1 Bernardo Ordiz, David A1 Martínez Abad, Beatriz A1 Vallejo Diez, Sara A1 Montalvillo Álvarez, Enrique A1 Benito, V. A1 Anta, B. A1 Fernández Salazar, Luis Ignacio A1 Garrote Adrados, José Antonio K1 Enfermedad celíaca AB Background: The IL-15/NF- B axis has an important role in coeliac disease (CD) and may representa molecular target for immunomodulation. Ascorbate (vitamin C) is known to showinhibitory effects on NF- B. Therefore, we studied if ascorbate supplementation to gliadingliadin-stimulated biopsy culture could down-regulate the mucosal immune response to gliadinin CD.Methods: Duodenal biopsy explants from treated CD patients were gliadin challenged in vitro(100 g/ml) with and without 20 mM ascorbate. An extra tissue explant in basal culture wasused as internal control. Secretion levels of nitrites (3 h), and IFN , TNF , IFN , IL-17, IL-13,and IL-6 (24 h) were measured on the supernatants. IL-15 was assayed by western-blot on wholeprotein duodenal explants.Results: The addition of ascorbate to in vitro culture gliadin-challenged biopsies blocked thesecretion of nitrites (p = 0.013), IFN (p = 0.0207), TNF (p = 0.0099), IFN (p = 0.0375), andIL-6 (p = 0.0036) compared to samples from non-ascorbate supplemented culture. Cytokinesecretion was downregulated by ascorbate even to lower values than those observed in basalcultures (IFN : p = 0.0312; TNF : p = 0.0312; IFN : p = 0.0312; and IL-6: p = 0.0078). Gliadinchallengeinduced IL-15 production in biopsies from treated CD patients, while the additionof ascorbate to culture medium completely inhibited IL-15 production. Moreover, the inhibitionof IL-15 by ascorbate took place even in the only treated CD-patient who had basal IL-15production.Conclusions: Ascorbate decreases the mucosal inflammatory response to gluten in an intestinalbiopsy culture model, so it might have a role in future supplementary therapy in CD.© 2010 SEICAP. Published by Elsevier España, S.L. All rights reserve PB Elsevier SN 0301-0546 YR 2012 FD 2012 LK http://uvadoc.uva.es/handle/10324/4201 UL http://uvadoc.uva.es/handle/10324/4201 LA eng NO Allergol. Immunopathol. (Madr.) 2012, vol. 40, n. 1. p.3-8 NO Producción Científica DS UVaDOC RD 22-nov-2024