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Anti-inflammatory effects of pancreatitis associated protein in inflammatory bowel disease

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dc.creator Gironella Cos, Meritxell
dc.creator Iovanna, Juan L.
dc.creator Sans i Cuffí, Miquel
dc.creator Gil, F.
dc.creator Peñalva, M.
dc.creator Closa, Daniel, 1961-
dc.creator Miquel Morera, Rosa
dc.creator Piqué, J. M. (Piqué Badía)
dc.creator Panés Díaz, Julià
dc.date 2011-07-07T12:30:54Z
dc.date 2011-07-07T12:30:54Z
dc.date 2005
dc.date.accessioned 2024-12-16T10:27:16Z
dc.date.available 2024-12-16T10:27:16Z
dc.identifier 0017-5749
dc.identifier http://hdl.handle.net/2445/18673
dc.identifier 551446
dc.identifier 15870231
dc.identifier.uri http://fima-docencia.ub.edu:8080/xmlui/handle/123456789/22169
dc.description Background and aims: Increased pancreatitis associated protein (PAP) mRNA has been reported in active inflammatory bowel disease (IBD). The aims of the current study were to characterise PAP production in IBD and the effects of PAP on inflammation. Patients and methods: Serum PAP levels were determined in healthy controls (n¿=¿29), inflammatory controls (n¿=¿14), and IBD patients (n¿=¿171). Ex vivo PAP secretion in intestinal tissue was measured in 56 IBD patients and 13 healthy controls. Cellular origin of PAP was determined by immunohistochemistry. The effects of exogenous PAP on nuclear factor ¿B (NF¿B) activation, proinflammatory cytokine production, and endothelial adhesion molecule expression were also analysed ex vivo. Results: Patients with active IBD had increased serum PAP levels compared with controls, and these levels correlated with clinical and endoscopic disease severity. Ex vivo intestinal PAP synthesis was increased in active IBD and correlated with endoscopic and histological severity of inflammatory lesions. PAP localised to colonic Paneth cells. Incubation of mucosa from active Crohn¿s disease with PAP dose dependently reduced proinflammatory cytokines secretion. PAP prevented TNF-¿ induced NF¿B activation in monocytic, epithelial, and endothelial cells and reduced proinflammatory cytokine mRNA levels and adhesion molecule expression. Conclusions: PAP is synthesised by Paneth cells and is overexpressed in colonic tissue of active IBD. PAP inhibits NF¿B activation and downregulates cytokine production and adhesion molecule expression in inflamed tissue. It may represent an anti-inflammatory mechanism and new therapeutic strategy in IBD.
dc.format 10 p.
dc.format application/pdf
dc.language eng
dc.publisher BMJ Group
dc.relation Reproducció digital del document publicat a: http://dx.doi.org/10.1136/gut.2004.056309
dc.relation Gut, 2005, vol. 54, núm. 9, p. 1244-1253
dc.relation http://dx.doi.org/10.1136/gut.2004.056309
dc.rights (c) BMJ Publishing Group Ltd and British Society of Gastroenterology, 2005
dc.rights info:eu-repo/semantics/openAccess
dc.source Articles publicats en revistes (Medicina)
dc.subject Malalties inflamatòries intestinals
dc.subject Pancreatitis
dc.subject Proteïnes
dc.subject Inflammatory bowel diseases
dc.subject Pancreatitis
dc.subject Proteins
dc.title Anti-inflammatory effects of pancreatitis associated protein in inflammatory bowel disease
dc.type info:eu-repo/semantics/article
dc.type info:eu-repo/semantics/publishedVersion


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