The potential therapeutic role of IL-35 in pathophysiological processes in type 1 diabetes mellitus

Cytokine. 2024 Oct:182:156732. doi: 10.1016/j.cyto.2024.156732. Epub 2024 Aug 9.

Abstract

A chronic autoimmune condition known as type 1 diabetes mellitus (T1DM) has characteristics marked by a gradual immune-mediated deterioration of the β-cells that produce insulin and causes overt hyperglycemia. it affects more than 1.2 million kids and teenagers (0-19 years old). In both, the initiation and elimination phases of T1DM, cytokine-mediated immunity is crucial in controlling inflammation. T regulatory (Treg) cells, a crucial anti-inflammatory CD4+ T cell subset, secretes interleukin-35 (IL-35). The IL-35 has immunomodulatory properties by inhibiting pro-inflammatory cells and cytokines, increasing the secretion of interleukin-10 (IL-10) as well as transforming Growth Factor- β (TGF-β), along with stimulating the Treg and B regulatory (Breg) cells. IL-35, it is a possible target for cutting-edge therapies for cancers, inflammatory, infectious, and autoimmune diseases, including TIDM. Unanswered questions surround IL-35's function in T1DM. Increasing data suggests Treg cells play a crucial role in avoiding autoimmune T1DM. Throughout this review, we will explain the biological impacts of IL-35 and highlight the most recently progresses in the roles of IL-35 in treatment of T1DM; the knowledge gathered from these findings might lead to the development of new T1DM treatments. This review demonstrates the potential of IL-35 as an effective autoimmune diabetes inhibitor and points to its potential therapeutic value in T1DM clinical trials.

Keywords: IL-35; Possible mechanisms; T1DM; Therapeutic role of IL-35; Treg cells.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Animals
  • B-Lymphocytes, Regulatory / immunology
  • B-Lymphocytes, Regulatory / metabolism
  • Child
  • Diabetes Mellitus, Type 1* / drug therapy
  • Diabetes Mellitus, Type 1* / immunology
  • Diabetes Mellitus, Type 1* / metabolism
  • Humans
  • Inflammation / immunology
  • Inflammation / metabolism
  • Interleukin-10 / metabolism
  • Interleukins* / metabolism
  • T-Lymphocytes, Regulatory* / immunology
  • Transforming Growth Factor beta / metabolism

Substances

  • Interleukins
  • interleukin-35, human
  • Interleukin-10
  • Transforming Growth Factor beta