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Título
Interleukin 18 maintains a long-standing inflammation in coeliac disease patients
Autor
Año del Documento
2006
Editorial
British Society for Immunology
Descripción
Producción Científica
Documento Fuente
Clinical and Experimental Immunology, 146: 479-485
Abstract
Dietary gluten induces an early response in the intestine of coeliac disease
patients (CD), within a few hours, and this is driven by high levels of proinflammatory
cytokines, including IFNg and IL-15, as has been thoroughly
shown by gluten stimulation of biopsy explants. Our aim was to identify the
immune mediators involved in the long-standing inflammation in untreated
CD patients at diagnosis. mRNA and protein levels of TNFa, IL-12(p35),
IL-12(p40), IL-15, IL-18 and IL-23(p19) were quantified in biopsies from
active CD patients, CD patients on a gluten-free diet (GFD), healthy controls,
and patients with non-CD inflammation and mild histological changes in the
intestine. Biopsies from CD patients on a GFD were also stimulated in vitro
with gliadin, and protein expression of IL-15 and IL-18 was analysed. Levels of
IL-12 and IL-23 mRNA are nearly absent, and TNFa levels remain unchanged
among different groups. Both the active and inactive forms of IL-18 protein
have been found in all samples from active CD, and protein expression was
only localized within the crypts. Levels of IL-15 mRNA remain unchanged,
and protein expression, localized within the lamina propria, is found in a
small number of samples. In vitro stimulation with gluten induces the expression
of IL-15 and IL-18. In active CD, the early response following gluten
intake characterized by high IFNg levels is driven by IL-18, and probably
IL-15, and this alternates with periods of long-standing inflammation with
moderate IFNg levels, maintained by IL-18 alone.
Materias (normalizadas)
Enfermedad celíaca
Intestinos - Enfermedades
ISSN
0009-9104
Revisión por pares
SI
Propietario de los Derechos
British Society for Immunology
Idioma
eng
Derechos
openAccess
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