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2018 ; 12
(ä): 30-36
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gab.com Text
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English Wikipedia
High Secretion of Interleukin-6 and Increased MINCLE Receptor Expression Upon
Exposure to Mycobacterial Cord Factor Analog Trehalose-6, 6-Dibehenate (TDB) in
Patients with Takayasu Arteritis
#MMPMID29643949
Gupta N
; Kabeerdoss J
; Mohan H
; Goel R
; Danda D
Open Rheumatol J
2018[]; 12
(ä): 30-36
PMID29643949
show ga
INTRODUCTION: Suspicion on the association between Takayasu Arteritis (TA) and
Tubcerculosis (TB) has been in vogue for years. Prevalence of TB in TA is
reported to be higher. We aimed to study innate immune responses in patients with
TA on exposure to Trehalose-6,6-dibehenate (TDB), a synthetic analogue of
Trehalose-6,6-Dimycolate (TDM, also known as mycobacterial cord factor) in
comparison with healthy controls. MATERIALS AND METHODS: Patients with type V TA,
satisfying 1990 ACR criteria, and age and sex matched healthy controls were
recruited. PBMCs were cultured with 5µg/ml, 50µg/ml or without any TDB for 48
hours in RPMI medium inside a 5% Co2 incubator. IL-6, TNF-? and IL-17 were
measured in cell culture supernatant, which was separated from the cells at the
end of the incubation period. Gene expressions of IL-6, IL-8, TNF?, IFN-?, MINCLE
and BCL-10 were quantified in real time PCR using specific primers and SYBR green
chemistry. RESULTS: Twenty two TA patients and 21 healthy controls were
recruited. Both patients and controls showed response by secreting IL-6 and TNF-?
upon stimulation by TDB. Relative induction (TDB stimulated TA sample /
unstimulated control) of IL-6 was significantly higher in TA [31.88(0.74-168)]
patients as compared to healthy controls [1.931(0.644-8.21); p<0.002], when
co-cultured with 50µg/ml TDB. The expression of MINCLE, the TDB receptor was
higher in TA samples than healthy controls upon TDB stimulation. CONCLUSION:
Stimulation with mycobacterial synthetic analogue led to higher secretion of IL-6
and higher expression of MINCLE in PBMCs of patients with TA as compared to
healthy controls.