Correlation of histopathologic evidence of disease activity with the presence of immunoglobulin-containing cells in the colons of patients with inflammatory bowel disease.

Abstract:

:Immunofluorescence of formalin-fixed, paraffin-embedded tissues was performed to study the plasma cell population in 114 colonic specimens from 58 patients. Correlation of the histopathologic stage of disease activity with the isotypes and numbers of immunoglobulin-containing cells in the lamina propria demonstrated highly significant (P less than 0.001) increases in the mean numbers of IgG- (18-fold), IgA- (twofold) and IgM- (sixfold) containing cells in specimens from patients with active inflammatory bowel disease as compared with control specimens. Increased numbers of immunoglobulin-containing cells were uncommon in inactive inflammatory bowel disease and in reactive mucosa. No deposition of immunoglobulin-containing immune complexes was found at any stage of disease activity. These findings suggest that immune complex-mediated damage does not play a major role in the epithelial damage in inflammatory bowel disease. In future studies, it will be of importance to determine whether the antibody from immunoglobulin-containing cells seen in patients with inflammatory bowel disease can effect damage via an antibody-dependent cell-mediated cytotoxicity mechanism.

journal_name

Hum Pathol

journal_title

Human pathology

authors

Keren DF,Appelman HD,Dobbins WO 3rd,Wells JJ,Whisenant B,Foley J,Dieterle R,Geisinger K

doi

10.1016/s0046-8177(84)80167-7

subject

Has Abstract

pub_date

1984-08-01 00:00:00

pages

757-63

issue

8

eissn

0046-8177

issn

1532-8392

pii

S0046-8177(84)80167-7

journal_volume

15

pub_type

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