The fibrogenic chemokine CCL18 is associated with disease severity in Erdheim-Chester disease

Erdheim-Chester disease (ECD) is a rare histiocytosis, characterized by xanthogranulomatous tissue infiltration by foamy histiocytes. Fibrosis, a histologic hallmark of ECD, is responsible for lesion growth and clinical manifestations. Unraveling molecular fibrotic pathway in ECD would allow the ide...

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Main Authors: Greta Pacini, Giulio Cavalli, Alessandro Tomelleri, Giacomo De Luca, Guido Pacini, Marina Ferrarini, Claudio Doglioni, Lorenzo Dagna
Format: Article
Language:English
Published: Taylor & Francis Group 2018-07-01
Series:OncoImmunology
Subjects:
Online Access:http://dx.doi.org/10.1080/2162402X.2018.1440929
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author Greta Pacini
Giulio Cavalli
Alessandro Tomelleri
Giacomo De Luca
Guido Pacini
Marina Ferrarini
Claudio Doglioni
Lorenzo Dagna
author_facet Greta Pacini
Giulio Cavalli
Alessandro Tomelleri
Giacomo De Luca
Guido Pacini
Marina Ferrarini
Claudio Doglioni
Lorenzo Dagna
author_sort Greta Pacini
collection DOAJ
description Erdheim-Chester disease (ECD) is a rare histiocytosis, characterized by xanthogranulomatous tissue infiltration by foamy histiocytes. Fibrosis, a histologic hallmark of ECD, is responsible for lesion growth and clinical manifestations. Unraveling molecular fibrotic pathway in ECD would allow the identification of new pharmacologic targets. In this study, we evaluated serum and tissue samples from a large cohort of ECD patients focusing on two major pro-fibrotic mediators, TGF-β1 and chemokine ligand 18 (CCL18). We found a marked increase in CCL18 but not TGF-β1 levels in serum and lesions of ECD patients (p < 0.001), independently of treatment status and consistently over time. Using a linear mathematical model, we also found that elevated CCL18 serum levels correlate with both number and severity of disease localizations. These findings suggest the involvement of CCL18-induced fibrosis in ECD pathogenesis, providing a rationale for exploring CCL18 inhibition as a treatment for progressive fibrosis in ECD.
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spelling doaj.art-4b1656190b0143879fe67ee02bfdb16f2022-12-22T01:14:02ZengTaylor & Francis GroupOncoImmunology2162-402X2018-07-017710.1080/2162402X.2018.14409291440929The fibrogenic chemokine CCL18 is associated with disease severity in Erdheim-Chester diseaseGreta Pacini0Giulio Cavalli1Alessandro Tomelleri2Giacomo De Luca3Guido Pacini4Marina Ferrarini5Claudio Doglioni6Lorenzo Dagna7IRCCS San Raffaele Scientific InstituteIRCCS San Raffaele Scientific InstituteIRCCS San Raffaele Scientific InstituteIRCCS San Raffaele Scientific InstituteMax Planck Institute for Molecular GeneticIRCCS San Raffaele Scientific InstituteVita-Salute San Raffaele UniversityIRCCS San Raffaele Scientific InstituteErdheim-Chester disease (ECD) is a rare histiocytosis, characterized by xanthogranulomatous tissue infiltration by foamy histiocytes. Fibrosis, a histologic hallmark of ECD, is responsible for lesion growth and clinical manifestations. Unraveling molecular fibrotic pathway in ECD would allow the identification of new pharmacologic targets. In this study, we evaluated serum and tissue samples from a large cohort of ECD patients focusing on two major pro-fibrotic mediators, TGF-β1 and chemokine ligand 18 (CCL18). We found a marked increase in CCL18 but not TGF-β1 levels in serum and lesions of ECD patients (p < 0.001), independently of treatment status and consistently over time. Using a linear mathematical model, we also found that elevated CCL18 serum levels correlate with both number and severity of disease localizations. These findings suggest the involvement of CCL18-induced fibrosis in ECD pathogenesis, providing a rationale for exploring CCL18 inhibition as a treatment for progressive fibrosis in ECD.http://dx.doi.org/10.1080/2162402X.2018.1440929erdheim-chester diseasefibrosisccl-18
spellingShingle Greta Pacini
Giulio Cavalli
Alessandro Tomelleri
Giacomo De Luca
Guido Pacini
Marina Ferrarini
Claudio Doglioni
Lorenzo Dagna
The fibrogenic chemokine CCL18 is associated with disease severity in Erdheim-Chester disease
OncoImmunology
erdheim-chester disease
fibrosis
ccl-18
title The fibrogenic chemokine CCL18 is associated with disease severity in Erdheim-Chester disease
title_full The fibrogenic chemokine CCL18 is associated with disease severity in Erdheim-Chester disease
title_fullStr The fibrogenic chemokine CCL18 is associated with disease severity in Erdheim-Chester disease
title_full_unstemmed The fibrogenic chemokine CCL18 is associated with disease severity in Erdheim-Chester disease
title_short The fibrogenic chemokine CCL18 is associated with disease severity in Erdheim-Chester disease
title_sort fibrogenic chemokine ccl18 is associated with disease severity in erdheim chester disease
topic erdheim-chester disease
fibrosis
ccl-18
url http://dx.doi.org/10.1080/2162402X.2018.1440929
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