title: Interleukin 10 inhibits interleukin 6 production and acute phase response in rheumatoid arthritis.
abstract: To evaluate the effect of interleukin 10 (IL-10) on acute phase response, we determined serum levels of IL-10, interleukin 6 (IL-6), C-reactive protein (CRP), alpha-1-acid glycoprotein (AGP), alpha-1-anti-chymotrypsin (ACT) in 34 rheumatoid arthritis (RA) patients. IL-10 and IL-6 levels were evaluated using an enzyme-linked immunoassay (ELISA). CRP, AGP and ACT levels were measured using rocket immunoelectrophoresis. The results showed that IL-10 serum level was increased in RA patients as compared to controls (60.0 +/- 17.5 pg/ml vs. 7.2 +/- 1.9 pg/ml). IL-6 level was significantly elevated (87.3 +/- 32.7 pg/ml vs. 45 +/- 19 pg/ml, p < 0.05). CRP was significantly increased as compared to healthy controls (34 +/- 19 mg/1 vs. 3 +/- 2 mg/1, p < 0.05). AGP and ACT serum levels were increased in RA patients, but we did not find these changes to be statistically significant. A good negative correlation between IL-10 and IL-6 serum level was found (r = -0.73, p < 0.05). A positive significant correlation between IL-6 serum level and CRP (r = 0.62, p < 0.05), AGP (r = 0.74, p < 0.05) and ACT (r = 0.45, p < 0.05) was established. Moreover, a negative correlation between IL-10 and serum level of CRP (r = -0.76, p < 0.05), AGP (r = -0.60, p < 0.05) and ACT (r = -0.37, p < 0.05) was also shown. According to the data thus far obtained it seems that IL-10 decreases IL-6 production, and by that indirectly affects acute phase response, decreasing CRP, AGP and ACT synthesis.
authors: Department of Clinical Immunology and Allergy, Karol Marcinkowski Medical Academy, Poznań, Poland.
authors: J K
authors: JK
authors: Lacki
authors: K
authors: K
authors: Klama
authors: W
authors: W
authors: Porawska
authors: S H
authors: SH
authors: Mackiewicz
authors: W
authors: W
authors: Müller
authors: K
authors: K
authors: Wiktorowicz
mesh_terms: D000210:Acute-Phase Reaction / Q000097:blood / Q000188:drug therapy / Q000378:metabolism*; D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000097:blood / Q000188:drug therapy / Q000378:metabolism*; D002097:C-Reactive Protein / Q000378:metabolism; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D016753:Interleukin-10 / Q000097:blood / Q000494:pharmacology*; D015850:Interleukin-6 / Q000096:biosynthesis*; D008297:Male; D008875:Middle Aged; D009961:Orosomucoid / Q000378:metabolism; D000514:alpha 1-Antichymotrypsin / Q000097:blood
chemical_list: D015850:Interleukin-6; D009961:Orosomucoid; D000514:alpha 1-Antichymotrypsin; D016753:Interleukin-10; D002097:C-Reactive Protein