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Cytokine profile in coeliac disease
1Immunology Research Unit, Lady Davis Carmel Medical Center, Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Scandinavian Journal of Immunology
|April 29, 1999
Summary
Coeliac disease involves immune sensitivity to gluten, with active cases showing higher levels of various cytokines. Both Th1 and Th2 cytokine transcripts were found in active coeliac disease, suggesting Th0 cell activation and potential disease activity markers.
Area of Science:
- Immunology
- Gastroenterology
Background:
- Coeliac disease (CD) is an inflammatory enteropathy linked to gluten sensitivity.
- The roles of T-cell subsets (Th1/Th2) and their secreted cytokines in CD pathogenesis are not fully understood.
Purpose of the Study:
- To investigate the mRNA expression of various cytokines in intestinal and peripheral samples from pediatric coeliac disease patients.
- To explore the relationship between cytokine profiles and disease activity in coeliac disease.
Main Methods:
- Utilized reverse transcription-polymerase chain reaction (RT-PCR) to analyze cytokine mRNA expression.
- Examined both intestinal biopsies and peripheral blood samples from active and inactive coeliac disease patients and controls.
Main Results:
- Differential mRNA expression of cytokines was observed between coeliac disease patients and controls.
- Active CD patients showed higher expression of IL-2, IFN-gamma, TNF-beta, IL-10, IL-1beta, TNF-alpha, and TGF-beta mRNA.
- Co-expression of Th1 (IFN-gamma, IL-2) and Th2 (IL-4, IL-10) cytokine transcripts in active CD suggests Th0 cell activation.
- Absence of IL-2 and IL-4 mRNA in peripheral blood of inactive CD patients correlated with disease inactivity.
Conclusions:
- Cytokine profiles differ significantly between coeliac disease patients and controls.
- The findings provide insights into the inflammatory processes underlying coeliac disease.
- Cytokine levels may serve as valuable biomarkers for assessing coeliac disease activity.