PMID- 11094868 OWN - NLM STAT- MEDLINE DCOM- 20001222 LR - 20061115 IS - 1081-5589 (Print) IS - 1081-5589 (Linking) VI - 48 IP - 6 DP - 2000 Nov TI - In vivo effects of recombinant human interleukin-10 on lymphocyte phenotypes and leukocyte activation markers in inflammatory bowel disease. PG - 449-56 AB - BACKGROUND: Interleukin-10 (IL-10) exhibits potent anti-inflammatory and immunosuppressive activities in vitro. Recent data indicate that treatment with recombinant human IL-10 (rHuIL-10) Crohn's disease is safe and may induce clinical and endoscopic remission. The present study investigates the in vivo immunomodulatory properties of rHuIL-10 in inflammatory bowel disease (IBD). METHODS: As part of two randomized, double-blinded, placebo-controlled trials, repeated flow cytometric analyses of lymphocyte phenotypes (CD3, CD4, CD8, CD16 + 56, CD19) and activity markers (human leukocyte antigen [HLA]-DR; intercellular adhesion molecule-1 [ICAM-1]; IL-2-receptor alpha [IL-2R alpha]; high affinity receptor for immunoglobulin G [IgG; Fc gamma RI]) on T cells, monocytes, and neutrophils were performed in 17 patients with IBD who received rHuIL-10 (5, 10, or 20 micrograms/kg) or placebo, administered subcutaneously, once daily for 28 days. RESULTS: Minor changes were noted in CD3+, CD8+, and CD3+/CD16 + 56+ lymphocyte phenotypes, whereas absolute numbers of CD4+ lymphocytes and CD19+ cells increased. T-cell activation markers HLA-DR and IL-2R alpha were downregulated. rHuIL-10 did not influence HLA-DR expression on monocytes. ICAM-1 modulation on monocytes and neutrophils was mild and inconsistent. Fc gamma RI expression was upregulated on both neutrophils and monocytes. CONCLUSIONS: These data indicate that the immunosuppressive effects of rHuIL-10 treatment are partly different from its in vitro observed actions. The increase of the cytotoxicity-mediating Fc gamma RI points to potential immunostimulating properties of this cytokine. FAU - Dejaco, C AU - Dejaco C AD - Department of Internal Medicine IV, University of Vienna, Austria. clemens.dejaco@akh-wien.ac.at FAU - Reinisch, W AU - Reinisch W FAU - Lichtenberger, C AU - Lichtenberger C FAU - Waldhoer, T AU - Waldhoer T FAU - Kuhn, I AU - Kuhn I FAU - Tilg, H AU - Tilg H FAU - Gasche, C AU - Gasche C LA - eng PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - England TA - J Investig Med JT - Journal of investigative medicine : the official publication of the American Federation for Clinical Research JID - 9501229 RN - 0 (HLA-DR Antigens) RN - 0 (Immunosuppressive Agents) RN - 0 (Receptors, IgG) RN - 0 (Receptors, Interleukin-2) RN - 0 (Recombinant Proteins) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) RN - 130068-27-8 (Interleukin-10) SB - IM MH - Adult MH - Double-Blind Method MH - Female MH - HLA-DR Antigens/analysis MH - Humans MH - Immunophenotyping MH - Immunosuppressive Agents/*pharmacology MH - Inflammatory Bowel Diseases/*immunology MH - Intercellular Adhesion Molecule-1/analysis MH - Interleukin-10/*pharmacology MH - Lymphocytes/*drug effects MH - Male MH - Middle Aged MH - Receptors, IgG/analysis MH - Receptors, Interleukin-2/analysis MH - Recombinant Proteins/pharmacology EDAT- 2000/11/30 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/11/30 11:00 PHST- 2000/11/30 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/11/30 11:00 [entrez] PST - ppublish SO - J Investig Med. 2000 Nov;48(6):449-56.