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Dipartimento di Medicina Sperimentale, Universita di Catanzaro, Catanzaro, Italy; and
Dipartimento di Medicina Interna, Universita di Roma Tor Vergata, Rome, Italy
An imbalance of immunoregulatory factors is believed to contribute
to uncontrolled mucosal Th1 cell activation in Crohns disease (CD).
IL-18, a macrophage-like cell-derived cytokine, is involved in Th1
clone development, and IFN-
production. Therefore, IL-18 expression
was investigated in CD. Whole mucosal intestinal tissue and lamina
propria mononuclear cells (LPMC) of 12 CD and 9 ulcerative colitis (UC)
patients and 15 non-inflammatory bowel disease (IBD) controls were
tested for IL-18 by semiquantitative RT-PCR and Western blot analysis.
Transcripts for IL-18 were found in all samples tested. However,
increased IL-18 mRNA accumulation was detected in both mucosal and LPMC
samples from CD in comparison to UC and controls. In CD, transcripts
for IL-18 were more abundant in the mucosal samples taken from involved
areas. An 18-kDa band consistent with mature IL-18 was predominantly
found in CD mucosal samples. In mucosal samples from non-IBD controls,
IL-18 was present as a 24-kDa polypeptide. Consistently, active
IL-1ß-converting enzyme (ICE) subunit (p20) was expressed in samples
from either CD or UC, whereas, in colonic mucosa from non-IBD controls,
ICE was synthesized as precursor (p45) only. To confirm that IL-18
produced in CD tissue was functionally active, CD LPMC were treated
with a specific IL-18 antisense oligonucleotide. In these cultures,
IL-18 down-regulation was accompanied by a decrease in IFN-
expression. In aggregate, our data indicate that IL-18 up-regulation is
a feature of CD and suggest that IL-18 may contribute to the local
immunoinflammatory response in CD.
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