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Table 3 The expression levels of cytokines in E. multilocularis-infected humans

From: The correlations between Th1 and Th2 cytokines in human alveolar echinococcosis

Cytokine type

Cytokine

Experimental type

Methods and results

Specimens

Citation

TH2

IL-10

in vitro

IL-10 levels in CD8+ lymphocytes from progressive AE patients (N = 12) were definitely increased after in vitro culture with crude E. multilocularis antigen using a protocol for intracellular staining of cytokines followed by fluorescence-activated cell sorting (FACS) analysis.

CD8+ lymphocytes cultured in vitro

Kilwinski et al. [17]

TH2

IL-10

in vitro

Peripheral blood mononuclear cells (PBMCs) isolated from progressive AE patients (N = 9) secreted significantly higher amounts of IL-10 than those isolated from abortive AE patients (N = 3); IL-10 was detected by using real-time PCR.

PBMCs cultured with Emf stimulation.

Godot et al. [18]

TH2

IL-10

clinical test

Serum IL-10 levels were significantly higher in AE patients (N = 40) than in healthy controls (N = 20), with a tendency to higher concentrations in progressive cases; IL-10 was determined by ELISA.

Serum

Wellinghausen et al. [19]

TH2

IL-5

in vitro

IL-5 production was particularly increased in PBMCs from patients with advanced AE (n = 14) after stimulation with crude E. multilocularis antigenic preparations; IL-5 was detected by RT-PCR .

PBMCs

Jenne et al. [20]

TH2

IL-5,

IL-6, IL-10

clinical test

Plasma concentration levels of IL-5, IL-6, and IL-10 were slightly increased in consecutive AE patients (N = 28), and IL-23 concentration levels were significantly higher in AE patients; the cytokines were detected by ELISA.

Plasma

Tuxun et al. [21]

TH2

TGF-β

clinical test

Serum TGF-β levels were high, and TGF-β was expressed by most of the infiltrating lymphocytes in progressive AE patients (N = 18) by means oOf immunochemical staining of liver sections.

Surgical biopsy specimens

Zhang et al. [22]

TH2

TGF-β

in vitro

Higher levels of TGF-β were observed in PBMC supernatant after exposure to Em vesicular fluid (VF) than that from healthy blood donors; TGF-β was detected using flow cytometry and ELISA, respectively.

PBMCs supernatant

Bellanger et al. [23]

TH2

TGF-β

in vitro

A significant increase in TGF-β production was induced in PBMCs from healthy blood donors after exposure to Em-VF and Toll-like receptor agonists by using Multiplex Luminex® bead technology.

PBMCs exposure to Em-VF and Toll-like receptor agonists

Bellanger et al. [24]

TH1

IL-8, MCP-1

in vitro

Peripheral blood cells isolated from AE patients (N = 30) induced significant IL-8 and MCP-1 production when cultured with viable proliferating E. multilocularis metacestode (Em) vesicles; IL-8 and MCP-1 were detected by ELISA.

PBMCs cultured with Em vesicles

Dreweck et al. [25]

TH1

IFN-γ

clinical test

The mean concentration of IFN-γ in serum from AE patients (N = 23) was higher than that in control group; IFN-γ was detected by double antibody sandwich.

Serum

Shi et al. [26]

TH9

IL-9

in vitro

Th9-related cytokine IL-9 mRNA levels were both elevated in PBMCs and in hepatic lesion and paralesion tissues in AE patients (N = 14); IL-9 mRNA levels were detected by real-time PCR.

PBMCs and liver tissues

Tuxun et al. [10]

Th17

IL-17

clinical test

The plasma levels of the proinflammatory cytokine IL-17B and its soluble receptor sIL-17RB were significantly elevated in AE patients (N = 93); IL-17B was detected by ELISA.

Plasma

Lechner et al. [27]

Th17

IL-23

in vitro

IL-17A and IL-23 mRNAs levels were significantly elevated in the PBMCs isolated from AE patients (N = 30), and the levels were detected by real-time PCR.

PBMCs

Tuxun, et al. [28]

TH2 and TH1

IL-10,

IFN-γ

in vitro

Emf-stimulated mononuclear cells from the central part of the granulomatous lesions secreted more IL-10 (TH2) and less IFN-γ (TH1) than cells from the periphery of the granuloma in progressive AE patients (N = 1); the cytokines were detected by ELISA.

Emf-stimulated mononuclear cells

Harraga et al. [29]

TH2 and TH1

IL-31,

IL-33,

IL-27,

SDF-1,

eotaxin

in vitro

The spontaneous cellular release of TH2-type cytokines IL-31 and IL-33 was clearly depressed in patients with cured, stable, and progressive AE (N = 57), whereas the levels of the TH1-type cytokine IL-27, anti-inflammatory cytokine SDF-1, and eotaxin increased with disease progression; the cytokines were detected by ELISA.

PBMC culture supernatants

Huang et al. [30]

Both TH1 and TH2

MIP-1α,

MIP-1β,

RANTES,

GRO-α

in vitro

The production of CC and CXC chemokines, which associate with inflammation (MIP-1α/CCL3, MIP-1β/CCL4, RANTES/CCL5 and GRO-α/CXCL1) was constitutively higher in PBMCs when cultured with E. multilocularis antigen in patients with progressive, stable or cured AE (N = 75) than in controls; the chemokines were detected by ELISA.

PBMCs cultured with Em antigen

Kocherscheidt et al. [31]