Lymphocyte subsets and cellular immunity in patients with chronic pancreatitis

J Ockenga1, R Jacobs, A Kemper

  • 1Department of Gastroenterology and Hepatology, Medical School of Hannover, Germany. Ocken@aol.com

Digestion
|July 19, 2000
PubMed

Insights

Chronic pancreatitis involves immune system changes, with decreased CD8+, CD56+, and CD25+ cells. Immune dysregulation may contribute to pain and tissue damage in this condition.

Area of Science:

  • Immunology
  • Gastroenterology
  • Cell Biology

Background:

  • Abnormal immune responses are implicated in chronic pancreatitis pathogenesis.
  • Systemic immunological changes in chronic pancreatitis patients require detailed characterization.

Purpose of the Study:

  • To investigate systemic immunological alterations in patients with chronic pancreatitis.
  • To correlate immune cell phenotypes and functions with disease characteristics like pain.

Main Methods:

  • Studied lymphocyte phenotypes and proliferation in peripheral mononuclear cells (PMNs) from 11 chronic pancreatitis patients.
  • Assessed natural killer (NK) cell activity and in vitro cytokine release from stimulated PMNs.

Main Results:

  • Found decreased circulating CD8+, CD56+, and CD25+ cells in chronic pancreatitis patients.
  • Observed increased in vitro release of tumor necrosis factor-alpha and interleukin-10.
  • Noted increased PMN proliferation in patients experiencing pain.

Conclusions:

  • Chronic pancreatitis is associated with systemic immune dysregulation.
  • Peripheral mononuclear cell changes suggest a role for cell-mediated immunity in pain and tissue destruction.
Abstract

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