eISSN: 2299-0046
ISSN: 1642-395X
Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii
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1/2020
vol. 37
 
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abstract:
Original paper

Systemic corticosteroid therapy augments ex vivo release of sCD163 by peripheral blood monocytes of asthmatic patients

Paweł L. Bernatowicz
1
,
Paweł Golec
2
,
Paweł Bielecki
3
,
Krzysztof Kowal
4, 5

1.
Department of Haematology, Medical University of Bialystok, Bialystok, Poland
2.
Department of Thoracic Surgery, Medical University of Bialystok, Bialystok, Poland
3.
Department of Otolaryngology, Medical University of Bialystok, Bialystok, Poland
4.
Department of Experimental Allergology and Immunology, Medical University of Bialystok, Bialystok, Poland
5.
Department of Allergology and Internal Medicine, Medical University of Bialystok, Bialystok, Poland
Adv Dermatol Allergol 2020; XXXVII (1): 61-65
Online publish date: 2020/03/09
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Introduction
The CD163 is exclusively expressed by mononuclear phagocytes as a transmembrane protein, which synthesis is regulated by anti- and pro-inflammatory signals. After shedding from the cell surface it exists in body fluids as a soluble protein (sCD163) which exerts anti-inflammatory effects.

Aim
To evaluate serum concentration and ex vivo production of sCD163 by peripheral blood mononuclear cells (PBMC) in asthmatic patients treated with inhaled (ICS) or oral corticosteroids (OCS).

Material and methods
The study was performed on 35 allergic asthma patients (AAs) including 15 treated with ICS (ICS-AAs), 10 with OCS (OCS-AAs), 10 during asthma exacerbation (EX-AAs) before OCS had been started and 13 non-atopic healthy subjects (HCs) as a control group. PBMC were cultured in vitro for up to 144 h. The concentration of sCD163 in serum and the culture supernatants was evaluated with ELISA.

Results
The greatest serum sCD163 concentration was demonstrated in EX-AAs, which was significantly greater than that in other studied subgroups. The concentration of sCD163 in PBMC culture supernatants was greater in AAs than in HCs (p = 0.006). Among individual asthma subgroups the greatest concentration of sCD163 was demonstrated in PBMC culture supernatants of OCS-AAs, which was significantly greater than in ICS-AAs (p < 0.001) and EX-AAs (p < 0.001), both being significantly greater than in HCs (p < 0.001).

Conclusions
In AAs, enhanced capability of PBMCs to release sCD163 may be at least partially responsible for the anti-inflammatory effects of systemic corticosteroid therapy.

keywords:

CD163, asthma, inhaled corticosteroids, induced sputum

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