Effect of filtration leukocytapheresis therapy: modulation of white blood cell enzyme activities in patients with rheumatoid arthritis.

Abstract:

:We treated 12 patients with rheumatoid arthritis by filtration leukocytapheresis (FLCP) and evaluated its effect on leukocyte enzyme activities. We calculated the number of leukocytes removed and assessed the clinical response. We also evaluated the cellular enzyme activities of elastase and dipeptidylpeptidase IV (DPP IV). Out of 12 patients, 7 patients achieved 20% improvement for 4 weeks following FLCP. The FLCP treatment resulted in removal of 96% of granulocytes, 98% of monocytes, and 61% of lymphocytes. Granulocytes and monocytes with high elastase activity were effectively removed by FLCP. The elastase activity of granulocytes was increased 4 weeks after the last FLCP only in responders. On the other hand, the DPP IV activity of lymphocytes was low at 4 weeks after the last FLCP in responders. Modulation of leukocyte enzyme activities is one of the main effects of FLCP therapy and alteration of granulocytes, monocytes, and lymphocytes.

journal_name

Artif Organs

journal_title

Artificial organs

authors

Yamasaki S,Ueki Y,Nakamura H,Yano M,Matsumoto K,Miyake S,Tominaga T,Tominaga M,Eguchi K

doi

10.1046/j.1525-1594.2002.06834.x

subject

Has Abstract

pub_date

2002-04-01 00:00:00

pages

378-84

issue

4

eissn

0160-564X

issn

1525-1594

pii

aor6834

journal_volume

26

pub_type

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