Increased macrophage subset in inflammatory bowel disease: apparent recruitment from peripheral blood monocytes

Gut. 1994 May;35(5):669-74. doi: 10.1136/gut.35.5.669.

Abstract

Mucosal specimens from active Crohn's disease (ileum, n = 6; colon, n = 6), active ulcerative colitis (n = 9), normal ileum (n = 6), and normal colon (n = 6) were subjected to paired immunofluorescence staining for characterisation of macrophage subsets in situ. In the normal state, only few CD68+ macrophages (< 10%) expressing the myelomonocytic L1 antigen (calprotectin) were seen. In inflamed mucosa, especially near small vessels, the CD68+L1+ fraction increased with the degree of inflammation, near ulcers to median 65% (range 35-91%). Cells reactive with the monoclonal antibody RFD7 were also increased in inflammation but less than 5% of them costained for L1 antigen. It is concluded that L1 producing macrophages are distinct from the RFD7+ subset and probably recently recruited from peripheral blood monocytes. Like granulocytes, L1+ macrophages may be important in non-specific defence, providing calprotectin with putative anti-microbial and anti-proliferative properties.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antigens, CD / immunology
  • Antigens, Differentiation, Myelomonocytic / immunology
  • Cell Adhesion Molecules, Neuronal / immunology*
  • Colitis, Ulcerative / immunology
  • Colon / immunology
  • Crohn Disease / immunology
  • Female
  • Humans
  • Ileum / immunology
  • Immunohistochemistry
  • Inflammatory Bowel Diseases / immunology*
  • Intestinal Mucosa / immunology*
  • Leukocyte L1 Antigen Complex
  • Macrophage Activation
  • Macrophages / immunology*
  • Male
  • Middle Aged

Substances

  • Antigens, CD
  • Antigens, Differentiation, Myelomonocytic
  • CD68 antigen, human
  • Cell Adhesion Molecules, Neuronal
  • Leukocyte L1 Antigen Complex