IMMUNOMODULATORY CYTOKINE INTERLEUKIN-35 AND IMMUNE THROMBOCYTOPAENIA

Immunomodulatory cytokine interleukin-35 and immune thrombocytopaenia

Immunomodulatory cytokine interleukin-35 and immune thrombocytopaenia

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Considerable attention has been paid to interleukin (IL)-35 because of its immunosuppressive effects in a variety of autoimmune diseases.IL-35, a recently identified cytokine of the IL-12 family, is a negative regulatory factor secreted by IL-35-inducible regulatory T cells (iTr35 cells) and the recently reported regulatory B Lounge Tops cells (B reg cells).Four biological effects of IL-35 have been discovered in vitro and in vivo : (i) suppression of T cell proliferation; (ii) conversion of naive T cells into iTr35 cells; (iii) downregulation of type 17 helper T (T h 17) cells; and (iv) conversion of B reg cells into a B reg subset that produces IL-35 and IL-10.IL-35 plays an important role in a variety of autoimmune diseases, such as rheumatoid arthritis, allergic asthma and systemic lupus erythematosus.

Primary immune thrombocytopaenia (ITP), which is characterized by isolated thrombocytopaenia and mild mucocutaneous to life-threatening bleeding, is an autoimmune disease with complex dysregulation Rear Endcap of the immune system.Both antibody-mediated and/or T cell-mediated platelet destruction are key processes.In addition, impairment of T cells and cytokine imbalances have now been recognized to be important.This review summarizes the immunomodulatory effects of IL-35 and its role in the pathogenesis of ITP as mediated by T and B cells.

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