Importance of TLR9-IL23-1L17 axis in inflammatory bowel disease development: Gene expression profiling study
CLINICAL IMMUNOLOGY
Authors: Dragasevic, Sanja; Stankovic, Biljana; Sokic-Milutinovic, Aleksandra; Milosavljevic, Tomica; Milovanovic, Tamara; Lukic, Snezana; Drazilov, Sanja Srzentic; Klaassen, Kristel; Kotur, Nikola; Pavlovic, Sonja; Popovic, Dragan
Abstract
Background and aims: Mucosal gene expression have not been fully enlightened in inflammatory bowel disease (IBD). Aim of this study was to define IL23A, IL17A, IL17F and TLR9 expression in different IBD phenotypes. Methods: Evaluation of mRNA levels was performed in paired non-inflamed and inflamed mucosal biopsies of newly diagnosed 50 Crohn's disease (CD) and 54 ulcerative colitis (UC) patients by quantitative real-time PCR analysis. Results: IL17A and IL17F expression levels were significantly increased in inflamed IBD mucosa. Inflamed CD ileal and UC mucosa showed increased IL23A, while only inflamed CD ileal samples showed increased TLR9 mRNA level. Correlation between analysed mRNAs levels and endoscopic and clinical disease activity were found in UC, but only with clinical activity in CD. Conclusion: Both CD and UC presented expression of Th17-associated genes. Nevertheless, expression profiles between different disease forms varies which should be taken into account for future research and therapeutics strategies.
Decreased methylation profiles in the TNFA gene promoters in type 1 macrophages and in the IL17A and RORC gene promoters in Th17 lymphocytes have a causal association with non-atopic asthma caused by obesity: A hypothesis
MEDICAL HYPOTHESES
Authors: Leija-Martinez, Jose J.; Huang, Fengyang; Del-Rio-Navarro, Blanca E.; Sanchez-Munoz, Fausto; Romero-Nava, Rodrigo; Munoz-Hernandez, Onofre; Rodriguez-Cortes, Octavio; Hall-Mondragon, Margareth S.
Abstract
Obesity is a serious public health problem worldwide and has been associated in epidemiological studies with a unique type of non-atopic asthma, although the causal association of asthma and obesity has certain criteria, such as the strength of association, consistency, specificity, temporality, biological gradient, coherence, analogy and experimentation; nevertheless, the biological plausibility of this association remains uncertain. Various mechanisms have been postulated, such as immunological, hormonal, mechanical, environmental, genetic and epigenetic mechanisms. Our hypothesis favours immunological mechanisms because some cytokines, such as tumour necrosis factor alpha (TNF-alpha) and interleukin (IL)-17A, are responsible for orchestrating low-grade systemic inflammation associated with obesity; however, these cytokines are regulated by epigenetic mechanisms, such as gene promoter methylation.