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Polymorphonuclear leucocyte function in Behçet's disease

J D Sobel, S Haim, N Obedeanu

    Journal of Clinical Pathology
    |March 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

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    Polymorphonuclear leucocyte function in Behçet's disease shows reduced spontaneous migration but increased chemotaxis. This enhanced activity, influenced by serum and intrinsic factors, may contribute to the inflammatory response.

    Area of Science:

    • Immunology
    • Rheumatology
    • Cellular Biology

    Background:

    • Behçet's disease is characterized by a hyperreactive inflammatory response.
    • The precise mechanisms underlying this hyperreactivity, particularly concerning polymorphonuclear leucocyte (PMN) function, require further elucidation.

    Purpose of the Study:

    • To investigate the functional characteristics of polymorphonuclear leucocytes in patients with active Behçet's disease.
    • To identify potential alterations in PMN migration, metabolic activity, and their relationship to serum factors.

    Main Methods:

    • Functional assays were performed on polymorphonuclear leucocytes isolated from 19 patients with active Behçet's disease.
    • Evaluated parameters included spontaneous and stimulated leucocyte migration (chemotaxis), nitroblue tetrazolium (NBT) reduction, and oxygen utilization.

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  • Incubation of control leucocytes in patient serum was also assessed.
  • Main Results:

    • Significantly reduced spontaneous leucocyte migration was observed in Behçet's disease patients.
    • Stimulated leucocyte chemotactic activity was significantly increased compared to controls.
    • Control leucocytes showed enhanced migration in serum from Behçet's disease patients, indicating the presence of serum factors.
    • Spontaneous nitroblue tetrazrazolium reduction was normal, but stimulated reduction and oxygen utilization were decreased.
    • Enhanced chemotaxis appears to be mediated by both serum and intrinsic leucocyte factors.

    Conclusions:

    • Polymorphonuclear leucocyte chemotactic activity is enhanced in Behçet's disease, driven by both intrinsic leucocyte and serum factors.
    • Minor alterations in leucocyte functional metabolic activity, including reduced stimulated NBT reduction and oxygen utilization, were noted.
    • These PMN functional changes may contribute to the characteristic hyperreactive cellular inflammatory response observed in Behçet's disease.