Document 0001 DOCN M9480001 TI Immunohistochemical characterization of inflammatory cells and immunologic activation markers in muscle and nerve biopsy specimens from patients with systemic polyarteritis nodosa. DT 9410 AU Cid MC; Grau JM; Casademont J; Campo E; Coll-Vinent B; Lopez-Soto A; Ingelmo M; Urbano-Marquez A; Hospital Clinic i Provincial, University of Barcelona, Spain. SO Arthritis Rheum. 1994 Jul;37(7):1055-61. Unique Identifier : AIDSLINE MED/94296454 AB OBJECTIVE. To investigate the phenotype of infiltrating cells in classic lesions of polyarteritis nodosa (PAN). METHODS. Twenty-one muscle and 10 sural nerve biopsy samples from 24 patients with systemic PAN were studied using avidin-biotin-peroxidase and alkaline phosphatase-anti-alkaline phosphatase immunohistochemical techniques. RESULTS. The inflammatory infiltrates consisted mainly of macrophages (41%) and T lymphocytes (41%), particularly of the CD4+ subset. Granulocytes were present in varying quantities (0-45%) and were more abundant in heavily infiltrated vessels and in those with fibrinoid necrosis. Dendritic cells could be identified in 4 samples. Proliferating and interleukin-2 receptor-expressing cells, present in 71% and 79% of the patients, respectively, were more frequent in untreated patients. CONCLUSION. T cell-mediated immune mechanisms may play a role in the development and perpetuation of PAN lesions. DE Adult Aged Biopsy CD4-CD8 Ratio Female Granulocytes/CHEMISTRY/IMMUNOLOGY/PATHOLOGY Histocompatibility Antigens Class II/ANALYSIS Human Immunohistochemistry Macrophages/CHEMISTRY/IMMUNOLOGY/PATHOLOGY Male Middle Age Muscles/*PATHOLOGY Nerve Tissue/*PATHOLOGY Periarteritis Nodosa/*ETIOLOGY/IMMUNOLOGY/*PATHOLOGY Phenotype Receptors, Interleukin-2/ANALYSIS Support, Non-U.S. Gov't T-Lymphocytes/CHEMISTRY/IMMUNOLOGY/PATHOLOGY T4 Lymphocytes/CHEMISTRY/IMMUNOLOGY/PATHOLOGY JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).