Gene expression analysis of peripheral cells for subclassification of pediatric inflammatory bowel disease in remission.

<h4>Objective</h4>In current clinical practice, optimal treatment of inflammatory bowel disease (IBD) aims at the induction and maintenance of clinical remission. Clinical remission is apparent when laboratory markers of inflammation are normal and clinical symptoms are absent. However,...

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Autores principales: Pieter P E van Lierop, Sigrid M Swagemakers, Charlotte I de Bie, Sabine Middendorp, Peter van Baarlen, Janneke N Samsom, Wilfred F J van Ijcken, Johanna C Escher, Peter J van der Spek, Edward E S Nieuwenhuis
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:efa5ee04a5654b7d8d2d142109cfe77b2021-11-18T08:45:55ZGene expression analysis of peripheral cells for subclassification of pediatric inflammatory bowel disease in remission.1932-620310.1371/journal.pone.0079549https://doaj.org/article/efa5ee04a5654b7d8d2d142109cfe77b2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24260248/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>In current clinical practice, optimal treatment of inflammatory bowel disease (IBD) aims at the induction and maintenance of clinical remission. Clinical remission is apparent when laboratory markers of inflammation are normal and clinical symptoms are absent. However, sub-clinical inflammation can still be present. A detailed analysis of the immune status during this inactive state of disease may provide a useful tool to categorize patients with clinical remission into subsets with variable states of immune activation.<h4>Design</h4>By using Affymetrix GeneChips, we analysed RNA gene expression profiles of peripheral blood leukocytes from pediatric IBD patients in clinical remission and controls. We performed (un)supervised clustering analysis of IBD-associated genes and applied Ingenuity® pathway software to identify specific molecular profiles between patients.<h4>Results</h4>Pediatric IBD patients with disease in clinical remission display heterogeneously distributed gene expression profiles that are significantly distinct from controls. We identified three clusters of IBD patients, each displaying specific expression profiles of IBD-associated genes.<h4>Conclusion</h4>The expression of immune- and IBD-associated genes in peripheral blood leukocytes from pediatric IBD patients in clinical remission was different from healthy controls, indicating that sub-clinical immune mechanisms are still active during remission. As such, RNA profiling of peripheral blood may allow for non-invasive patient subclassification and new perspectives in treatment regimes of IBD patients in the future.Pieter P E van LieropSigrid M SwagemakersCharlotte I de BieSabine MiddendorpPeter van BaarlenJanneke N SamsomWilfred F J van IjckenJohanna C EscherPeter J van der SpekEdward E S NieuwenhuisPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 11, p e79549 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Pieter P E van Lierop
Sigrid M Swagemakers
Charlotte I de Bie
Sabine Middendorp
Peter van Baarlen
Janneke N Samsom
Wilfred F J van Ijcken
Johanna C Escher
Peter J van der Spek
Edward E S Nieuwenhuis
Gene expression analysis of peripheral cells for subclassification of pediatric inflammatory bowel disease in remission.
description <h4>Objective</h4>In current clinical practice, optimal treatment of inflammatory bowel disease (IBD) aims at the induction and maintenance of clinical remission. Clinical remission is apparent when laboratory markers of inflammation are normal and clinical symptoms are absent. However, sub-clinical inflammation can still be present. A detailed analysis of the immune status during this inactive state of disease may provide a useful tool to categorize patients with clinical remission into subsets with variable states of immune activation.<h4>Design</h4>By using Affymetrix GeneChips, we analysed RNA gene expression profiles of peripheral blood leukocytes from pediatric IBD patients in clinical remission and controls. We performed (un)supervised clustering analysis of IBD-associated genes and applied Ingenuity® pathway software to identify specific molecular profiles between patients.<h4>Results</h4>Pediatric IBD patients with disease in clinical remission display heterogeneously distributed gene expression profiles that are significantly distinct from controls. We identified three clusters of IBD patients, each displaying specific expression profiles of IBD-associated genes.<h4>Conclusion</h4>The expression of immune- and IBD-associated genes in peripheral blood leukocytes from pediatric IBD patients in clinical remission was different from healthy controls, indicating that sub-clinical immune mechanisms are still active during remission. As such, RNA profiling of peripheral blood may allow for non-invasive patient subclassification and new perspectives in treatment regimes of IBD patients in the future.
format article
author Pieter P E van Lierop
Sigrid M Swagemakers
Charlotte I de Bie
Sabine Middendorp
Peter van Baarlen
Janneke N Samsom
Wilfred F J van Ijcken
Johanna C Escher
Peter J van der Spek
Edward E S Nieuwenhuis
author_facet Pieter P E van Lierop
Sigrid M Swagemakers
Charlotte I de Bie
Sabine Middendorp
Peter van Baarlen
Janneke N Samsom
Wilfred F J van Ijcken
Johanna C Escher
Peter J van der Spek
Edward E S Nieuwenhuis
author_sort Pieter P E van Lierop
title Gene expression analysis of peripheral cells for subclassification of pediatric inflammatory bowel disease in remission.
title_short Gene expression analysis of peripheral cells for subclassification of pediatric inflammatory bowel disease in remission.
title_full Gene expression analysis of peripheral cells for subclassification of pediatric inflammatory bowel disease in remission.
title_fullStr Gene expression analysis of peripheral cells for subclassification of pediatric inflammatory bowel disease in remission.
title_full_unstemmed Gene expression analysis of peripheral cells for subclassification of pediatric inflammatory bowel disease in remission.
title_sort gene expression analysis of peripheral cells for subclassification of pediatric inflammatory bowel disease in remission.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/efa5ee04a5654b7d8d2d142109cfe77b
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