PMID- 25978359 OWN - NLM STAT- MEDLINE DCOM- 20160216 LR - 20181113 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 10 IP - 5 DP - 2015 TI - The Involvement of Immune Semaphorins in the Pathogenesis of Inflammatory Bowel Diseases (IBDs). PG - e0125860 LID - 10.1371/journal.pone.0125860 [doi] LID - e0125860 AB - BACKGROUND AND AIMS: Immune semaphorins are a large family of proteins involved in the pathogenesis of inflammatory diseases through the regulation of immune homeostasis and tissue inflammation. We aim to assess the possible involvement of semaphorin3A (sema3A) and 4A (sema4A) in peripheral immune responses and bowel tissue inflammation of patients suffering from Crohn's disease (CD) and ulcerative colitis (UC). PATIENTS AND METHODS: Twenty-seven CD patients and 10 UC patients were studied and compared to 10 patients followed for acute diverticulitis (disease control) and 12 healthy individuals. All were evaluated for sema3A expression on T regulatory cells (Tregs), serum levels of sema3A and sema4A, and tissue expression of sema3A and sema4A in bowel biopsies. RESULTS: The percentage (%) of T regulatory cells (Tregs) expressing sema3A in patients with active CD (64.5% +/- 14.49%) and active UC (49.8% +/- 16.45%) was significantly lower when compared to that of healthy controls (88.7% +/- 3.6%, p< 0.001 and p< 0.0001, respectively). This expression was seen to be in negative correlation with CD activity. Serum levels of Sema4A were significantly lower in patients with CD and UC when compared to that of controls (5.69 +/- 1 .48 ng\ml for CD, 5.26 +/- 1.23 ng/ml for UC patients vs 9.74 +/- 2.73 ng/ml for normal controls, P<0.001). Sema4A was highly expressed in lymphocytes of the lamina propria of CD and UC patients but absent in patients with diverticulitis or in normal individuals. CONCLUSIONS: Altered % of Tregs expressing sema3A in patients with inflammatory bowel diseases (IBD) is partially responsible for their failure in preventing CD4+ effector T cell induced inflammation in IBD in peripheral blood. The increased expression of sema4A in bowel biopsies from CD and UC patients is suggestive of its central role in regulating local tissue inflammation in the bowel. FAU - Vadasz, Zahava AU - Vadasz Z AD - Division of Allergy and Clinical Immunology, Bnai Zion Medical Center, Technion, Haifa, Israel. FAU - Rainis, Tova AU - Rainis T AD - Division of Gastroenterology, Bnai Zion Medical Center, Technion, Haifa, Israel. FAU - Nakhleh, Afif AU - Nakhleh A AD - Division of Allergy and Clinical Immunology, Bnai Zion Medical Center, Technion, Haifa, Israel. FAU - Haj, Tharwat AU - Haj T AD - Division of Allergy and Clinical Immunology, Bnai Zion Medical Center, Technion, Haifa, Israel. FAU - Bejar, Jacob AU - Bejar J AD - Department of Pathology, Bnai Zion Medical Center, Technion, Haifa, Israel. FAU - Halasz, Katty AU - Halasz K AD - Division of Allergy and Clinical Immunology, Bnai Zion Medical Center, Technion, Haifa, Israel. FAU - Toubi, Elias AU - Toubi E AD - Division of Allergy and Clinical Immunology, Bnai Zion Medical Center, Technion, Haifa, Israel. LA - eng PT - Journal Article DEP - 20150515 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (SEMA3A protein, human) RN - 0 (SEMA4A protein, human) RN - 0 (Semaphorin-3A) RN - 0 (Semaphorins) SB - IM MH - Adult MH - Aged MH - Case-Control Studies MH - Colitis, Ulcerative/immunology/metabolism/*pathology MH - Crohn Disease/immunology/metabolism/*pathology MH - Female MH - Humans MH - Immunohistochemistry MH - Male MH - Middle Aged MH - Semaphorin-3A/*analysis/blood MH - Semaphorins/*analysis/blood MH - T-Lymphocytes, Regulatory/immunology/metabolism MH - Young Adult PMC - PMC4433250 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2015/05/16 06:00 MHDA- 2016/02/18 06:00 PMCR- 2015/05/15 CRDT- 2015/05/16 06:00 PHST- 2014/11/04 00:00 [received] PHST- 2015/03/24 00:00 [accepted] PHST- 2015/05/16 06:00 [entrez] PHST- 2015/05/16 06:00 [pubmed] PHST- 2016/02/18 06:00 [medline] PHST- 2015/05/15 00:00 [pmc-release] AID - PONE-D-14-48656 [pii] AID - 10.1371/journal.pone.0125860 [doi] PST - epublish SO - PLoS One. 2015 May 15;10(5):e0125860. doi: 10.1371/journal.pone.0125860. eCollection 2015.