Hyposplenism and Gastrointestinal Diseases: Significance and Mechanisms

Background: Functional hyposplenism is a recognized complication of several gastroenterological disorders, including coeliac and inflammatory bowel diseases, and is believed to contribute to the increased infection risk seen in these disorders. Summary: The mechanisms of hyposplenism are poorly unde...

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Published inDigestive diseases (Basel) Vol. 40; no. 3; pp. 290 - 298
Main Authors Mathur, Abhinav, McLean, Mairi H., Cao, Huan, Vickers, Mark A.
Format Journal Article
LanguageEnglish
Published Basel, Switzerland 01.01.2022
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Abstract Background: Functional hyposplenism is a recognized complication of several gastroenterological disorders, including coeliac and inflammatory bowel diseases, and is believed to contribute to the increased infection risk seen in these disorders. Summary: The mechanisms of hyposplenism are poorly understood. In this article, we review possible mechanisms underlying development of functional hyposplenism and discuss implications for its management. Key Messages: Identifying functional hyposplenism is important, as it may permit earlier recognition and treatment of serious infections through patient education and vaccination.
AbstractList Functional hyposplenism is a recognized complication of several gastroenterological disorders, including coeliac and inflammatory bowel diseases, and is believed to contribute to the increased infection risk seen in these disorders. The mechanisms of hyposplenism are poorly understood. In this article, we review possible mechanisms underlying development of functional hyposplenism and discuss implications for its management. Identifying functional hyposplenism is important, as it may permit earlier recognition and treatment of serious infections through patient education and vaccination.
Background: Functional hyposplenism is a recognized complication of several gastroenterological disorders, including coeliac and inflammatory bowel diseases, and is believed to contribute to the increased infection risk seen in these disorders. Summary: The mechanisms of hyposplenism are poorly understood. In this article, we review possible mechanisms underlying development of functional hyposplenism and discuss implications for its management. Key Messages: Identifying functional hyposplenism is important, as it may permit earlier recognition and treatment of serious infections through patient education and vaccination.
Author Mathur, Abhinav
Vickers, Mark A.
McLean, Mairi H.
Cao, Huan
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Issue 3
Keywords Hyposplenism
Spleen
Inflammatory bowel disease
Coeliac disease
Language English
License This article is licensed under the Creative Commons Attribution 4.0 International License (CC BY). Usage, derivative works and distribution are permitted provided that proper credit is given to the author and the original publisher.
2021 The Author(s). Published by S. Karger AG, Basel.
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References Rosado MM, Aranburu A, Scarsella M, Cascioli S, Giorda E, Del Chierico F, . Spleen development is modulated by neonatal gut microbiota. Immunol Lett. 2018;199:1–15.
Di Sabatino A, Biagi F, Gobbi PG, Corazza GR. How I treat enteropathy-associated T-cell lymphoma. Blood. 2012;119:2458–68.
Lichtenstein GR, Feagan BG, Cohen RD, Salzberg BA, Diamond RH, Chen DM, . Serious infections and mortality in association with therapies for Crohn’s disease: TREAT registry. Clin Gastroenterol Hepatol. 2006;4:621–30.
Ryan FP, Smart RC, Holdsworth CD, Preston FE. Hyposplenism in inflammatory bowel disease. Gut. 1978;19:50–5.
Carsetti R, Di Sabatino A, Rosado MM, Cascioli S, Piano Mortari E, Milito C, . Lack of gut secretory immunoglobulin A in memory B-cell dysfunction-associated disorders: a possible gut-spleen axis. Front Immunol. 2020;10:2937.
Di Sabatino A, Carsetti R, Corazza GR. Post-splenectomy and hyposplenic states. Lancet. 2011;378:86–97.
Cushing KC, Kanuri N, Ciorba MA. Pneumococcal disease in inflammatory bowel disease: justification to vaccinate at diagnosis. Gastroenterology. 2016;151:365–6.
Goren I, Brom A, Yanai H, Dagan A, Segal G, Israel A. Risk of bacteremia in hospitalised patients with inflammatory bowel disease: a 9-year cohort study. United European Gastroenterol J. 2019;8:195–203.
Trewby PN, Chipping PM, Palmer SJ, Roberts PD, Lewis SM, Stewart JS. Splenic atrophy in adult coeliac disease: is it reversible. Gut. 1981;22:628–32.
Lewis SM, Williams A, Eisenbarth SC. Structure and function of the immune system in the spleen. Sci Immunol. 2019;4:eaau6085.
Thomsen RW, Schoonen WM, Farkas DK, Riis A, Jacobsen J, Fryzek JP, . Risk for hospital contact with infection in patients with splenectomy: a population-based cohort study. Ann Intern Med. 2009;151:546–55.
Palmer KR, Sherriff SB, Holdsworth CD, Ryan FP. Further experience of hyposplenism in inflammatory bowel disease. Q J Med. 1981;50:463–71.
Muller AF, Cornford E, Toghill PJ. Splenic function in inflammatory bowel disease: assessment by differential interference microscopy and splenic ultrasound. Q J Med. 1993;86:333–40.
Wardrop CA, Dagg JH, Lee FD, Singh H, Dyet JF, Moffat A. Immunological abnormalities in splenic atrophy. Lancet. 1975;2:4–7.
Bisharat N, Omari H, Lavi I, Raz R. Risk of infection and death among post-splenectomy patients. J Infect. 2001;43:182–6.
Marild K, Ye W, Lebwohl B, Green PHR, Blaser MJ, Card T, . Antibiotic exposure and the development of coeliac disease: a nationwide case-control study. BMC Gastroenterol. 2013;13:109.
Ferguson A. Hazards of hyposplenism. Br Med J. 1982;285:1375–6.
Francino MP. Antibiotics and the human gut microbiome: dysbioses and accumulation of resistances. Front Microbiol. 2016;6:1543.
Freeman HJ. Mesenteric lymph node cavitation syndrome. World J Gastroenterol. 2010;16:2991–3.
Pearson HA, Spencer RP, Cornelius EA. Functional asplenia in sickle-cell anemia. N Engl J Med. 1969;281:923–6.
Valdes AM, Walter J, Segal E, Spector TD. Role of the gut microbiota in nutrition and health. BMJ. 2018;361:k2179.
McCurdy JD, Kuenzig ME, Smith G, Spruin S, Murthy SK, Carrier M, . Risk of venous thromboembolism after hospital discharge in patients with inflammatory bowel disease: a population-based study. Inflamm Bowel Dis. 2020;26(11):1761–8.
Wang F, Zhang P, Jiang H, Cheng S. Gut bacterial translocation contributes to microinflammation in experimental uremia. Dig Dis Sci. 2012;57:2856–62.
Kantso B, Simonsen J, Hoffmann S, Valentiner-Branth P, Petersen AM, Jess T, Inflammatory bowel disease patients are at increased risk of invasive pneumococcal disease: a nationwide danish cohort study 1977–2013. Am J Gastroenterol. 2015;110:1582–7.
Cameron PU, Jones P, Gorniak M, Dunster K, Paul E, Lewin S, . Splenectomy associated changes in IgM memory B cells in an adult spleen registry cohort. PLoS One. 2011;6:e23164.
Arnott A, Jones P, Franklin LJ, Spelman D, Leder K, Cheng AC. A registry for patients with asplenia/hyposplenism reduces the risk of infections with encapsulated organisms. Clin Infect Dis. 2018;67:557–61.
Doe WF, Booth CC, Brown DL. Evidence for complement-binding immune complexes in adult coeliac disease, Crohn’s disease, and ulcerative colitis. Lancet. 1973;1:402–3.
Haeney MR, Ross IN. Whipple’s disease in a female with impaired cell-mediated immunity unresponsive to co-trimoxazole and levamisole therapy. Postgrad Med J. 1978;54:45–50.
Di Sabatino A, Rosado MM, Cazzola P, Biancheri P, Tinozzi FP, Laera MR, . Splenic function and IgM-memory B cells in Crohn’s disease patients treated with infliximab. Inflamm Bowel Dis. 2008;14:591–6.
Engwerda CR, Ato M, Cotterell SE, Mynott TL, Tschannerl A, Gorak-Stolinska PM, . A role for tumor necrosis factor-alpha in remodeling the splenic marginal zone during Leishmania donovani infection. Am J Pathol. 2002;161:429–37.
Di Sabatino A, Rosado MM, Miele L, Capolunghi F, Cazzola P, Biancheri P, . Impairment of splenic IgM-memory but not switched-memory B cells in a patient with celiac disease and splenic atrophy. J Allergy Clin Immunol. 2007;120:1461–3.
Douglas AP, Weetman AP, Haggith JW. The distribution and enteric loss of 51Cr-labelled lymphocytes in normal subjects and in patients with coeliac disease and other disorders of the small intestine. Digestion. 1976;14:29–43.
Nakagami Y, Uchino K, Okada H, Suzuki K, Enomoto M, Mizuno S, . Potential role of Howell-Jolly bodies in identifying functional hyposplenism: a prospective single-institute study. Int J Hematol. 2020;112:544–52.
Pebody RG, Hippisley-Cox J, Harcourt S, Pringle M, Painter M, Smith G. Uptake of pneumococcal polysaccharide vaccine in at-risk populations in England and Wales 1999–2005. Epidemiol Infect. 2008;136:360–9.
Kristinsson SY, Gridley G, Hoover RN, Check D, Landgren O. Long-term risks after splenectomy among 8,149 cancer-free American veterans: a cohort study with up to 27 years follow-up. Haematologica. 2014;99:392–8.
Rosado MM, Gesualdo F, Marcellini V, Di Sabatino A, Corazza GR, Smacchia MP, . Preserved antibody levels and loss of memory B cells against pneumococcus and tetanus after splenectomy: tailoring better vaccination strategies. Eur J Immunol. 2013;43:2659–70.
Palmer KR, Barber DC, Sherriff SB, Holdsworth CD. Reticuloendothelial function in coeliac disease and ulcerative colitis. Gut. 1983;24:384–8.
Walters JR, Bamford KB, Ghosh S. Coeliac disease and the risk of infections. Gut. 2008;57:1034–5.
Di Sabatino A, Rosado MM, Cazzola P, Riboni R, Biagi F, Carsetti R, . Splenic hypofunction and the spectrum of autoimmune and malignant complications in celiac disease. Clin Gastroenterol Hepatol. 2006;4:179–86.
Khailova L, Baird CH, Rush AA, Barnes C, Wischmeyer PE. Lactobacillus rhamnosus GG treatment improves intestinal permeability and modulates inflammatory response and homeostasis of spleen and colon in experimental model of Pseudomonas aeruginosa pneumonia. Clin Nutr. 2017;36:1549–57.
Williams BD, Pussell BA, Lockwood CM, Cotton C. Defective reticuloendothelial system function in rheumatoid arthritis. Lancet. 1979;1:1311–4.
Ludvigsson JF, Bai JC, Biagi F, Card TR, Ciacci C, Ciclitira PJ, . Diagnosis and management of adult coeliac disease: guidelines from the British society of gastroenterology. Gut. 2014;63:1210–28.
Keenan RD, Boswell T, Milligan DW. Do post-splenectomy patients take prophylactic penicillin. Br J Haematol. 1999;105:509–10.
de Porto AP, Lammers AJ, Bennink RJ, ten Berge IJ, Speelman P, Hoekstra JB. Assessment of splenic function. Eur J Clin Microbiol Infect Dis. 2010;29:1465–73.
Davies JM, Lewis MP, Wimperis J, Rafi I, Ladhani S, Bolton-Maggs PH. Review of guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen: prepared on behalf of the British committee for standards in haematology by a working party of the haemato-oncology task force. Br J Haematol. 2011;155:308–17.
Pereira JL, Hughes LE, Young HL. Spleen size in patients with inflammatory bowel disease. Does it have any clinical significance. Dis Colon Rectum. 1987;30:403–9.
Lamb CA, Kennedy NA, Raine T, Hendy PA, Smith PJ, Limdi JK, . British society of gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults. Gut. 2019;68:s1–06.
Konig J, Wells J, Cani PD, García-Ródenas CL, MacDonald T, Mercenier A, . Human intestinal barrier function in health and disease. Clin Transl Gastroenterol. 2016;7:e196.
Di Sabatino A, Lenti MV, Corazza GR. Spleen registry: still a chimera. Clin Infect Dis. 2018;67:562–3.
Ludvigsson JF, Olén O, Bell M, Ekbom A, Montgomery SM. Coeliac disease and risk of sepsis. Gut. 2008;57:1074–80.
O’Grady JG, Stevens FM, Harding B, O’Gorman TA, McNicholl B, McCarthy CF. Hyposplenism and gluten-sensitive enteropathy. Natural history, incidence, and relationship to diet and small bowel morphology. Gastroenterology. 1984;87:1326–31.
Lenti MV, Mengoli C, Vernero M, Aronico N, Conti L, Borrelli de Andreis F, . Preventing infections by encapsulated bacteria through vaccine prophylaxis in inflammatory bowel disease. Front Immunol. 2020;11:485.
Corazza GR, Frisoni M, Vaira D, Gasbarrini G. Effect of gluten-free diet on splenic hypofunction of adult coeliac disease. Gut. 1983;24:228–30.
Crary SE, Buchanan GR. Vascular complications after splenectomy for hematologic disorders. Blood. 2009;114:2861–8.
Lockwood CM, Worlledge S, Nicholas A, Cotton C, Peters DK. Reversal of impaired splenic function in patients with nephritis or vasculitis (or both) by plasma exchange. N Engl J Med. 1979;300:524–30.
Kantsø B, Halkjær SI, Thomsen OØ, Belard E, Gottschalck IB, Jørgensen CS, . Immunosuppressive drugs impairs antibody response of the polysaccharide and conjugated pneumococcal vaccines in patients with Crohn’s disease. Vaccine. 2015;33:5464–9.
Rankine-Mullings AE, Owusu-Ofori S. Prophylactic antibiotics for preventing pneumococcal infection in children with sickle cell disease. Cochrane Database Syst Rev. 2017;10:CD003427.
Simons M, Scott-Sheldon LAJ, Risech-Neyman Y, Moss SF, Ludvigsson JF, Green PHR. Celi
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Title Hyposplenism and Gastrointestinal Diseases: Significance and Mechanisms
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