1. Infiltration of CD138-positive plasma cells in endoscopic material from patients with inflammatory bowel diseases.
- Author
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K., Jakubowska, I., Backiel, L., Kańczuga-Koda, K., Bobel, S., Sulkowski, and M., Koda
- Abstract
Introduction: CD138 (syndecan-1) expression has been confirmed in plasma cells and normal tissues, particularly in epithelial cell types. As a cell surface protein, CD138 regulates cell-cell and cell-matrix interactions. CD138 may also regulate cell proliferation, migration, and cytoskeletal organization. In addition, positive CD138 plasma cells can also be detected with extreme infiltration in inflammatory diseases such as chronic endometritis. Purpose: Investigation of the prognostic significance of the infiltration of CD 138 plasma cells in endoscopic material from patients with ulcerative colitis (UC) and Crohn's disease (CD). Materials and methods: The study group included 34 patients with ulcerative colitis and 8 patients diagnosed with CD. The expression of CD138 was performed by immunohistochemistry and assessed as a membrane-cytoplasmic color reaction in plasma cells localized in the lamina propria and glandular epithelium. We also examined the insensitivity of general CD138-positive cells and divided them into 4 groups: 0-absent, 1-mild increase, 2-moderate increase, and 3-marked increase. Results: The study group consists of 16 females and 18 males in UC and 2 female and 6 male of CD. The UC lesions were mainly located in the rectum (19/34 cases), sigmoid (8/34cases), and others (7/34 cases). Crohn's disease was observed in the small intestine (3/8 cases), caecum (4/8 cases) and rectum (1/8 cases). The inflammatory infiltration consists of CD138+ cells in less than 90% of inflammatory cells in UC (median 52.39%) and in less than 60% of inflammatory cells in CD (36.50%). The increase in CD138+ plasma cells in UC was mild in 3 cases, moderate in 10 cases and marked in 15 cases. CD138+ plasma cells in UC were found to correlate with Geboes score (R=0.404), CD15+ neutrophils (R=0.467) and CD15+macrophages (R=0.459). Plasma cells were slightly increased in 2 cases and moderately increased in 5 cases of CD. Infiltration of CD138+ cells in CD sections was associated with age (R= - 0.481) and crypt destruction (R=0.606). Loss of CD138 expression in glandular epithelium was detected in 4/38 cases of UC and 1/8 cases of CD. Conclusion: Our results showed that infiltration of CD138-positive plasma cells is closely related to the degree of inflammation and architectural changes that could allow anti-CD138 treatment in inflammatory bowel disease. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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