Clinical Medicine IV. Lectures
Jójárt, Boldizsár, MSc
University of Szeged, Faculty of Medicine, First Department of Medicine
+36309280454
jojart.boldizsar@gmail.com
Evaluation of the Expression of Serpin E1/PAI-1 in Biological Samples of Inflammatory Bowel Disease Patients
1 Boldizsár Jójárt University of Szeged, Faculty of Medicine, First Department of Medicine, Hungarian Academy of
Science - University of Szeged Momentum Epithelial Cell Signaling and Secretion Research Group, Szeged
2 Viktória Szabó University of Szeged, Faculty of Medicine, First Department of Medicine, Szeged; Hungarian Academy of Science - University of Szeged Momentum Epithelial Cell Signaling and Secretion Research Group, Szeged
3 Árpád Varga University of Szeged, Faculty of Medicine, First Department of Medicine, Szeged; Hungarian
Academy of Science - University of Szeged Momentum Epithelial Cell Signaling and Secretion Research Group, Szeged
4 Tamás Molnár University of Szeged, Faculty of Medicine, First Department of Medicine, Szeged
5 József Maléth University of Szeged, Faculty of Medicine, First Department of Medicine, Szeged; University of Szeged, Faculty of Medicine, Department of Public Health, Szeged; Hungarian Academy of Science - University of Szeged Momentum Epithelial Cell Signaling and Secretion Research Group, Szeged
6 Klaudia Farkas University of Szeged, Faculty of Medicine, First Department of Medicine, Szeged
Clinical Medicine IV. Lectures
English
Molecular Sciences
Clinical Medicine
Introduction: Inflammatory bowel diseases are chronic disabling gastrointestinal disorders. Anti-TNF therapies are primary treatment options in IBD, but in 40-60% of the cases the patients do not respond to the initial treatment or lose response over time. Imbalance of pro-, and anti-inflammatory cytokines alter inflammatory response and determine response to therapy. Thus, patient-specific determination of individual cytokine profiles could improve the prediction of therapeutic response.
Aim: Our aim was to determine the cytokine profile of the IBD patients. In the next step, we wanted to further characterize the expression of promising cytokines.
Methods: Biopsies were obtained from the inflamed and non-inflamed part of the colon of IBD patients and controls undergoing colonoscopy. Total protein and mRNA were isolated from the biopsy samples. We used Cytokine Array to analyse the cytokine pattern. Gene expression and localization of a selected cytokines were assessed by qRT-PCR and immunostaining.
Results: We defined the cytokine profile of 36 biopsy samples. As expected, in the control samples no cytokines were detected, which potentially play a role in the inflammatory process. In samples from IBD patients remarkable discrimination between the inflamed, or non-inflamed areas was possible. MIP1-α/β, IL-1β, IL-8, IL-18 and Serpin E1 were detected in the majority of inflamed samples. Serpin E1/PAI-1 is an inhibitor cytokine inhibiting the tissue plasminogen activator (tPA) resulting in inhibited fibrinolysis and activation of coagulation. As the risk to develop deep venous thrombosis is 6 times higher in the IBD patients than the healthy people, we analysed Serpin E1 further. We compared the expression of Serpin E1 in patients received or not received treatment. Our results suggest that biology therapy decrease the expression of Serpin E1 both at mRNA and protein level.
Conclusion: Our results showed remarkable difference in the cytokine profile of biopsy samples captured from inflamed area compared to controls, or non-inflamed samples. The gene expression of Serpin E1 was the highest in the inflamed sample and the lowest in the control. As a result of biological therapy the expression of SerpinE1 decreased. In the next steps we will increase the sample numbers and analyze the correlation between SerpinE1 expression and clinical response.
József Maléth
jozsefmaleth1@gmail.com
Szóbeli
Szabad
elfogadva
szóbeli
nem rendelkezett róla
4706
18:15
18:30
1 Boldizsár Jójárt University of Szeged, Faculty of Medicine, First Department of Medicine, Hungarian Academy of
Science - University of Szeged Momentum Epithelial Cell Signaling and Secretion Research Group, Szeged
2 Viktória Szabó University of Szeged, Faculty of Medicine, First Department of Medicine, Szeged; Hungarian Academy of Science - University of Szeged Momentum Epithelial Cell Signaling and Secretion Research Group, Szeged
3 Árpád Varga University of Szeged, Faculty of Medicine, First Department of Medicine, Szeged; Hungarian
Academy of Science - University of Szeged Momentum Epithelial Cell Signaling and Secretion Research Group, Szeged
4 Tamás Molnár University of Szeged, Faculty of Medicine, First Department of Medicine, Szeged
5 József Maléth University of Szeged, Faculty of Medicine, First Department of Medicine, Szeged; University of Szeged, Faculty of Medicine, Department of Public Health, Szeged; Hungarian Academy of Science - University of Szeged Momentum Epithelial Cell Signaling and Secretion Research Group, Szeged
6 Klaudia Farkas University of Szeged, Faculty of Medicine, First Department of Medicine, Szeged