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Neutralizing Autoantibodies against Interleukin-10 in Inflammatory Bowel Disease
Helen Griffin1, Lourdes Ceron-Gutierrez1, Nima Gharahdaghi1
1From the Immunity and Inflammation Theme, Newcastle University Translational and Clinical Research Institute (H.G., S.H.), and the Great North Children's Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust (P.S.L., E.W., A.M., A.J.C., S.H.), Newcastle upon Tyne, the Department of Clinical Biochemistry and Immunology, Cambridge University Hospital (L.C.-G., S.E., S.D., R.D.), and the National Institute for Health and Care Research (NIHR) Cambridge Biomedical Research Centre (R.D.), Cambridge, the Translational Gastroenterology Unit (N.G., S.T., P.K., H.H.U.), the Kennedy Institute of Rheumatology (S.T.), the NIHR Oxford Biomedical Research Centre (S.T., P.K., H.H.U.), and the Department of Pediatrics (H.H.U.), University of Oxford, Oxford, the Department of Pediatric Gastroenterology, Royal Belfast Hospital for Sick Children (A.S., L.M.), and the Department of Pathology, Royal Victoria Hospital, Belfast Health and Social Care Trust (S.I.), Belfast, and the Department of Pediatric Gastroenterology, Royal Aberdeen Children's Hospital, Aberdeen (S.B.) - all in the United Kingdom; and the Pediatric Gastroenterology Department, Pál Heim National Pediatric Institute, Budapest, Hungary (A.S.).
High levels of neutralizing autoantibodies against interleukin-10 (IL-10) were found in a child with infantile-onset inflammatory bowel disease (IBD). These autoantibodies may play a role in IBD development and treatment.
Area of Science:
- Immunology
- Gastroenterology
- Genetics
Background:
- Infantile-onset inflammatory bowel disease (IBD) can mimic genetic disorders of interleukin-10 (IL-10) signaling.
- The role of autoantibodies in the pathogenesis of IBD is not fully understood.
Purpose of the Study:
- To investigate the presence and impact of autoantibodies against IL-10 in infantile-onset IBD.
- To explore the potential therapeutic implications of targeting these autoantibodies.
Main Methods:
- Detection of high-titer neutralizing autoantibodies against IL-10 in a pediatric IBD patient.
- Assessment of patient response to B-cell depletion therapy and conventional IBD treatments.
- Clinical course evaluation of a second patient with similar autoantibodies but milder IBD.
Main Results:
- A child with infantile-onset IBD presented with neutralizing autoantibodies against IL-10.
- Following B-cell depletion therapy, anti-IL-10 antibody titers decreased, allowing withdrawal of conventional IBD therapy.
- A second child with these autoantibodies experienced a milder IBD course, managed without B-cell depletion.
Conclusions:
- Neutralizing autoantibodies against IL-10 may be a causative or modifying factor in IBD.
- These findings suggest a potential new therapeutic strategy for specific IBD patient populations.
- Further research is warranted to elucidate the precise mechanisms and clinical utility.
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