Abstract
Behçet’s disease (BD) is a chronic multisystem vasculitis disease that can affect any organ and usually is combined with hyperactivation of neutrophils. Involvement of inflammatory cytokines such as interleukin (IL)-12 in BD has been shown before. However, IL-12 shares a p40 subunit with IL-23, which has additional inflammatory effects apart of IL-12. IL-23 increases neutrophils’ transmigration and therefore could contribute in BD induction or progression. Moreover, endothelial cells express vascular endothelial cadherin adhesion molecule (VE–cadherin), which plays critical roles in angiogenesis and endothelial integrity. VE–cadherin may shed into the circulation in a soluble form (sVE–cadherin), and inflammatory cytokines can increase this process. Therefore, a correlation between IL-23 concentration and amount of sVE–cadherin was proposed. We enrolled 44 healthy persons and 53 patients with BD of different disease activities and examined their serum concentrations of IL-23 and sVE–cadherin. A significant correlation was found between the concentrations of these two factors among patients only. Comparing sVE–cadherin mean concentration in patients and controls showed a significant difference, which for IL-23 was not considered significant. Results showed higher IL-23 in sera of patients with uveitis. Moreover, there was a meaningful correlation between IL-23 content and disease activity. These results could extend the biological effects of IL-23 in BD and introduce sVE–cadherin as a potential new biomarker in the course of BD pathogenesis.
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Al-Mutawa SA, Hegab SM. Behcet’s disease. Clin Exp Med. 2004;4:103–31.
Suzuki Kurokawa M, Suzuki N. Behcet’s disease. Clin Exp Med. 2004;4:10–20.
Kone-Paut I, Yurdakul S, Bahabri SA, Shafae N, Ozen S, Ozdogan H, et al. Clinical features of Behcet’s disease in children: an international collaborative study of 86 cases. J Pediatr. 1998;132:721–5.
Narikawa S, Suzuki Y, Takahashi M, Furukawa A, Sakane T, Mizushima Y. Streptococcus oralis previously identified as uncommon ‘Streptococcus sanguis’ in Behcet’s disease. Arch Oral Biol. 1995;40:685–90.
Eksioglu-Demiralp E, Direskeneli H, Kibaroglu A, Yavuz S, Ergun T, Akoglu T. Neutrophil activation in Behcet’s disease. Clin Exp Rheumatol. 2001;19:S19–24.
Sahin S, Lawrence R, Direskeneli H, Hamuryudan V, Yazici H, Akoglu T. Monocyte activity in Behcet’s disease. Br J Rheumatol. 1996;35:424–9.
Sahin S, Akoglu T, Direskeneli H, Sen LS, Lawrence R. Neutrophil adhesion to endothelial cells and factors affecting adhesion in patients with Behcet’s disease. Ann Rheum Dis. 1996;55:128–33.
Hordijk PL, Anthony E, Mul FP, Rientsma R, Oomen LC, Roos D. Vascular-endothelial-cadherin modulates endothelial monolayer permeability. J Cell Sci. 1999;112:1915–23.
Allport JR, Ding H, Collins T, Gerritsen ME, Luscinskas FW. Endothelial-dependent mechanisms regulate leukocyte transmigration: a process involving the proteasome and disruption of the vascular endothelial-cadherin complex at endothelial cell-to-cell junctions. J Exp Med. 1997;186:517–27.
Soeki T, Tamura Y, Shinohara H, Sakabe K, Onose Y, Fukuda N. Elevated concentration of soluble vascular endothelial cadherin is associated with coronary atherosclerosis. Circ J. 2004;68:1–5.
Jonsson MV, Salomonsson S, Oijordsbakken G, Skarstein K. Elevated serum levels of soluble E-cadherin in patients with primary Sjogren’s syndrome. Scand J Immunol. 2005;62:552–9.
Dejana E, Spagnuolo R, Bazzoni G. Interendothelial junctions and their role in the control of angiogenesis, vascular permeability and leukocyte transmigration. Thromb Haemost. 2001;86:308–15.
Iwakura Y, Ishigame H. The IL-23/IL-17 axis in inflammation. J Clin Invest. 2006;116:1218–22.
Stark MA, Huo Y, Burcin TL, Morris MA, Olson TS, Ley K. Phagocytosis of apoptotic neutrophils regulates granulopoiesis via IL-23 and IL-17. Immunity. 2005;22:285–94.
International Study Group for Behcet’s Disease. Criteria for diagnosis of Behcet’s disease. Lancet. 1990;335:1078–80.
Krause I, Rosen Y, Kaplan I, Milo G, Guedj D, Molad Y, et al. Recurrent aphthous stomatitis in Behcet’s disease: clinical features and correlation with systemic disease expression and severity. J Oral Pathol Med. 1999;28:193–6.
Krause I, Mader R, Sulkes J, Paul M, Uziel Y, Adawi M, et al. Behcet’s disease in Israel: the influence of ethnic origin on disease expression and severity. J Rheumatol. 2001;28:1033–6.
Dalghous AM, Freysdottir J, Fortune F. Expression of cytokines, chemokines, and chemokine receptors in oral ulcers of patients with Behcet’s disease (BD) and recurrent aphthous stomatitis is Th1-associated, although Th2-association is also observed in patients with BD. Scand J Rheumatol. 2006;35:472–5.
Kulaber A, Tugal-Tutkun I, Yentur SP, kman-Demir G, Kaneko F, Gul A, et al. Pro-inflammatory cellular immune response in Behcet’s disease. Rheumatol Int. 2007;27:1113–8.
Ben AM, Houman H, Miled M, Dellagi K, Louzir H. Involvement of chemokines and Th1 cytokines in the pathogenesis of mucocutaneous lesions of Behcet’s disease. Arthritis Rheum. 2004;50:2291–5.
Mizuki N, Meguro A, Tohnai I, Gul A, Ohno S, Mizuki N. Association of major histocompatibility complex Class I chain-related Gene A and HLA-B Alleles with Behcet’s disease in Turkey. Jpn J Ophthalmol. 2007;51:431–6.
Meguro A, Ota M, Katsuyama Y, Oka A, Ohno S, Inoko H, et al. Association of the toll-like receptor 4 gene polymorphisms with Behcet’s disease. Ann Rheum Dis. 2008;67:725–7.
Hou S, Yang P, Du L, Zhou H, Lin X, Liu X, et al. SUMO4 gene polymorphisms in Chinese Han patients with Behcet’s disease. Clin Immunol. 2008;129:170–5.
Oppmann B, Lesley R, Blom B, Timans JC, Xu Y, Hunte B, et al. Novel p19 protein engages IL-12p40 to form a cytokine, IL-23, with biological activities similar as well as distinct from IL-12. Immunity. 2000;13:715–25.
Chen Z, O’Shea JJ. Regulation of IL-17 production in human lymphocytes. Cytokine. 2008;41:71–8.
Maloy KJ. The Interleukin-23/Interleukin-17 axis in intestinal inflammation. J Intern Med. 2008;263:584–90.
von VS, Ley K. Homeostatic regulation of blood neutrophil counts. J Immunol. 2008;181:5183–8.
Lew W, Chang JY, Jung JY, Bang D. Increased expression of interleukin-23 p19 mRNA in erythema nodosum-like lesions of Behcet’s disease. Br J Dermatol. 2008;158:505–11.
Chi W, Zhu X, Yang P, Liu X, Lin X, Zhou H, et al. Upregulated IL-23 and IL-17 in Behcet patients with active uveitis. Invest Ophthalmol Vis Sci. 2008;49:3058–64.
Vestweber D, Winderlich M, Cagna G, Nottebaum AF. Cell adhesion dynamics at endothelial junctions: VE-cadherin as a major player. Trends Cell Biol. 2009;19:8–15.
Garrido-Urbani S, Bradfield PF, Lee BP, Imhof BA. Vascular and epithelial junctions: a barrier for leucocyte migration. Biochem Soc Trans. 2008;36:203–11.
Turowski P, Martinelli R, Crawford R, Wateridge D, Papageorgiou AP, Lampugnani MG, et al. Phosphorylation of vascular endothelial cadherin controls lymphocyte emigration. J Cell Sci. 2008;121:29–37.
Gotsch U, Borges E, Bosse R, Boggemeyer E, Simon M, Mossmann H, et al. VE-cadherin antibody accelerates neutrophil recruitment in vivo. J Cell Sci. 1997;110:583–8.
Alcaide P, Newton G, Auerbach S, Sehrawat S, Mayadas TN, Golan DE, et al. p120-Catenin regulates leukocyte transmigration through an effect on VE-cadherin phosphorylation. Blood. 2008;112:2770–9.
Herren B, Levkau B, Raines EW, Ross R. Cleavage of beta-catenin and plakoglobin and shedding of VE-cadherin during endothelial apoptosis: evidence for a role for caspases and metalloproteinases. Mol Biol Cell. 1998;9:1589–601.
Villasante A, Pacheco A, Pau E, Ruiz A, Pellicer A, Garcia-Velasco JA. Soluble vascular endothelial-cadherin levels correlate with clinical and biological aspects of severe ovarian hyperstimulation syndrome. Hum Reprod. 2008;23:662–7.
Gomez R, Simon C, Remohi J, Pellicer A. Vascular endothelial growth factor receptor-2 activation induces vascular permeability in hyperstimulated rats, and this effect is prevented by receptor blockade. Endocrinology. 2002;143:4339–48.
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This work was financially supported by grant 86-3514 from the deputy of research, Shiraz University of Medical Sciences, Iran.
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Habibagahi, Z., Habibagahi, M. & Heidari, M. Raised concentration of soluble form of vascular endothelial cadherin and IL-23 in sera of patients with Behçet’s disease. Mod Rheumatol 20, 154–159 (2010). https://doi.org/10.1007/s10165-009-0246-1
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DOI: https://doi.org/10.1007/s10165-009-0246-1