Different expression levels of interleukin-35 in asthma phenotypes

Abstract Background Interleukin (IL)-35 is a newly discovered inhibitory cytokine which is produced by regulatory B and T lymphocytes and belongs to the IL-12 family. It plays a suppressive role in human inflammatory diseases; however, its role in asthma phenotypes is unclear. Our study focuses on t...

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Main Authors: Wei Li, Ruihan Gao, Tong Xin, Peng Gao
Format: Article
Language:English
Published: BMC 2020-04-01
Series:Respiratory Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12931-020-01356-6
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author Wei Li
Ruihan Gao
Tong Xin
Peng Gao
author_facet Wei Li
Ruihan Gao
Tong Xin
Peng Gao
author_sort Wei Li
collection DOAJ
description Abstract Background Interleukin (IL)-35 is a newly discovered inhibitory cytokine which is produced by regulatory B and T lymphocytes and belongs to the IL-12 family. It plays a suppressive role in human inflammatory diseases; however, its role in asthma phenotypes is unclear. Our study focuses on the sputum IL-35 level in patients and investigates different airway inflammation capacities of sputum IL-35 in patients with different asthma phenotypes. Objective We aimed to determine the sputum IL-35 levels in asthmatic patients with clinical remission phenotypes and control subjects and to investigate possible correlations among lung function, age, sex, fractional exhaled nitric oxide (FeNO), and smoking history in these phenotypes. Methods Sputum samples were collected from patients with clinical asthma remission (n = 89, 37 males, age 52.24 ± 13.32 years) and a healthy control group (n = 19, 9 males, age 44.58 ± 16.3 years). All subjects underwent sputum induction. Induced sputum was assessed for inflammatory cell count, and sputum levels of IL-35 and other cytokines were measured by ELISA and Cytometric Bead Array, respectively. Results Sputum IL-35 (median (q1, q3)) levels showed no significant difference between asthma patients (4.89 ng/mL (2.97, 22.75)) and healthy controls (6.01 ng/mL (4.09, 30.47)). However, the sputum IL-35 level was significantly reduced in patients with eosinophilic asthma (EA) (3.95 ng/mL (2.80, 11.00)) compared to patients with neutrophilic asthma (NA) (40.59 ng/mL (20.59, 65.06), p = 0.002), paucigranulocytic asthma (PA) (6.25 ng/mL (3.10, 24.60), p = 0.012), and mixed granulocytic asthma (MA) (22.54 ng/mL (2.58, 52.45), p = 0.026). IL-35 levels in sputum showed a positive correlation with sputum neutrophil cells and a negative correlation with FeNO, FEV1% predicted, and FVC predicted. Furthermore, sputum IL-35 had a significant positive association with Th1-related factors and a negative correlation with Th2-related factors. Conclusions Sputum IL-35 is likely involved in different pathophysiological mechanisms of NA and EA and exerts different effects in asthma phenotypes.
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spelling doaj.art-2d0f0aa72ca340cc8c79d4b3f221da822022-12-22T01:54:48ZengBMCRespiratory Research1465-993X2020-04-012111910.1186/s12931-020-01356-6Different expression levels of interleukin-35 in asthma phenotypesWei Li0Ruihan Gao1Tong Xin2Peng Gao3Department of Respiratory and Critical Care Medicine, The Second Hospital of Jilin UniversityDepartment of Medical Laboratory Technology, Beihua UniversityDepartment of Respiratory, Xinqiao Hospital, Army Medical University (Third Military Medical University)Department of Respiratory and Critical Care Medicine, The Second Hospital of Jilin UniversityAbstract Background Interleukin (IL)-35 is a newly discovered inhibitory cytokine which is produced by regulatory B and T lymphocytes and belongs to the IL-12 family. It plays a suppressive role in human inflammatory diseases; however, its role in asthma phenotypes is unclear. Our study focuses on the sputum IL-35 level in patients and investigates different airway inflammation capacities of sputum IL-35 in patients with different asthma phenotypes. Objective We aimed to determine the sputum IL-35 levels in asthmatic patients with clinical remission phenotypes and control subjects and to investigate possible correlations among lung function, age, sex, fractional exhaled nitric oxide (FeNO), and smoking history in these phenotypes. Methods Sputum samples were collected from patients with clinical asthma remission (n = 89, 37 males, age 52.24 ± 13.32 years) and a healthy control group (n = 19, 9 males, age 44.58 ± 16.3 years). All subjects underwent sputum induction. Induced sputum was assessed for inflammatory cell count, and sputum levels of IL-35 and other cytokines were measured by ELISA and Cytometric Bead Array, respectively. Results Sputum IL-35 (median (q1, q3)) levels showed no significant difference between asthma patients (4.89 ng/mL (2.97, 22.75)) and healthy controls (6.01 ng/mL (4.09, 30.47)). However, the sputum IL-35 level was significantly reduced in patients with eosinophilic asthma (EA) (3.95 ng/mL (2.80, 11.00)) compared to patients with neutrophilic asthma (NA) (40.59 ng/mL (20.59, 65.06), p = 0.002), paucigranulocytic asthma (PA) (6.25 ng/mL (3.10, 24.60), p = 0.012), and mixed granulocytic asthma (MA) (22.54 ng/mL (2.58, 52.45), p = 0.026). IL-35 levels in sputum showed a positive correlation with sputum neutrophil cells and a negative correlation with FeNO, FEV1% predicted, and FVC predicted. Furthermore, sputum IL-35 had a significant positive association with Th1-related factors and a negative correlation with Th2-related factors. Conclusions Sputum IL-35 is likely involved in different pathophysiological mechanisms of NA and EA and exerts different effects in asthma phenotypes.http://link.springer.com/article/10.1186/s12931-020-01356-6AsthmaIL-35Induced sputumNeutrophilsEosinophils
spellingShingle Wei Li
Ruihan Gao
Tong Xin
Peng Gao
Different expression levels of interleukin-35 in asthma phenotypes
Respiratory Research
Asthma
IL-35
Induced sputum
Neutrophils
Eosinophils
title Different expression levels of interleukin-35 in asthma phenotypes
title_full Different expression levels of interleukin-35 in asthma phenotypes
title_fullStr Different expression levels of interleukin-35 in asthma phenotypes
title_full_unstemmed Different expression levels of interleukin-35 in asthma phenotypes
title_short Different expression levels of interleukin-35 in asthma phenotypes
title_sort different expression levels of interleukin 35 in asthma phenotypes
topic Asthma
IL-35
Induced sputum
Neutrophils
Eosinophils
url http://link.springer.com/article/10.1186/s12931-020-01356-6
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