Serum interferon-gamma/interleukin-4 imbalance in patients with Eales' disease.
BACKGROUND
Eales' disease (ED) is an idiopathic obliterative vasculopathy that usually affects the peripheral retina of young adults. The aim of this study is to investigate Th1/Th2 serum cytokine profiling in patients with ED.


METHODS
This study included 30 male patients with ED and 10 healthy controls. The ED patients were divided into two subgroups: the vitreous haemorrhage (VH) group (n = 18) and non-vitreous haemorrhage (NVH) group (n = 12). Sixteen patients (six from the VH group and 10 from the NVH group) received glucocorticoid treatment for three months and were followed for six months. Levels of six cytokines including interferon-gamma (IFN-gamma), tumour necrosis factor-alpha (TNF-alpha) and four interleukins (IL-2, IL-4, IL-5 and IL-10) in the serum samples were determined by Luminex assays.


RESULTS
Compared to controls, ED patients showed significantly higher levels of IL-10 and TNF-alpha, increased IFN-gamma/IL-4 (Th1/Th2) ratio, and lower levels of IL-4 (p < 0.05). Glucocorticoid treatment caused a restoration in the cytokine levels and the IFN-gamma/IL-4 ratio. Multivariate analysis revealed that reduced IL-4 (less than 4 pg/ml) and elevated IL-10 (greater than 4 pg/ml) levels were independent predictors of ED with odds ratios of 0.024 (95% CI, 0.002-0.255; p = 0.002) and 12.108 (95% CI, 1.045-140.233; p = 0.046), respectively.


CONCLUSIONS
The findings demonstrate for the first time that there is an imbalance of Th1/Th2 cytokines in ED patients, which can be reversed by glucocorticoid treatment. Additionally, both IL-4 and IL-10 might represent potential diagnostic markers for the disease.
Department of Ophthalmology, General Hospital of Chinese PLA, Beijing, China.
Yan
Y
Gong
Shi-Hui
SH
Wei
Mao-Nian
MN
Zhang
Xin
X
Jin
Bao-Ke
BK
Hou
Dan
D
Wang
D000328:Adult; D016207:Cytokines / Q000097:blood / Q000378:metabolism; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007371:Interferon-gamma / Q000097:blood*; D016753:Interleukin-10 / Q000097:blood; D015847:Interleukin-4 / Q000097:blood*; D008297:Male; D016017:Odds Ratio; D011237:Predictive Value of Tests; D012166:Retinal Hemorrhage / Q000097:blood* / Q000175:diagnosis* / Q000188:drug therapy / Q000378:metabolism; D018417:Th1 Cells / Q000378:metabolism; D018418:Th2 Cells / Q000378:metabolism; D016896:Treatment Outcome; D014409:Tumor Necrosis Factor-alpha / Q000097:blood; D014823:Vitreous Hemorrhage / Q000097:blood* / Q000175:diagnosis* / Q000188:drug therapy / Q000378:metabolism
D016207:Cytokines; D005938:Glucocorticoids; D014409:Tumor Necrosis Factor-alpha; D016753:Interleukin-10; D015847:Interleukin-4; D007371:Interferon-gamma