Expression of IL-17 and COX2 Gene in Peripheral Blood Leukocytes of Vitiligo Patients
Abstract
Vitiligo is a pigmentation disorder in which inflammatory mediators such as cytokines have a pivotal role in disease's pathogenesis. Interleukin 17 (IL-17A) is a proinflammatory cytokine which is involved in the induction of several proinflamatory mediators such as cyclooxygenase 2 (COX2). The aim of this study was to investigate the gene expression of IL-17 and COX2 in peripheral blood leukocytes of vitiligo's patients.
Peripheral blood leukocytes from 15 patients with vitiligo and 15 healthy controls were separated using a gradient density centrifugation method. After total RNA isolation and cDNA synthesis, IL-17 and COX2 gene expression were quantified by real-time polymerase chain reaction (PCR).
There were no significant differences in IL-17 and COX2 gene expression in lymphocytes of patients with vitiligo compared with control group (p<0.05). However there was an increased IL-17 and COX2 gene expression in neutrophils of patients compared to controls, but it did not reach statistical significance (p=0.05). We could not find any differences in IL-17 and Cox2 gene expression between clinical diseases subtypes, sex and age. There was a significant correlation between IL-17 and COX2 genes expression in the neutrophils of patients (p=0.00, r=0.80).
Our results showed an increased expression in IL-17 and Cox-2 genes in neurophils of patients with vitiligo. This suggested that these two factors are involved in the inflammatory process. Further studies with a larger sample size might help to establish the role of these factors in the pathogenesis of diseases.
1. Rezaei N, Gavalas NG, Weetman AP, Kemp EH.Autoimmunity as an aetiological factor in vitiligo. J Eur Acad Dermatol Venereol 2007; 21(7):865-76.
2. Alkhateeb A, Fain PR, Thody A, Bennett DC, Spritz RA.Epidemiology of vitiligo and associated autoimmune diseases in Caucasian probands and their families. Pigment Cell Res 2003; 16(3):208-14.
3. Birol A, Kisa U, Kurtipek GS, Kara F, Kocak M, Erkek E, et al. Increased tumor necrosis factor alpha (TNF- alpha) and interleukin 1 alpha (IL1-alpha) levels in the lesional skin of patients with nonsegmental vitiligo. Int J Dermatol 2006; 45(8):992-3.
4. Yu HS, Chang KL, Yu CL, Li HF, Wu MT, Wu CS.Alterations in IL-6, IL-8, GM-CSF, TNF-alpha, and IFN- gamma release by peripheral mononuclear cells in patients with active vitiligo. J Invest Dermatol 1997;108(4):527-9.
5. Roark CL, Simonian PL, Fontenot AP, Born WK, O'Brien RL. gammadelta T cells: an important source of IL-17. Curr Opin Immunol 2008; 20(3):353-7.
6. Aarvak T, Chabaud M, Miossec P, Natvig JB. IL-17 is produced by some proinflammatory Th1/Th0 cells but not by Th2 cells. J Immunol 1999; 162(3):1246-51.
7. Shibata K, Yamada H, Hara H, Kishihara K, Yoshikai Y.Resident Vdelta1+ gammadelta T cells control early infiltration of neutrophils after Escherichia coli infection via IL-17 production. J Immunol 2007; 178(7):4466-72.
8. Molet S, Hamid Q, Davoine F, Nutku E, Taha R, Page N, et al. IL-17 is increased in asthmatic airways and induces human bronchial fibroblasts to produce cytokines. J Allergy Clin Immunol 2001; 108(3):430-8.
9. Ferretti S, Bonneau O, Dubois GR, Jones CE, Trifilieff A. IL-17, produced by lymphocytes and neutrophils, is necessary for lipopolysaccharide-induced airway neutrophilia: IL-15 as a possible trigger. J Immunol 2003;170(4):2106-12.
10. Zhou Q, Desta T, Fenton M, Graves DT, Amar S.Cytokine profiling of macrophages exposed to Porphyromonas gingivalis, its lipopolysaccharide, or its FimA protein. Infect Immun 2005; 73(2):935-43. 11. Gaffen SL. Biology of recently discovered cytokines: interleukin-17--a unique inflammatory cytokine with roles in bone biology and arthritis. Arthritis Res Ther 2004; 6(6):240-7.
12. Faour WH, Mancini A, He QW, Di Battista JA. T-cell- derived interleukin-17 regulates the level and stability of cyclooxygenase-2 (COX-2) mRNA through restricted activation of the p38 mitogen-activated protein kinase cascade: role of distal sequences in the 3'-untranslated region of COX-2 mRNA. J Biol Chem 2003;278(29):26897-907.
13. Voet D. Lipid Metabolism. In: Voet D, Voet JG.Biochemistry. 3nd. Wiley International Edition,2004:963-5.
14. Glew R. Lipid Metabolism. Pathways of Metabolism of Special Lipids: Devlin T. Textbook of Biochemistry: With Clinical Correlations. Wiely Liss, 2006; 142:730-3.
15. Seibert K, Zhang Y, Leahy K, Hauser S, Masferrer J, Perkins W, et al. Pharmacological and biochemical demonstration of the role of cyclooxygenase 2 in inflammation and pain. Proc Natl Acad Sci U S A. 1994;91(25):12013-7.
16. Jandus C, Bioley G, Rivals JP, Dudler J, Speiser D, Romero P. Increased numbers of circulating polyfunctional Th17 memory cells in patients with seronegative spondylarthritides. Arthritis Rheum 2008;58(8):2307-17.
17. Basak PY, Adiloglu AK, Ceyhan AM, Tas T, Akkaya VB. The role of helper and regulatory T cells in the pathogenesis of vitiligo. J Am Acad Dermatol 2009;60(2):256-60.
18. Li M, Gao Y, Li C, Liu L, Li K, Gao L, et al. Association of COX2 functional polymorphisms and the risk of vitiligo in Chinese populations. J Dermatol Sci 2009;53(3):176-81.
19. Mosher DB, Fitzpatric TB, Orton JP, Hori Y. Disorder of melanocytes. In: Fitzpatric T, Zeisen A, Wolf K, Freedberg FM, Austen KF. Dermatology in General Medicien. New York: McGraw-Hill Inc, 2008: 617-8. 20. Zhang X, Ding L, Sandford A. Selection of reference genes for gene expression studies in human neutrophils by real-time PCR. BMC Mol Biol 2005; 6(1):4.
21. Dheda K, Huggett J, Bustin S, Johnson M, Rook G, Zumla A. Validation of housekeeping genes for normalizing RNA expression in real-time PCR. Biotechniques 2004; 37(1):112-9.
22. Ortonne. Vitiligo and other disorders ofhypopigmentation. In: Bolognia JL, Jorizzo JL, Rapini RP, Horn TD, Mascaro JM, Mancini AJ, et al. Dermatology: Edinburg: Mosby, 2003.947-73.
23. Moretti S, Spallanzani A, Amato L, Hautmann G, Gallerani I, Fabiani M, et al. New insights into the pathogenesis of vitiligo: imbalance of epidermal cytokines at sites of lesions. Pigment cell res 2002;15(2):87-92.
24. Feldmann M, Brennan FM, Maini R. Cytokines in autoimmune disorders. Int Rev Immunol 1998; 17(1-4):217-28.
25. Yao Z, Fanslow WC, Seldin MF, Rousseau AM, Painter SL, Comeau MR, et al. Herpesvirus Saimiri encodes a new cytokine, IL-17, which binds to a novel cytokine receptor. Immunity 1995; 3(6):811-21. 26. Witowski J, Pawlaczyk K, Breborowicz A, Scheuren A, Kuzlan-Pawlaczyk M, Wisniewska J, et al. IL-17 stimulates intraperitoneal neutrophil infiltration through the release of GRO alpha chemokine from mesothelial cells. J Immunol 2000; 165(10):5814-21
27. Kotake S, Udagawa N, Takahashi N, Matsuzaki K, Itoh K, Ishiyama S, et al. IL-17 in synovial fluids from patients with rheumatoid arthritis is a potent stimulator of osteoclastogenesis. J Clin Invest 1999; 103(9):1345-52.
28. Teunissen MB, Koomen CW, de Waal Malefyt R, Wierenga EA, Bos JD. Interleukin-17 and interferon- gamma synergize in the enhancement of proinflammatory cytokine production by human keratinocytes. J Invest Dermatol 1998; 111(4):645-9.
29. Van den Boorn JG, Konijnenberg D, Dellemijn AM, van der Veen JP, Bos JD, et al. Autoimmune Destruction of Skin Melanocytes by Perilesional T Cells from Vitiligo Patients. J Invest Dermatol 2009; 129(9):2220-32.
30. Pablos JL, Santiago B, Carreira PE, Galindo M, Gomez- Reino JJ. Cyclooxygenase-1 and-2 are expressed by human T cells. Clin Exp Immunol 1999; 115(1):86-90.
31. Niiro H ,Otsuka T, Izuhara K, Yamaoka K, Ohshima K, Tanabe T, et al. Regulation by interleukin-10 and interleukin-4 of cyclooxygenase-2 expression in human neutrophils. Blood 1997; 89(5):1621-8.
32. Anderson GD, Hauser SD, McGarity KL, Bremer ME, Isakson PC ,Gregory SA. Selective inhibition of cyclooxygenase (COX)-2 reverses inflammation and expression of COX-2 and interleukin 6 in rat adjuvant arthritis. J Clin Invest 1996; 97(11):2672-9.
33. Sun Y, Tang X, Half E, Kuo M, Sinicrope F.Cyclooxygenase-2 overexpression reduces apoptotic susceptibility by inhibiting the cytochrome c-dependent apoptotic pathway in human colon cancer cells. Cancer res 2002; 62(21):6323-8.
34. Colombe L, Vindrios A, Michelet JF, Bernard BA.Prostaglandin metabolism in human hair follicle. Exp Dermatol 2007; 16(9):762-9.
35. Ongenae K, Van Geel N, Naeyaert JM. Evidence for an autoimmune pathogenesis of vitiligo. Pigment Cell Res 2003; 16(2):90-100.
36. Fossiez F, Djossou O, Chomarat P, Flores-Romo L, Ait- Yahia S ,Maat C, et al. T cell interleukin-17 induces stromal cells to produce proinflammatory and hematopoietic cytokines. J Exp Med 1996; 183(6):2593-603.
37. Shalom-Barak T, Quach J, Lotz M. Interleukin-17- induced gene expression in articular chondrocytes is associated with activation of mitogen-activated protein kinases and NF- B. J Biol Chem 1998; 273(42):27467-73.
38. Lemos HP, Grespan R, Vieira SM, Cunha TM, Verri WA Jr, Fernandes KS, et al. Prostaglandin mediates IL-23/IL-17-induced neutrophil migration in inflammation by inhibiting IL-12 and IFNgamma production. Proc Natl Acad Sci U S A 2009; 106(14):5954-9.
39. van den Wijngaard R, Wankowicz-Kalinska A, Le Poole C, Tigges B, Westerhof W, Das P. Local immune response in skin of generalized vitiligo patients. Destruction of melanocytes is associated with the prominent presence of CLA+ T cells at the perilesional site. Lab Invest 2000; 80(8):1299-309.
40. Moretti S, Spallanzani A, Amato L, Hautmann G, Gallerani I, Fabiani M, et al. New insights into the pathogenesis of vitiligo: imbalance of epidermal cytokines at sites of lesions. Pigment Cell Res 2002;15(2):87-92.
41. Ratsep R, Kingo K, Karelson M, Reimann E, Raud K, Silm H, et al. Gene expression study of IL10 family genes in vitiligo skin biopsies, peripheral blood mononuclear cells and sera. Br J Dermatol 2008; 159(6):1275-81.
42. Lowes MA, Kikuchi T, Fuentes-Duculan J, Cardinale I, Zaba LC, Haider AS, et al. Psoriasis vulgaris lesions contain discrete populations of Th1 and Th17 T cells. J Invest Dermatol 2008; 128(5):1207-11.
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Issue | Vol 10, No 2 (2011) | |
Section | Articles | |
Keywords | ||
COX2 IL-17 Neutrophils Real-time PCR Vitiligo |
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