Seventeen patients with Behcet's desease receiving colchicine and/or glucocorticosteroids (steroids) were classified into two groups as complete and incomplete type. Both groups were further divided into active and inactive stages. Neutrophils from patients stimulated with opsonized-zymosan were subjected to measurement of oxygen intermadiates (O^-_2, H_2O_2, OH・, ^1O_2)(OI) and lysosomal enzymes (lysozyme, α-mannosidase, β-glucuronidase). The results were compared with those assessed in the control groups which included cases of goutreceiving colchicine and/or steroids, cases of asthma and dermatosis placed on steroids, and healthy individuals. In addition, ^51Cr-labeled human umbilical vein endothelial cell cultures obtained from the placenta immediately after birth were utilized for cytotoxicity test by stimulated-neutrophils from the complete type patients in active stage. In the cases of complete type in active stage, despite administration of colchicine and/or steroids, OI and especially OH・were significantly increased, compared to the healthy controls. Patients in the other groups showed significant rise in OI compared to the diseased control groups receiving the drugs. Similar changes in lysosomal enzymes were observed in them, although the differences in the quantity of enzymes between the patients and control groups were not very great. When the stimulated-neutrophils from the patients were incubated with endothelial cells, elevated ^<51>Cr release was demonstrated. Simultaneous addition of xanthine, which can quench OI, reduced ^<51>Cr leak almost to control levels. This indicates that the neutrophils from Behcet patients are highly sensitive and can be enhanced and amplified by antigenic stimulation, especially to the large particle, immune complexes, resulting in potential production of OI and leading to tissue damage in the disease.
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