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Aglas, F; Rainer, F; Lipp, RW; Schnedl, WJ; Horn, S; Egger, G.
Effect of steroid treatment on the migration behaviour of neutrophils in patients with early rheumatoid arthritis.
Rheumatol Int. 1997; 17(4):137-140 Doi: 10.1007/s002960050024
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Co-authors Med Uni Graz
Egger Gerd
Horn Sabine
Lipp Rainer
Schnedl Wolfgang
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Abstract:
The influence of methylprednisolone on the migratory characteristics of neutrophil granulocytes was investigated in 10 patients with early rheumatoid arthritis (RA) and compared to 12 controls. The migration of neutrophils was measured with a whole-blood membrane filter assay with and without stimulation by the chemoattractant N-formyl-methionyl-leucyl-phenylalanine (fMLP). Total migration index (TMI), distribution characteristics (DC) and the product of TMI and DC (neutrophil migratory activity; NMA) served to characterize the migratory behaviour of neutrophils. The data demonstrated an increased polymorphonuclear leucocyte (PMN) migration in patients with early RA, indicating a bystander role of PMNs in inflammatory joint injury. Treatment with methylprednisolone reduced significantly the penetration depth (DC) of neutrophils, but did not influence the number of migrating cells (TMI). The unstimulated NMA was significantly reduced due to the marked DC reduction, whereas steroids did not influence the stimulated NMA of neutrophils. A significant reduction in PMN penetration depth was demonstrated only after a steroid therapy of at least 10 days, suggesting that a longer period of steroid therapy is necessary to provide effective inflammatory control.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Anti-Inflammatory Agents - therapeutic use
Arthritis, Rheumatoid - drug therapy
Arthritis, Rheumatoid - immunology
Cells, Cultured -
Chemotaxis, Leukocyte - physiology
Female -
Humans -
Male -
Methylprednisolone - therapeutic use
Middle Aged -
N-Formylmethionine Leucyl-Phenylalanine - pharmacology
Neutrophils - drug effects
Neutrophils - physiology

Find related publications in this database (Keywords)
Steroid Therapy
Early Rheumatoid Arthritis
Polymorphonuclear Leukocytes
Migration
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