Scientific corner

Granulocyte Apheresis in Inflammatory Bowel Disease: Possible Mechanisms of Effect

B.J. Rembacken,H.E. Newbould,S.J. Richards,S.A. Misbah,M.E. Dixon,D.M. Chalmers,A.T.R. Axon THERAP APHERE DIAL (2007) 2 (2) 93-96  https://doi.org/10.1111/j.1744-9987.1998.tb00082.x

We have studied the effects of granulocyte apheresis in 18 patients with ulcerative colitis and 6 with Crohn’s disease who had failed to respond to conventional therapy. Patients were treated with weekly apheresis using a granulocyte removal column. We found a mean reduction in circulating granulocytes of 1.29 × 109 cells/L with no significant alterations in red blood cell monocyte, total lymphocyte, absolute T-helper, or T-cytotoxic lymphocyte counts. There were no significant changes in complement levels or immunoglobulin subclasses. There was a signifycant increase in granulocyte adhesion and a reduction in L-selectin expression. The removal of granulocytes is unlikely to explain the effect of granulocytapheresis. The markedly increased expression of αm integrin/Mac-1 and low L-selectin expression alter the capability of granulocytes to migrate to sites of inflammation and may be responsible for the improvement observed in patients treated with granulocyte apheresis.

https://pubmed.ncbi.nlm.nih.gov/10225706/

https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1744-9987.1998.tb00082.x

Contact UsFor more information

Contact Us