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与中轴型脊柱关节炎和幼年特发性关节炎相关葡萄膜炎相关的葡萄膜炎中固有免疫细胞的表型。

Phenotype of Innate Immune Cells in Uveitis Associated with Axial Spondyloarthritis- and Juvenile Idiopathic Arthritis-associated Uveitis.

机构信息

Department of Ophthalmology, Ophtha-Lab at St. Franziskus Hospital, Münster, Germany.

University of Duisburg-Essen, Essen, Germany.

出版信息

Ocul Immunol Inflamm. 2021 Aug 18;29(6):1080-1089. doi: 10.1080/09273948.2020.1715449. Epub 2020 Mar 11.

DOI:10.1080/09273948.2020.1715449
PMID:32160102
Abstract

: To analyze circulating immune cells in patients with anterior uveitis (AU) associated to axial spondyloarthritis (SpA), or juvenile idiopathic arthritis (JIA).: Venous blood samples were collected from healthy controls (n = 16), and either SpA (n = 19) or JIA (n = 23) patients with associated anterior uveitis (AU) during active flare, or after ≥3 months of inactivity. Frequencies of CD56, MHC-I, and S100A9 monocytes, CCR7 dendritic cells, CD56 natural killer (NK) cells and CD3CD56 T-cells were analyzed via flow cytometry. Serum S100A8/A9 levels were determined via ELISA.: SpA patients showed a reduced frequency of CD56 NK cells during uveitis activity, a constitutively activated monocyte phenotype, and elevated S100A8/A9 serum levels. In contrast, JIAU patients showed elevated frequencies of CD56 monocytes and CCR7 DC.: Phenotype of peripheral immune cells differ between patients, probably contributing to different courses of acute onset AU in SpA and insidious onset AU in JIAU patients.: AU: anterior uveitis, AR: arthritis, JIA: juvenile idiopathic arthritis, SpA: axial spondyloarthritis.

摘要

分析与脊椎关节炎(SpA)或幼年特发性关节炎(JIA)相关的前葡萄膜炎(AU)患者的循环免疫细胞。

静脉血样取自健康对照者(n = 16),以及处于活动期前葡萄膜炎(AU)的 SpA 患者(n = 19)或 JIA 患者(n = 23),或 AU 缓解期(≥3 个月)。采用流式细胞术分析 CD56、MHC-I 和 S100A9 单核细胞、CCR7 树突状细胞、CD56 自然杀伤(NK)细胞和 CD3CD56 T 细胞的频率。采用 ELISA 法测定血清 S100A8/A9 水平。

SpA 患者在 AU 活动期时 NK 细胞频率降低,存在持续激活的单核细胞表型,且 S100A8/A9 血清水平升高。相比之下,JIAU 患者 CD56 单核细胞和 CCR7 DC 频率升高。

外周免疫细胞表型在患者间存在差异,可能导致 SpA 中急性发作 AU 和 JIAU 中隐匿性发作 AU 的不同病程。

: AU:前葡萄膜炎,AR:关节炎,JIA:幼年特发性关节炎,SpA:脊椎关节炎。

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