PMID- 12165091 OWN - NLM STAT- MEDLINE DCOM- 20020911 LR - 20190513 IS - 0009-9104 (Print) IS - 1365-2249 (Electronic) IS - 0009-9104 (Linking) VI - 129 IP - 2 DP - 2002 Aug TI - Interferon-alpha induces interleukin-18 binding protein in chronic hepatitis C patients. PG - 332-8 AB - Interleukin-18 (IL-18), derived from macrophages and Kupffer cells, is the central pro-inflammatory cytokine leading to experimental liver failure. IL-18 binding protein (IL-18BP) is a circulating protein that binds IL-18 and neutralizes its activity. Since IL-18 production is increased in chronic HCV infection, we asked whether IFN-alpha might act on the IL-18/IL-18BP system in HCV patients. IL-18BP, total and free IL-18 plasma levels were determined in 13 HCV patients receiving 1 x 107 IU IFN-alpha subcutaneously daily for 28 days. The in vitro effects of IFN-alpha on macrophage IL-18BP and IL-18 were studied by enzyme-linked immunosorbent assays and Northern analysis. IFN-alpha administration increased IL-18BP plasma levels 3.24 fold 24 h after institution of therapy, resulting in a 67.4% reduction of free IL-18. Total IL-18 levels decreased from day +24 on. In vitro, IFN-alpha diminished IL-18 release from macrophages of healthy volunteers and chronic HCV patients. On top of its inhibitory effects on IL-1 and TNF-alpha release, IFN-alpha also exerts its anti-inflammatory action in vivo by induction of IL-18BP. These anti-inflammatory properties might account - together with its antiviral action - for its clinical efficacy in chronic hepatitis C. FAU - Kaser, A AU - Kaser A AD - Division of Gastroenterology and Hepatology, Department of Medicine, University Hospital Innsbruck, Innsbruck, Austria. FAU - Novick, D AU - Novick D FAU - Rubinstein, M AU - Rubinstein M FAU - Siegmund, B AU - Siegmund B FAU - Enrich, B AU - Enrich B FAU - Koch, R O AU - Koch RO FAU - Vogel, W AU - Vogel W FAU - Kim, S H AU - Kim SH FAU - Dinarello, C A AU - Dinarello CA FAU - Tilg, H AU - Tilg H LA - eng GR - R01 AI015614/AI/NIAID NIH HHS/United States GR - R56 AI015614/AI/NIAID NIH HHS/United States GR - AI15614/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - Clin Exp Immunol JT - Clinical and experimental immunology JID - 0057202 RN - 0 (Glycoproteins) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (Interferon alpha-2) RN - 0 (Interferon-alpha) RN - 0 (Interleukin-18) RN - 0 (RNA, Messenger) RN - 0 (Recombinant Proteins) RN - 0 (interleukin-18 binding protein) SB - IM MH - Down-Regulation/drug effects MH - Glycoproteins/*biosynthesis/blood/genetics MH - Hepatitis C, Chronic/*drug therapy/genetics/*immunology MH - Humans MH - In Vitro Techniques MH - Intercellular Signaling Peptides and Proteins MH - Interferon alpha-2 MH - Interferon-alpha/*therapeutic use MH - Interleukin-18/biosynthesis/blood MH - Macrophages/drug effects/immunology MH - RNA, Messenger/genetics/metabolism MH - Recombinant Proteins PMC - PMC1906434 EDAT- 2002/08/08 10:00 MHDA- 2002/09/12 10:01 PMCR- 2003/08/01 CRDT- 2002/08/08 10:00 PHST- 2002/08/08 10:00 [pubmed] PHST- 2002/09/12 10:01 [medline] PHST- 2002/08/08 10:00 [entrez] PHST- 2003/08/01 00:00 [pmc-release] AID - 1911 [pii] AID - 10.1046/j.1365-2249.2002.01911.x [doi] PST - ppublish SO - Clin Exp Immunol. 2002 Aug;129(2):332-8. doi: 10.1046/j.1365-2249.2002.01911.x.