Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
1998-4-23
pubmed:abstractText
Recent clinical studies of Crohn's disease patients demonstrated dramatic clinical responses following one i.v. infusion of a chimeric mAb to TNF-alpha (cA2). To assess the role of TNF-alpha in mucosal cytokine regulation, the effects of TNF-alpha on lamina propria mononuclear cell (LPMC) Th1 production were determined. Increased IFN-gamma production was demonstrated in anti-CD2-stimulated LPMC cultured in TNF-alpha. To determine the effects of cA2 on cytokine production, TNF-alpha- and IFN-gamma-producing cells were quantitated in LPMC from five Crohn's disease patients treated with cA2. In all four patients who demonstrated clinical and endoscopic improvement, decreased numbers of LPMC producing IFN-gamma and TNF-alpha following CD2/CD28 activation paralleled improvement in disease activity over 8 wk. In one patient who did not improve, increased numbers of TNF-alpha- and IFN-gamma-secreting LPMC were observed. In three of four responding patients, CD2/CD28-activated PBMC demonstrated increased IFN-gamma production over 8 wk. These observations suggest that TNF-alpha may be a cofactor for mucosal Th1 responses, and improvement in clinical parameters and intestinal inflammation induced by cA2 in Crohn's disease may be mediated by down-regulation of mucosal Th1 cytokines.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0022-1767
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
159
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
6276-82
pubmed:dateRevised
2008-11-21
pubmed:meshHeading
pubmed-meshheading:9550432-Adjuvants, Immunologic, pubmed-meshheading:9550432-Antibodies, Monoclonal, pubmed-meshheading:9550432-Antigens, CD2, pubmed-meshheading:9550432-Cell Count, pubmed-meshheading:9550432-Cells, Cultured, pubmed-meshheading:9550432-Coculture Techniques, pubmed-meshheading:9550432-Crohn Disease, pubmed-meshheading:9550432-Cytokines, pubmed-meshheading:9550432-Dose-Response Relationship, Immunologic, pubmed-meshheading:9550432-Humans, pubmed-meshheading:9550432-Infusions, Intravenous, pubmed-meshheading:9550432-Interferon-gamma, pubmed-meshheading:9550432-Intestinal Mucosa, pubmed-meshheading:9550432-Leukocytes, Mononuclear, pubmed-meshheading:9550432-Lymphocyte Activation, pubmed-meshheading:9550432-T-Lymphocyte Subsets, pubmed-meshheading:9550432-Th1 Cells, pubmed-meshheading:9550432-Tumor Necrosis Factor-alpha
pubmed:year
1997
pubmed:articleTitle
A role for TNF-alpha and mucosal T helper-1 cytokines in the pathogenesis of Crohn's disease.
pubmed:affiliation
Cedars-Sinai Division of Gastroenterology, Inflammatory Bowel Disease Center, Los Angeles, CA 90048, USA.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't