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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2020
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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) |
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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 |
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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 |
work_keys_str_mv |
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