Laboratory Investigation
United States and Canadian Academy of Pathology The United States and Canadian Academy of Pathology
LWW Lippincott Williams and Wilkins
publishes Laboratory Investigation
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  Activin A: A Novel Player and Inflammatory Marker in Inflammatory Bowel Disease?
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  Griseldis HAdubner, Maria Brauchle, Michael Gregor, and Sabine Werner 
   
  Max-Planck-Institut fAdur Biochemie (GH, MB, SW), Martinsried, and Medizinische Klinik und Poliklinik (MG), UniversitAdat TAdubingen, TAdubingen, Germany 
   
  Recently, we demonstrated a strong induction of activin expression after cutaneous injury. We speculated, therefore, that activin may be overexpressed during inflammatory processes in other tissues characterized by mesenchymal/epithelial structure. Herein, we show a strikingly increased expression of the activin betaA-subunit in surgical specimens from the gut of patients suffering from ulcerative colitis and Crohn's disease, whereas no activin betaA mRNA could be detected in the normal human digestive tract. The levels of activin betaA expression showed an outstanding correlation with the degree of inflammation as assessed by histologic analysis of adjacent tissue and expression analysis of the proinflammatory cytokine interleukin-1beta. In situ hybridization studies revealed the highest levels of activin mRNA in the mucosa and submucosa of highly inflamed areas, particularly where the intestinal epithelium was damaged, but not in control tissue. In contrast, activin betaB mRNA levels in most specimens from inflamed areas were only slightly higher compared to control tissue. The strong overexpression of activin betaA in inflammatory bowel disease suggests a novel and important role of this growth and differentiation factor during inflammatory processes of the gut.