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Published on: February 8, 2019
The Correlation of CD206, CD209, and Disease Severity in Behçet's Disease with Arthritis
Bunsoon Choi1, Chang-Hee Suh2, Hyoun-Ah Kim2
1Department of Microbiology, Ajou University School of Medicine, Suwon, Republic of Korea.
Insights
Pattern recognition receptors are implicated in Behçet
Area of Science:
- Immunology
- Rheumatology
- Cell Biology
Background:
- Behçet's disease (BD) is a complex inflammatory disorder.
- The role of pattern recognition receptors (PRRs) in BD pathogenesis requires further elucidation.
Purpose of the Study:
- To investigate the expression of specific PRRs in patients with Behçet's disease.
- To correlate PRR expression with disease activity and clinical manifestations.
Main Methods:
- Flow cytometry was used to analyze PRR frequencies (CD11b, CD11c, CD32, CD206, CD209, dectin-1) in BD patients.
- Plasma cytokine levels (IL-18, IL-23, IL-17A) were measured.
- Patients included active BD (n=13), inactive BD (n=13), rheumatoid arthritis controls (n=19), and healthy controls (n=19).
Main Results:
- Frequencies of CD11b+ and CD32+ cells were elevated in active BD patients compared to healthy controls.
- Disease severity correlated with CD11c+, CD206+, and CD209+ expression in leukocytes, and CD11b+, CD11c+, CD206+, CD209+, and Dectin-1+ in granulocytes.
- Plasma IL-17A differed between healthy controls and active BD patients, while IL-18 levels varied between active and inactive BD.
Conclusions:
- Specific PRR expressions are altered in Behçet's disease.
- PRR expression patterns correlate with disease activity and joint symptoms in BD.
Abstract:
The purpose of this study was to clarify the role of pattern recognition receptors in Behçet's disease (BD). The frequencies of several pattern recognition receptors (CD11b, CD11c, CD32, CD206, CD209, and dectin-1) were analyzed in patients with BD by flow cytometry, and cytokine levels, interleukin- (IL-) 18, IL-23, and IL-17A, were compared in plasma. The analysis was performed in active (n = 13) and inactive (n = 13) stages of BD patients. Rheumatoid arthritis patients (n = 19), as a disease control, and healthy control (HC) (n = 19) were enrolled. The frequencies of CD11b+ and CD32+ cells were significantly increased in active BD patients compared to HC. Disease severity score was correlated to CD11c+, CD206+, and CD209+ in whole leukocytes and CD11b+, CD11c+, CD206+, CD209+, and Dectin-1+ in granulocytes. The plasma levels of IL-17A were significantly different between HC and active BD. IL-18 showed significant difference between active and inactive BD patients. From this study, we concluded the expressions of several pattern recognition receptors were correlated to the joint symptoms of BD.
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