Department of Clinical and Toxicological Analyses, University of São Paulo (USP), São Paulo, Brazil.
Centre for Biochemical Pharmacology, The William Harvey Research Institute, Barts and The London School of Medicine, Queen Mary University of London (QMUL), London, United Kingdom.
Front Immunol. 2021 Sep 17;12:714138. doi: 10.3389/fimmu.2021.714138. eCollection 2021.
Non-responsiveness to anti-TNF-α therapies presents relevant rates in inflammatory bowel disease patients, presenting the need to find biomarkers involved in therapeutic efficacy. Herein, we demonstrate that higher levels of colonic formyl peptide receptor 1 and annexin A1 correlate with histological recovery in Crohn's disease patients under remission. Using the dextran sulfate sodium colitis model in mice, we suggest that infliximab induces annexin A1 expression and secretion in activated intestinal leukocytes. Conversely, this mechanism might stimulate epithelial formyl peptide receptors, inducing wound healing and consequent histological remission. Our data indicate that assessing intestinal expressions of formyl peptide receptors and annexin A1 might provide precious information on the disease activity and responsiveness to infliximab in inflammatory bowel disease patients.
抗 TNF-α 治疗无应答在炎症性肠病患者中存在相关比例,这就需要寻找参与治疗效果的生物标志物。在此,我们证明了在缓解期克罗恩病患者中,结肠形式肽受体 1 和膜联蛋白 A1 的水平较高与组织学恢复相关。使用葡聚糖硫酸钠结肠炎模型在小鼠中,我们表明英夫利昔单抗诱导激活的肠白细胞中膜联蛋白 A1 的表达和分泌。相反,这种机制可能刺激上皮形式肽受体,诱导伤口愈合和随后的组织学缓解。我们的数据表明,评估肠形式肽受体和膜联蛋白 A1 的表达可能为炎症性肠病患者的疾病活动和对英夫利昔单抗的反应提供有价值的信息。