CLINICAL IMMUNOLOGY
Significant reduction of peripheral blood interleukin-35 and CD4+EBI3+ T cells, which are negatively correlated with an increase in the plasma IL-17 and cTnI level, in viral myocarditis patients
More details
Hide details
Submission date: 2016-01-01
Acceptance date: 2016-01-29
Publication date: 2017-02-16
Cent Eur J Immunol 2017;42(1):91-96
KEYWORDS
ABSTRACT
Introduction: Viral myocarditis (VMC) has become an increasingly common heart disease that endangers human health. In the present study, the plasma interleukin-35 (IL-35) level and the percentage of CD4+EBI3+ T cells in VMC patients were detected to investigate the significance of changes in these parameters in the plasma of VMC patients and their association with the disease.
Material and methods: ELISA was performed to detect the plasma IL-35 level and the percentage of peripheral blood CD4+EBI3+ T cells in 40 VMC patients and in 20 healthy individuals. Moreover, the plasma IL-17 levels in the VMC patients and in the healthy individuals were detected using an ELISA, and the cardiac Troponin-I (cTnI) levels were detected using a chemiluminescent microparticle immunoassay to compare the differences in the groups.
Results: Plasma IL-35 level and the percentage of CD4+EBI3+ T cells in acute phase VMC patients was lower than that in the healthy control group and the convalescent phase VMC patients. Additionally, the plasma IL-35 level in the VMC patients exhibited a negative correlation with the levels of cTnI and IL-17. The percentage of CD4+EBI3+ T cells also showed a negative correlation with the levels of cTnI and IL-17.
Conclusions: The plasma IL-35 level and the percentage of CD4+EBI3+ T cells in VMC patients was reduced, and the amount of the decrease was associated with the severity of the disease. These results suggest that IL-35 and CD4+EBI3+ T might play important roles in the progression of VMC and could be used as indictors of the disease.
REFERENCES (22)
1.
Kindermann I, Barth C, Mahfoud F, et al. (2012): Update on myocarditis. J Am Coll Cardiol 59: 779-792.
2.
Ohshima M, Yamaharak, Ishikanes, et al. (2012): Systemic transplantation of allogenic fetal membrane-derived mesenchymal stem cells suppresses Th1 and Th17 T cell responses in experimental autoimmune myocarditis. J Mol Cell Cardiol 53: 420-428.
3.
Devergne O, Birkenbach M, Kieff E (1997): Epstein-Barr virus-induced gene 3 and the p35 subunit of interleukin 12 form a novel heterodimeric hematopoietin. Proc Natl Acad Sci USA 94: 12041-12046.
4.
Niedbala W, Wei XQ, Cai B, et a1. (2007): IL-35 is a novel cytokine with therapeutic effects against collagen-induced arthritis through the expansion of regulatory T cells and suppression of Th17 cells. Eur J Immunol 37: 3021-3029.
5.
Collison LW, Workman CJ, Kuo TT, et a1. (2007): The inhibitory cytokine IL-35 contributes to regulatory T-cell function. Nature 450: 566-569.
6.
Murdaca G, Colombo BM, Puppo F (2011): The role of Th17 lymphocytes in the autoimmune and chronic inflammatory diseases.Internal and Emergency Medicine 6: 487-495.
7.
Crispín JC, Oukka M, Bayliss G, et al. (2008): Expanded double negative t cells in patients with systemic lupus erythematosus produce IL-17 and infiltrate the kidneys. J Immunol 181: 8761-8766.
8.
Dańczak-Pazdrowska A, Kowalczyk M, Szramka-Pawlak B, et al. (2012): Interleukin-17A and interleukin-23 in morphea.Arch Med Sci; 8: 1089-95.
9.
Li S, Li Y, Qu X, et al. (2014): Detection and significance of TregFoxP3(+) and Th17 cells in peripheral blood of non-small cell lung cancer patients.Arch Med Sci; 10: 232-239.
10.
Xie Y, Chen R, Zhang X, et al. (2011): The role of Th17 cells and regulatory T cells in Coxsackievirus B3-induced myocarditis. Virology 1421: 78-84.
11.
Banchereau J, Pascual V, OGarra A (2012): From IL-2 to IL-37: the expanding spectrum of anti-inflammatory cytokines. Nat Immunol 13: 925-931.
12.
Matsui Y, Inobe M, Okamoto H, et al. (2012): Blockade of T cell costimulatory signals using adenovirus vectors prevents both the induction and the progression of experimental autoimmune myocarditis. J Mol Cell Cardiol 34: 279-295.
13.
Whitehead GS, Wilson RH, Nakano K, et a1. (2012): IL-35 production by inducible costimulator (ICOS)-positive regulatory T cells reverses established IL-17-dependent allergic airways disease. J Allergy Clin Immunol 129: 207-215.
14.
Devergne O, Hummel M, Koeppen H, et a1. (1996): A novel interleukin-12 p40-related protein induced by latent Epstein-Barr virus infection in B lymphocytes. J Virol 70: 1143-1145.
15.
Niedobitek G, Päzolt D, Teichmann M, et a1. (2002): Frequent expression of the Epstein-Barr virus (EBV)-induced gene, EBI3, an IL-12 p40-related cytokine, in Hodgkin and Reed-Sternberg cells. J Pathol 198: 310-316.
16.
Yang J, Yang M, Htut TM, et a1. (2008): Epstein-Barr virusinduced gene 3 negatively regulates IL-17, IL-22 and RORt. Eur J Immunol 38: 1204-1214.
17.
Pope RM, Shahrara S (2013): Possible roles of IL-12-family cytokines in rheumatoid arthritis. Nat Rev Rheumatol 9: 252-256.
18.
Han Ouyang, Yong-bing Shi, Zhi-chun Liu, et a1. (2014): Decreased Interleukin 35 and CD4+EBI3+ T cells in Patients With Active Systemic Lupus Erythematosus. Am J Med Sci 348: 156-161.
19.
Yuan J, Yu M, Lin QW, et al. (2010): Neutralization of IL-17 inhibits the production of anti-ANT autoantibodies in CVB3-induced acute viral myocarditis. Int Immunopharmacol 10: 272-6.
20.
Ye S, Wu J, Zhou L, et al. (2013): Interleukin-35: the future of hyperimmune- related diseases. J Interferon Cytokine Res 33: 285-291.
21.
Neurath MF (2008): IL-12 family members in experimental colitis. Mucosal Immunol 1 (Suppl 1) 28-30.
22.
Hu Y, Dong C, Yue Y, et al. (2014): In vivo delivery of interleukin-35 relieves coxsackievirus-B3-induced viral myocarditis by inhibiting Th17 cells. Arch Virol 159: 2411-2419.