1. Neutrophil-mediated mechanisms of damage and in-vitro protective effect of colchicine in non-vascular Behçet's syndrome
- Author
-
Adalgisa Palermo, Giacomo Emmi, Matteo Becatti, Niccolò Taddei, Alessandra Bettiol, Silvia Galora, Irene Mattioli, Maria Letizia Urban, Amanda Mannucci, Domenico Prisco, Flavia Rita Argento, Eleonora Fini, Claudia Fiorillo, Elena Silvestri, and Danilo Malandrino
- Subjects
Adult ,Male ,Neutrophils ,Immunology ,Anti-Inflammatory Agents ,Inflammation/Inflammatory Disease ,Pharmacology ,medicine.disease_cause ,Extracellular Traps ,vasculitis ,Antioxidants ,Autoimmunity ,Pathogenesis ,chemistry.chemical_compound ,medicine ,Humans ,Immunology and Allergy ,Colchicine ,human ,Retrospective Studies ,reactive oxygen species ,chemistry.chemical_classification ,Reactive oxygen species ,business.industry ,Behcet Syndrome ,autoimmunity ,Neutrophil extracellular traps ,Middle Aged ,medicine.disease ,Oxidative Stress ,chemistry ,Apoptosis ,Case-Control Studies ,Original Article ,Female ,ORIGINAL ARTICLES ,business ,Intracellular ,Systemic vasculitis - Abstract
Behçet’s syndrome (BS) is a systemic vasculitis with several clinical manifestations. Neutrophil hyperactivation mediates vascular BS pathogenesis, via both a massive reactive oxygen species (ROS) production and neutrophil extracellular traps (NETs) release. Here, we investigated neutrophil‐mediated mechanisms of damage in non‐vascular BS manifestations and explored the in‐vitro effects of colchicine in counteracting these mechanisms. NETs and intracellular ROS production was assessed in blood samples from 80 BS patients (46 with active non‐vascular BS, 34 with inactive disease) and 80 healthy controls. Moreover, isolated neutrophils were incubated for 1 h with an oxidating agent [2,2′‐azobis (2‐amidinopropane) dihydrochloride; 250 nM] and the ability of pure colchicine pretreatment (100 ng/ml) to counteract oxidation‐induced damage was assessed. Patients with active non‐vascular BS showed remarkably increased NET levels [21.2, interquartile range (IQR) = 18.3–25.9 mU/ml] compared to patients with inactive disease (16.8, IQR = 13.3–20.2 mU/ml) and to controls (7.1, IQR = 5.1–8.7 mU/ml, p, Neutrophil‐mediated mechanisms of damage might be directly involved in non‐vascular Behçet's syndrome. Neutrophil extracellular traps (NETs), more than an impaired redox status, might play a central role in the pathogenesis of mucosal, articular and intestinal BS manifestations. Colchicine might be effective to counteract neutrophils‐mediated damage in Behçet's syndrome, via the inhibition of NETs release.
- Published
- 2021
- Full Text
- View/download PDF