PMID- 28693405 OWN - NLM STAT- MEDLINE DCOM- 20180430 LR - 20180611 IS - 1547-6901 (Electronic) IS - 1547-691X (Linking) VI - 14 IP - 1 DP - 2017 Dec TI - Genetics and immunodysfunction underlying Behcet's disease and immunomodulant treatment approaches. PG - 137-151 LID - 10.1080/1547691X.2017.1346008 [doi] AB - Behcet's disease (BD) is a chronic autoimmune condition primarily prevalent in populations along the Mediterranean Sea. The exact etiology of BD has not been fully explained yet, but the disease occurrence is associated with a genetic factor, human leukocyte antigen (HLA)-B51 antigen. Among the various immunodysfunctions that are found in BD, patients are increased neutrophil motility and superoxide production, as well as elevated production of tumor necrosis factor (TNF)-alpha and decreased production of interleukin (IL)-10. Elevated levels of inflammatory cytokines like IL-1 and IL-17 in BD have been found associated with aberrant expression of microRNA. Gene polymorphisms in BD patients have been observed in molecules involved in responses to pathogens that can ultimately modulate the host antimicrobial response. Moreover, several single nucleotide polymorphisms (SNPs) have been reported in genes encoding chemokines and adhesion molecules; many of these changes manifest as increases in vascular inflammation and vascular damage. Lastly, genetic and epigenetic changes have been suggested as involved in the pathogenesis of BD. Modifications in DNA methylation have been found in BD patient monocytes and lymphocytes, leading to adverse function of these cells. This review presents a comprehensive compilation of the literature with regard to the immunodysfunction underlying BD, as well as of the genetics, newly described clinical specifications and novel treatment strategies using immunomodulants based on the current understanding of BD. FAU - Salmaninejad, Arash AU - Salmaninejad A AUID- ORCID: 0000-0001-6141-3915 AD - a Drug Applied Research Center , Tabriz University of Medical Sciences , Tabriz , Iran. AD - b Medical Genetics Research Center, Student Research Committee, Department of Medical Genetics, Faculty of Medicine , Mashhad University of Medical Sciences , Mashhad , Iran. AD - c Rheumatology Research Center , Tehran University of Medical Sciences , Tehran , Iran. FAU - Gowhari, Arezoo AU - Gowhari A AD - d Department of Immunology, Faculty of Medicine , Mashhad University of Medical Sciences , Mashhad , Iran. FAU - Hosseini, Seyedmojtaba AU - Hosseini S AD - b Medical Genetics Research Center, Student Research Committee, Department of Medical Genetics, Faculty of Medicine , Mashhad University of Medical Sciences , Mashhad , Iran. FAU - Aslani, Saeed AU - Aslani S AD - c Rheumatology Research Center , Tehran University of Medical Sciences , Tehran , Iran. FAU - Yousefi, Meysam AU - Yousefi M AD - b Medical Genetics Research Center, Student Research Committee, Department of Medical Genetics, Faculty of Medicine , Mashhad University of Medical Sciences , Mashhad , Iran. FAU - Bahrami, Tayyeb AU - Bahrami T AD - e Genetics Research Center , University of Social Welfare and Rehabilitation Sciences , Tehran , Iran. FAU - Ebrahimi, Masoume AU - Ebrahimi M AD - f Department of Biology, Faculty of Sciences , University of Guilan , Rasht , Iran. FAU - Nesaei, Abolfazl AU - Nesaei A AD - g Department of Basic Sciences , Gonabad University of Medical Sciences , Gonabad , Iran. FAU - Zal, Masoud AU - Zal M AD - h Department of Medical Genetics , Shahid Beheshti University of Medical Sciences , Tehran , Iran. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - J Immunotoxicol JT - Journal of immunotoxicology JID - 101201960 RN - 0 (HLA-B51 Antigen) RN - 0 (Interleukin-1) RN - 0 (Interleukin-17) RN - 0 (MicroRNAs) RN - 0 (Tumor Necrosis Factor-alpha) RN - 11062-77-4 (Superoxides) SB - IM MH - Behcet Syndrome/*genetics/*immunology MH - Cell Movement MH - DNA Methylation MH - Epigenesis, Genetic MH - Genetic Predisposition to Disease MH - HLA-B51 Antigen/*genetics MH - Humans MH - Immunomodulation MH - Interleukin-1/metabolism MH - Interleukin-17/metabolism MH - MicroRNAs/*genetics MH - Neutrophils/*immunology MH - Polymorphism, Single Nucleotide MH - Superoxides/metabolism MH - Tumor Necrosis Factor-alpha/*metabolism OTO - NOTNLM OT - Behcet's disease OT - clinical OT - genetics OT - immunology OT - treatment EDAT- 2017/07/12 06:00 MHDA- 2018/05/01 06:00 CRDT- 2017/07/12 06:00 PHST- 2017/07/12 06:00 [entrez] PHST- 2017/07/12 06:00 [pubmed] PHST- 2018/05/01 06:00 [medline] AID - 10.1080/1547691X.2017.1346008 [doi] PST - ppublish SO - J Immunotoxicol. 2017 Dec;14(1):137-151. doi: 10.1080/1547691X.2017.1346008.