Decreased IL-35 levels in patients with immune thrombocytopenia

Hum Immunol. 2014 Aug;75(8):909-13. doi: 10.1016/j.humimm.2014.06.019. Epub 2014 Jun 30.

Abstract

IL-35 is a novel heterodimeric anti-inflammatory cytokine consisting of Epstein-Barr virus-induced gene 3 (EBI3) and the p35 subunit of IL-12. IL-35 has been shown to possess the potency of inhibiting the CD4+ effector T cells and alleviating autoimmune diseases. In the study we investigated the levels of IL-35 as well as its prospective role in immune thrombocytopenia (ITP).ELISA was adopted to measure plasma IL-35, TGF-β and IL-10 levels. The mRNA expression levels of P35 and EBI3 in peripheral blood mononuclear cells (PBMCs) were studied based on real-time quantitative PCR. The correlation between plasma cytokine levels and clinical parameters was analyzed. Significantly lower plasma IL-35 levels were found in active ITP patients compared with those in remission (p = 0.017) and the healthy controls (p < 0.001). In active ITP patients, the plasma IL-35 levels displayed a significantly positive correlation with platelet counts (r = 0.5335, p < 0.0008). Further, P35 mRNA expression levels were lower in patients with active ITP than patients in remission (p = 0.033) and normal controls (p = 0.016).Thus, for the first time, this research reported a dramatically decreased IL-35 levels in ITP patients, suggesting that IL-35 may be involved in the pathogenesis of ITP.

Keywords: ELISA; IL-35; ITP; Real-time quantitative polymerase chain reaction; p35.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Case-Control Studies
  • Female
  • Gene Expression
  • Humans
  • Interleukin-10 / blood
  • Interleukin-10 / genetics
  • Interleukin-10 / immunology
  • Interleukin-12 Subunit p35 / blood
  • Interleukin-12 Subunit p35 / genetics*
  • Interleukin-12 Subunit p35 / immunology
  • Interleukins / blood
  • Interleukins / genetics*
  • Interleukins / immunology
  • Leukocytes, Mononuclear / immunology
  • Leukocytes, Mononuclear / metabolism
  • Leukocytes, Mononuclear / pathology
  • Male
  • Minor Histocompatibility Antigens
  • Platelet Count
  • Purpura, Thrombocytopenic, Idiopathic / blood
  • Purpura, Thrombocytopenic, Idiopathic / genetics*
  • Purpura, Thrombocytopenic, Idiopathic / immunology
  • Purpura, Thrombocytopenic, Idiopathic / pathology
  • RNA, Messenger / blood
  • RNA, Messenger / genetics*
  • RNA, Messenger / immunology
  • Remission Induction
  • Transforming Growth Factor beta / blood
  • Transforming Growth Factor beta / genetics
  • Transforming Growth Factor beta / immunology

Substances

  • EBI3 protein, human
  • IL10 protein, human
  • Interleukin-12 Subunit p35
  • Interleukins
  • Minor Histocompatibility Antigens
  • RNA, Messenger
  • Transforming Growth Factor beta
  • interleukin-35, human
  • Interleukin-10