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ABSTRACT: Objective
We aimed to investigate if aberrant intracellular production of NADPH oxidase-derived reactive oxygen species (ROS) in neutrophils is a disease mechanism in the autoinflammatory disease SAPHO syndrome, characterized by synovitis, acne, pustulosis, hyperostosis and osteitis, as has previously been suggested based on a family with SAPHO syndrome-like disease.Methods
Neutrophil function was explored in a cohort of four patients with SAPHO syndrome, two of whom were sampled during both inflammatory and non-inflammatory phase. Intracellular neutrophil ROS production was determined by luminol-amplified chemiluminescence in response to phorbol myristate acetate.Results
Cells from all patients produced normal amounts of ROS, both intra- and extracellularly, when compared with internal controls as well as with a large collection of healthy controls assayed in the laboratory over time (showing an extensive inter-personal variability in a normal population). Further, intracellular production of ROS increased during the inflammatory phase. Neutrophil activation markers were comparable between patients and controls.Conclusion
Dysfunctional generation of intracellular ROS in neutrophils is not a generalizable feature in SAPHO syndrome. Secondly, serum amyloid A appears to be a more sensitive inflammatory marker than CRP during improvement and relapses in SAPHO syndrome.
SUBMITTER: Wekell P
PROVIDER: S-EPMC4957673 | biostudies-literature | 2016 Aug
REPOSITORIES: biostudies-literature
Wekell Per P Björnsdottir Halla H Björkman Lena L Sundqvist Martina M Christenson Karin K Osla Veronica V Berg Stefan S Fasth Anders A Welin Amanda A Bylund Johan J Karlsson Anna A
Rheumatology (Oxford, England) 20160427 8
<h4>Objective</h4>We aimed to investigate if aberrant intracellular production of NADPH oxidase-derived reactive oxygen species (ROS) in neutrophils is a disease mechanism in the autoinflammatory disease SAPHO syndrome, characterized by synovitis, acne, pustulosis, hyperostosis and osteitis, as has previously been suggested based on a family with SAPHO syndrome-like disease.<h4>Methods</h4>Neutrophil function was explored in a cohort of four patients with SAPHO syndrome, two of whom were sampled ...[more]