Adaptive Immunity in Ankylosing Spondylitis: Phenotype and Functional Alterations of T-Cells before and during Infliximab Therapy

Our aim was to assess the phenotype of T-cell subsets in patients with ankylosing spondylitis (AS), a chronic inflammatory rheumatic disease. In addition, we also tested short-term T-cell activation characteristics. Measurements were done in 13 AS patients before and during the intravenous therapy w...

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Main Authors: Balázs Szalay, Gergő Mészáros, Áron Cseh, Lilla Ács, Magdolna Deák, László Kovács, Barna Vásárhelyi, Attila Balog
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1155/2012/808724
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author Balázs Szalay
Gergő Mészáros
Áron Cseh
Lilla Ács
Magdolna Deák
László Kovács
Barna Vásárhelyi
Attila Balog
author_facet Balázs Szalay
Gergő Mészáros
Áron Cseh
Lilla Ács
Magdolna Deák
László Kovács
Barna Vásárhelyi
Attila Balog
author_sort Balázs Szalay
collection DOAJ
description Our aim was to assess the phenotype of T-cell subsets in patients with ankylosing spondylitis (AS), a chronic inflammatory rheumatic disease. In addition, we also tested short-term T-cell activation characteristics. Measurements were done in 13 AS patients before and during the intravenous therapy with anti-TNF agent infliximab (IFX). Flow cytometry was used to determine T-cell subsets in peripheral blood and their intracellular signaling during activation. The prevalence of Th2 and Th17 cells responsible for the regulation of adaptive immunity was higher in AS than in 9 healthy controls. Although IFX therapy improved patients' condition, immune phenotype did not normalize. Cytoplasmic and mitochondrial calcium responses of CD4+ and CD8+ cells to a specific activation were delayed, while NO generation was increased in AS. NO generation normalized sooner upon IFX than calcium response. These results suggest an abnormal immune phenotype with functional disturbances of CD4+ and CD8+ cells in AS.
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institution Kabale University
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language English
publishDate 2012-01-01
publisher Wiley
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series Clinical and Developmental Immunology
spelling doaj-art-25c572e5b8f6464b963fe1800d35e9762025-02-03T01:11:38ZengWileyClinical and Developmental Immunology1740-25221740-25302012-01-01201210.1155/2012/808724808724Adaptive Immunity in Ankylosing Spondylitis: Phenotype and Functional Alterations of T-Cells before and during Infliximab TherapyBalázs Szalay0Gergő Mészáros1Áron Cseh2Lilla Ács3Magdolna Deák4László Kovács5Barna Vásárhelyi6Attila Balog7First Department of Pediatrics, Semmelweis University, Bókay János Utca 53-54, 1083 Budapest, HungaryFirst Department of Pediatrics, Semmelweis University, Bókay János Utca 53-54, 1083 Budapest, HungaryFirst Department of Pediatrics, Semmelweis University, Bókay János Utca 53-54, 1083 Budapest, HungaryAlbert Szent-Györgyi Health Center, Department of Rheumatology, University of Szeged, Kálvária sgt. 57, 6725, Szeged, HungaryAlbert Szent-Györgyi Health Center, Department of Rheumatology, University of Szeged, Kálvária sgt. 57, 6725, Szeged, HungaryAlbert Szent-Györgyi Health Center, Department of Rheumatology, University of Szeged, Kálvária sgt. 57, 6725, Szeged, HungaryResearch Group of Pediatrics and Nephrology, Hungarian Academy of Sciences, Bókay János Utca 53-54, 1083 Budapest, HungaryAlbert Szent-Györgyi Health Center, Department of Rheumatology, University of Szeged, Kálvária sgt. 57, 6725, Szeged, HungaryOur aim was to assess the phenotype of T-cell subsets in patients with ankylosing spondylitis (AS), a chronic inflammatory rheumatic disease. In addition, we also tested short-term T-cell activation characteristics. Measurements were done in 13 AS patients before and during the intravenous therapy with anti-TNF agent infliximab (IFX). Flow cytometry was used to determine T-cell subsets in peripheral blood and their intracellular signaling during activation. The prevalence of Th2 and Th17 cells responsible for the regulation of adaptive immunity was higher in AS than in 9 healthy controls. Although IFX therapy improved patients' condition, immune phenotype did not normalize. Cytoplasmic and mitochondrial calcium responses of CD4+ and CD8+ cells to a specific activation were delayed, while NO generation was increased in AS. NO generation normalized sooner upon IFX than calcium response. These results suggest an abnormal immune phenotype with functional disturbances of CD4+ and CD8+ cells in AS.http://dx.doi.org/10.1155/2012/808724
spellingShingle Balázs Szalay
Gergő Mészáros
Áron Cseh
Lilla Ács
Magdolna Deák
László Kovács
Barna Vásárhelyi
Attila Balog
Adaptive Immunity in Ankylosing Spondylitis: Phenotype and Functional Alterations of T-Cells before and during Infliximab Therapy
Clinical and Developmental Immunology
title Adaptive Immunity in Ankylosing Spondylitis: Phenotype and Functional Alterations of T-Cells before and during Infliximab Therapy
title_full Adaptive Immunity in Ankylosing Spondylitis: Phenotype and Functional Alterations of T-Cells before and during Infliximab Therapy
title_fullStr Adaptive Immunity in Ankylosing Spondylitis: Phenotype and Functional Alterations of T-Cells before and during Infliximab Therapy
title_full_unstemmed Adaptive Immunity in Ankylosing Spondylitis: Phenotype and Functional Alterations of T-Cells before and during Infliximab Therapy
title_short Adaptive Immunity in Ankylosing Spondylitis: Phenotype and Functional Alterations of T-Cells before and during Infliximab Therapy
title_sort adaptive immunity in ankylosing spondylitis phenotype and functional alterations of t cells before and during infliximab therapy
url http://dx.doi.org/10.1155/2012/808724
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