PMID- 8578170 OWN - NLM STAT- MEDLINE DCOM- 19960311 LR - 20190814 IS - 0036-5521 (Print) IS - 0036-5521 (Linking) VI - 30 IP - 11 DP - 1995 Nov TI - Differences in the intrinsic capacity of peripheral blood mononuclear cells to produce tumor necrosis factor alpha and beta in patients with inflammatory bowel disease and healthy controls. PG - 1095-100 AB - BACKGROUND: Tumor necrosis factor alpha (TNF alpha) and beta (TNF beta) appear to play an important role in the regulation of the inflammatory response. The aim of the present study was to investigate the intrinsic capacity of peripheral blood mononuclear cells (PBMC) to produce these cytokines. METHODS: PBMC from 41 patients with Crohn's disease (CD), with ulcerative colitis (UC), and 23 healthy controls (HC) were cultured for 48 h in the presence of the T-cell activators anti-CD3 and anti-CD28. Biologically active total TNF (TNF alpha and beta), TNF alpha, and TNF beta production were measured using a bioassay for biologically active TNF and specific TNF alpha and TNF beta enzyme-linked immunosorbent assays. RESULTS: Large interindividual differences in TNF production were observed. Production of biologically active TNF after T-cell stimulation was significantly decreased in UC patients as compared with HC and CD patients (median, 337 U/ml, 800 U/ml, and 1050 U/ml, respectively). Stimulated TNF alpha production in UC patients (median, 432 U/ml) and in CD patients (median, 537 U/ml) did not differ statistically significantly from HC (median, 730 U/ml) as compared with HC and UC patients(median, 800 U/ml and 837 U/ml, respectively). CONCLUSIONS: These findings support the concept that UC and CD are homogeneous, clearly distinguishable disease entities but rather a heterogeneous group of diseases. Studies directed to assess the immunogenetic background of these different disease manifestations in IBD are underway. FAU - Bouma, G AU - Bouma G AD - Dept. of Gastroenterology, Free University Hospital, Amsterdam, The Netherlands. FAU - Oudkerk Pool, M AU - Oudkerk Pool M FAU - Scharenberg, J G AU - Scharenberg JG FAU - Kolkman, J J AU - Kolkman JJ FAU - von Blomberg, B M AU - von Blomberg BM FAU - Scheper, R J AU - Scheper RJ FAU - Meuwissen, S G AU - Meuwissen SG FAU - Pena, A S AU - Pena AS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Scand J Gastroenterol JT - Scandinavian journal of gastroenterology JID - 0060105 RN - 0 (Lymphotoxin-alpha) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Aged MH - Cells, Cultured MH - Colitis, Ulcerative/*blood/drug therapy/immunology MH - Crohn Disease/*blood/drug therapy/immunology MH - Female MH - Humans MH - Leukocytes, Mononuclear/immunology/*metabolism MH - Lymphotoxin-alpha/*biosynthesis MH - Male MH - Middle Aged MH - Tumor Necrosis Factor-alpha/*biosynthesis EDAT- 1995/11/01 00:00 MHDA- 1995/11/01 00:01 CRDT- 1995/11/01 00:00 PHST- 1995/11/01 00:00 [pubmed] PHST- 1995/11/01 00:01 [medline] PHST- 1995/11/01 00:00 [entrez] AID - 10.3109/00365529509101613 [doi] PST - ppublish SO - Scand J Gastroenterol. 1995 Nov;30(11):1095-100. doi: 10.3109/00365529509101613.