Skip to main content
Log in

Plasma interleukin-10 and interleukin-12 levels in patients with familial Mediterranean fever

  • Preliminary results
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

Familial Mediterranean fever (FMF) is an autosomal recessive disorder characterized by recurrent attacks of fever, polyserositis and arthritis. A vast array of cytokines were analysed in these patients, however, little is known about the pro-inflammatory cytokine interleukin (IL)-12. Plasma IL-12 and IL-10 were measured in 24 patients with FMF (19 active, 5 inactive) and 18 healthy controls by ELISA. From 15 active patients blood was also drawn in attack-free period. Mean plasma IL-12 levels of the FMF patients (mean ± SEM, 6.84±3.59 pg/ml) were higher than the controls (0.13±0.09 pg/ml, P<0.001). Mean IL-12 levels of active (7.02±5.23 pg/ml) and inactive patients (6.89±5.61 pg/ml) were comparable, and they were higher compared to controls (P≤0.001). Mean plasma IL-10 levels of the total FMF patients (3.01±1.53 pg/ml) were also higher than the controls (P=0.024). Patients had higher IL-10 levels in attacks (3.83±2.02 pg/ml) compared to levels when they were in remission (1.86±1.59 pg/ml, P=0.046). Significantly elevated IL-12 levels in FMF patients regardless of activity may suggest the presence of a pro-inflammatory state also in the inactive period of FMF. Significant increase in IL-10 levels in FMF group may point to the compensatory suppression of inflammation in active periods of the disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Matzner Y, Partridge RE, Levy M, Babior BM (1984) Diminished activity of a chemotactic inhibitor in synovial fluids from patients with familial Mediterranean fever. Blood 63:629–633

    PubMed  CAS  Google Scholar 

  2. The French FMF Consortium (1997) A candidate gene for familial Mediterranean fever. Nat Genet 17:25–31

    Article  Google Scholar 

  3. The International FMF Consortium (1997) Ancient missense mutations in a new member of the RoRet gene family are likely to cause familial Mediterranean fever. Cell 90:797–807

    Article  Google Scholar 

  4. Anton PA, Targan SR, Vigna SR, Durham M, Schwabe AD, Shanahan F (1988) Enhanced neutrophil chemiluminescence in familial Mediterranean fever. J Clin Immunol 8:148–156

    Article  PubMed  CAS  Google Scholar 

  5. Direskeneli H, Ozdogan H, Korkmaz C, Akoglu T, Yazici H (1999) Serum soluble intercellular adhesion molecule-1 and interleukin-8 levels in familial Mediterranean fever. J Rheumatol 26:1983–1986

    PubMed  CAS  Google Scholar 

  6. Aypar E, Ozen S, Okur H, Kutluk T, Besbas N, Bakkaloglu A (2003) Th1 polarization in familial Mediterranean fever. J Rheumatol 30:2011–2013

    PubMed  Google Scholar 

  7. Oktem S, Yavuzsen TU, Sengul B, Akhunlar H, Akar S, Tunca M (2004) Levels of interleukin-6 (IL-6) and its soluble receptor (sIL-6R) in familial Mediterranean fever patients and their first degree relatives. Clin Exp Rheumatol 22:S34–S36

    PubMed  CAS  Google Scholar 

  8. Bagci S, Toy B, Tuzun A, Ates Y, Aslan M, Inal A, Gulsen M, Karaeren N, Dagalp K (2004) Continuity of cytokine activation in patients with familial Mediterranean fever. Clin Rheumatol 23:333–337

    Article  PubMed  Google Scholar 

  9. Baykal Y, Saglam K, Yilmaz MI, Taslipinar A, Akinci SB, Inal A (2003) Serum sIL-2r, IL-6, IL-10 and TNF-alpha level in familial Mediterranean fever patients. Clin Rheumatol 22:99–101

    Article  PubMed  CAS  Google Scholar 

  10. Gang N, Drenth JP, Langevitz P, Zemer D, Brezniak N, Pras M, van der Meer JW, Livneh A (1999) Activation of the cytokine network in familial Mediterranean fever. J Rheumatol 26:890–897

    PubMed  CAS  Google Scholar 

  11. Erken E, Gunesacar R, Ozbek S, Konca K (1996) Serum soluble interleukin-2 receptor levels in familial Mediterranean fever. Ann Rheum Dis 55:852–855

    Article  PubMed  CAS  Google Scholar 

  12. Notarnicola C, Didelot MN, Seguret F, Demaille J, Touitou I (2002) Enhanced cytokine mRNA levels in attack-free patients with familial Mediterranean fever. Genes Immun 3:43–45

    Article  PubMed  CAS  Google Scholar 

  13. Musabak U, Sengul A, Oktenli C, Pay S, Yesilova Z, Kenar L, Sanisoglu SY, Inal A, Tuzun A, Erdil A, Bagci S (2004) Does immune activation continue during an attack-free period in familial Mediterranean fever? Clin Exp Immunol 138:526–533

    Article  PubMed  CAS  Google Scholar 

  14. Trinchieri G (1999) Interleukin 12. In: Theze J (ed) The cytokine network and immune functions. Oxford University Press, Oxford, pp 97–103

    Google Scholar 

  15. Pretolani M, Stordeur P, Goldman M (1999) Interleukin 10. In: Theze J (ed) The cytokine network and immune functions. Oxford University Press, Oxford, pp 45–49

    Google Scholar 

  16. Csiszar A, Nagy G, Gergely P, Pozsonyi T, Pocsik E (2000) Increased interferon-gamma (IFN-gamma), IL-10 and decreased IL-4 mRNA expression in peripheral blood mononuclear cells (PBMC) from patients with systemic lupus erythematosus (SLE). Clin Exp Immunol 122:464–470

    Article  PubMed  CAS  Google Scholar 

  17. Liu TF, Jones BM (1998) Impaired production of IL-12 in system lupus erythematosus. II: IL-12 production in vitro is correlated negatively with serum IL-10, positively with serum IFN-gamma and negatively with disease activity in SLE. Cytokine 10:148–153

    Article  PubMed  CAS  Google Scholar 

  18. Kim W, Min S, Cho M, Youn J, Min J, Lee S, Park S, Cho C, Kim H (2000) The role of IL-12 in inflammatory activity of patients with rheumatoid arthritis (RA). Clin Exp Immunol 119:175–181

    Article  PubMed  CAS  Google Scholar 

  19. Turan B, Gallati H, Erdi H, Gurler A, Michel BA, Villiger PM (1997) Systemic levels of the T cell regulatory cytokines IL-10 and IL-12 in Behçet’s disease; soluble TNFR-75 as a biological marker of disease activity. J Rheumatol 24:128–132

    PubMed  CAS  Google Scholar 

  20. Frassanito MA, Dammacco R, Cafforio P, Dammacco F (1999) Th1 polarization of the immune response in Behçet’s disease: a putative pathogenic role of IL-12. Arthritis Rheum 42:1967–1974

    Article  PubMed  CAS  Google Scholar 

  21. Keystone E, Wherry J, Grint P (1998) IL-10 as a therapeutic strategy in the treatment of rheumatoid arthritis. Rheum Dis Clin North Am 24:629–639

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eren Erken.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Erken, E., Ozer, H.T. & Gunesacar, R. Plasma interleukin-10 and interleukin-12 levels in patients with familial Mediterranean fever. Rheumatol Int 26, 862–864 (2006). https://doi.org/10.1007/s00296-005-0099-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-005-0099-7

Keywords

Navigation