Serum Levels of Soluble ST2 and IL-10 Are Associated with Disease Severity in Patients with IgA Nephropathy

J Immunol Res. 2016:2016:6540937. doi: 10.1155/2016/6540937. Epub 2016 Nov 9.

Abstract

Background. The IL-33/ST2 axis is involved in humoral immune responses. Method. The concentrations of sera IL-33 and sST2 in 74 patients and 34 healthy controls (HC) were measured by ELISA. Clinical and laboratory data were examined. The potential association between sera IL-33 and sST2 and the clinical parameters in IgAN patients were analyzed. Results. No difference was discovered in IL-33 concentrations between IgAN patients and HCs; however, the sST2 were significantly higher in each stage of IgAN progression than in the HC. The concentration of sST2 was positively correlated with IL-33 levels in IgAN patients. Higher levels of sera IL-2, IL-4, IL-10, IL-17A, and IFN-γ were detected in patients compared to the HC. The concentration of serum sST2 was positively correlated with the levels of IL-10 in IgAN patients. Furthermore, serum sST2 was negatively correlated with the values of eGFR and serum calcium. Serum sST2 was positively correlated with 24-hour urinary protein, serum phosphorus, and serum IgA; however, serum IL-33 was not associated with these. Following treatment, serum sST2 was significantly decreased, while sera IL-4 and IL-10 were significantly increased. Conclusions. Increased sST2 and IL-10 but not IL-33 may be involved in the pathogenic process of IgAN.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Biomarkers
  • Cytokines / blood
  • Female
  • Glomerulonephritis, IGA / blood*
  • Glomerulonephritis, IGA / diagnosis*
  • Glomerulonephritis, IGA / drug therapy
  • Glomerulonephritis, IGA / immunology
  • Humans
  • Immunosuppressive Agents / administration & dosage
  • Immunosuppressive Agents / therapeutic use
  • Interleukin-1 Receptor-Like 1 Protein / blood*
  • Interleukin-10 / blood*
  • Male
  • Middle Aged
  • Prognosis
  • Severity of Illness Index
  • Treatment Outcome
  • Young Adult

Substances

  • Biomarkers
  • Cytokines
  • Immunosuppressive Agents
  • Interleukin-1 Receptor-Like 1 Protein
  • Interleukin-10