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Divergent cytokine production profile in Behçet's disease. Altered Th1/Th2 cell cytokine pattern
S Raziuddin1, A al-Dalaan, S Bahabri
1Department of Immunology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Objective:
To determine Th1/Th2 cell response cytokine production profile in Behçet's disease (BD).
Methods:
Interleukin 2 (IL-2), interferon-gamma (IFN-gamma) and IL-12 (Th1 cell response), and IL-4, IL-10, and IL-13 (Th2 cell response) cytokine production from anti-CD3/anti-CD40 stimulated peripheral blood mononuclear cells (PBMC) were measured by ELISA.
Results:
PBMC from patients with BD produced higher levels of IL-4, IL-10, and IL-13 (Th2 cell response), almost normal levels of IL-2 (Th1 cell response), but highly deficient IFN-gamma and IL-12 (Th1 cell response). The additions of exogenous recombinant IFN-gamma to the anti-CD3 stimulated PBMC dramatically changed this pattern with enhanced IL-12 and concomitantly decreased IL-4 and IL-10 production.
Conclusion:
The immune system in BD may be characterized by a divergent cytokine production profile of mixed Th1/Th2 (Th0) cell type; IFN-gamma is critical in modulating the IL-4, IL-10, and IL-12 cytokine network pathway in this disease.
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