Monocytes from infliximab-resistant patients with Crohn’s disease exhibit a disordered cytokine profile

Abstract Crohn's disease (CD) is a chronic inflammatory disorder characterized by immune response dysregulation. Tumor necrosis factor-α (TNFα) is a key cytokine in the pathogenesis of CD, as indicated by the efficacy of anti-TNF-α therapy with infliximab (IFX). However, approximately 30–40% of...

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Autores principales: Federica Gaiani, Bianca Maria Rotoli, Francesca Ferrari, Amelia Barilli, Rossana Visigalli, Maria Clotilde Carra, Gian Luigi de’Angelis, Nicola de’Angelis, Valeria Dall’Asta
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Publicado: Nature Portfolio 2020
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spelling oai:doaj.org-article:8636936dc86841a397cc30500d3d886e2021-12-02T16:26:37ZMonocytes from infliximab-resistant patients with Crohn’s disease exhibit a disordered cytokine profile10.1038/s41598-020-68993-12045-2322https://doaj.org/article/8636936dc86841a397cc30500d3d886e2020-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-68993-1https://doaj.org/toc/2045-2322Abstract Crohn's disease (CD) is a chronic inflammatory disorder characterized by immune response dysregulation. Tumor necrosis factor-α (TNFα) is a key cytokine in the pathogenesis of CD, as indicated by the efficacy of anti-TNF-α therapy with infliximab (IFX). However, approximately 30–40% of CD patients fail to respond to IFX with still unclear underlying mechanisms. This study compares the inflammatory phenotype of monocytes from CD patients, who respond or non-respond to IFX. Under basal conditions, the mRNA for the cytokines TNFα, IL-23, IL-1β and the chemokines CXCL8/IL-8, CCL5/RANTES and CCL2/MCP-1 was up-regulated in monocytes from non-responders than responders. The expression of the same cytokines and CCL2/MCP-1 was higher in non-responders also upon LPS treatment. Moreover, higher secretion of TNFα, IL-1β, IFNγ and IL-2 proteins occurred in the supernatants of LPS-treated non-responders cells. Resistance to IFX in CD may result from a transcriptional dysregulation of circulating monocytes, leading to hyperactivation of pro-inflammatory pathways. Monocytes’ cytokine profile may thus represent a predictive marker of response to IFX. Monocytes were isolated from blood samples of 19 CD patients (11 responders, 8 non-responders) and incubated with or without LPS. Cytokine profiles were assessed by RT-qPCR and, in the supernatants, by ELISA assay.Federica GaianiBianca Maria RotoliFrancesca FerrariAmelia BarilliRossana VisigalliMaria Clotilde CarraGian Luigi de’AngelisNicola de’AngelisValeria Dall’AstaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-10 (2020)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Federica Gaiani
Bianca Maria Rotoli
Francesca Ferrari
Amelia Barilli
Rossana Visigalli
Maria Clotilde Carra
Gian Luigi de’Angelis
Nicola de’Angelis
Valeria Dall’Asta
Monocytes from infliximab-resistant patients with Crohn’s disease exhibit a disordered cytokine profile
description Abstract Crohn's disease (CD) is a chronic inflammatory disorder characterized by immune response dysregulation. Tumor necrosis factor-α (TNFα) is a key cytokine in the pathogenesis of CD, as indicated by the efficacy of anti-TNF-α therapy with infliximab (IFX). However, approximately 30–40% of CD patients fail to respond to IFX with still unclear underlying mechanisms. This study compares the inflammatory phenotype of monocytes from CD patients, who respond or non-respond to IFX. Under basal conditions, the mRNA for the cytokines TNFα, IL-23, IL-1β and the chemokines CXCL8/IL-8, CCL5/RANTES and CCL2/MCP-1 was up-regulated in monocytes from non-responders than responders. The expression of the same cytokines and CCL2/MCP-1 was higher in non-responders also upon LPS treatment. Moreover, higher secretion of TNFα, IL-1β, IFNγ and IL-2 proteins occurred in the supernatants of LPS-treated non-responders cells. Resistance to IFX in CD may result from a transcriptional dysregulation of circulating monocytes, leading to hyperactivation of pro-inflammatory pathways. Monocytes’ cytokine profile may thus represent a predictive marker of response to IFX. Monocytes were isolated from blood samples of 19 CD patients (11 responders, 8 non-responders) and incubated with or without LPS. Cytokine profiles were assessed by RT-qPCR and, in the supernatants, by ELISA assay.
format article
author Federica Gaiani
Bianca Maria Rotoli
Francesca Ferrari
Amelia Barilli
Rossana Visigalli
Maria Clotilde Carra
Gian Luigi de’Angelis
Nicola de’Angelis
Valeria Dall’Asta
author_facet Federica Gaiani
Bianca Maria Rotoli
Francesca Ferrari
Amelia Barilli
Rossana Visigalli
Maria Clotilde Carra
Gian Luigi de’Angelis
Nicola de’Angelis
Valeria Dall’Asta
author_sort Federica Gaiani
title Monocytes from infliximab-resistant patients with Crohn’s disease exhibit a disordered cytokine profile
title_short Monocytes from infliximab-resistant patients with Crohn’s disease exhibit a disordered cytokine profile
title_full Monocytes from infliximab-resistant patients with Crohn’s disease exhibit a disordered cytokine profile
title_fullStr Monocytes from infliximab-resistant patients with Crohn’s disease exhibit a disordered cytokine profile
title_full_unstemmed Monocytes from infliximab-resistant patients with Crohn’s disease exhibit a disordered cytokine profile
title_sort monocytes from infliximab-resistant patients with crohn’s disease exhibit a disordered cytokine profile
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/8636936dc86841a397cc30500d3d886e
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