Rheumatology Division, Department of Medicine, Universidade Federal de São Paulo - Escola Paulista de Medicina, Rua Botucatu, 740, 04023-900 São Paulo, SP, Brazil.
Department of Biochemistry, Universidade Federal de São Paulo - Escola Paulista de Medicina, Rua Três de Maio, 100 fifth floor, São Paulo-SP 04023-900, SP, Brazil; Faculdade de Farmácia, Centro Universitário Braz Cubas, Avenida Francisco Rodrigues Filho, 1233, Mogi das Cruzes, SP 08773-380, Brazil.
Clin Immunol. 2021 Oct;231:108854. doi: 10.1016/j.clim.2021.108854. Epub 2021 Sep 13.
The innate immune response has a predominant role in Behçet's disease (BD) pathogenesis, but few studies have assessed monocytes in BD. This study aims to evaluate the profile of monocytes subsets in the peripheral blood of BD patients and healthy controls (HC). Monocytes subsets were identified as classical (CD14CD16), intermediate (CD14CD16), and non-classical (CD14CD16) subsets. Patients with BD presented a lower number of total monocytes (p = 0.020) and a lower number (p < 0.0001) of circulating classical monocytes than HC. In contrast, the number of intermediate monocytes was higher in BD patients than HC (p < 0.0001). In BD patients, no associations were observed with the severity of clinical manifestations or therapy. Colchicine was associated with a higher number of non-classical monocytes (p = 0.035). In conclusion, BD patients present an altered distribution of monocytes subsets with a reduction of classical and an increase of intermediate subsets.
先天免疫反应在白塞病(BD)发病机制中起主要作用,但很少有研究评估 BD 患者的单核细胞。本研究旨在评估 BD 患者和健康对照(HC)外周血中单核细胞亚群的特征。单核细胞亚群被鉴定为经典(CD14CD16)、中间(CD14CD16)和非经典(CD14CD16)亚群。BD 患者的总单核细胞数量较低(p=0.020),循环经典单核细胞数量也较低(p<0.0001),与 HC 相比。相比之下,BD 患者的中间单核细胞数量高于 HC(p<0.0001)。在 BD 患者中,与临床表现严重程度或治疗无相关性。秋水仙碱与非经典单核细胞数量增加相关(p=0.035)。总之,BD 患者存在单核细胞亚群分布异常,经典亚群减少,中间亚群增加。