PMID- 14744554 OWN - NLM STAT- MEDLINE DCOM- 20040305 LR - 20190922 IS - 0001-706X (Print) IS - 0001-706X (Linking) VI - 89 IP - 3 DP - 2004 Feb TI - A potential role of interleukin 18 in severe falciparum malaria. PG - 279-84 AB - Interleukin-18 (IL-18) is a potent proinflammatory cytokine that induces interferon-gamma (IFN-gamma) production from Th1 cells, NK cells and activated macrophages, particularly in the presence of IL-12. However, it is also shown that without help from IL-12, IL-18 is capable of inducing IL-4 and IL-13 production in T cells, NK cells, mast cells and basophils, and that administration of IL-18 in conjunction with an allergen increases serum IgE levels. In order to clarify the role of IL-18 in disease severity of falciparum malaria, we have examined serum levels of IL-18, IFN-gamma, and IgE for 96 patients with falciparum malaria [Trans. R. Soc. Trop. Med. Hyg. 97, 236-241]. Results suggested that IL-18 plays a key role in inducing severe malaria through a pathway of elevating IFN-gamma, rather than its IgE inducing activity. Based on these results, the role of IL-18 in severe falciparum malaria will be discussed in this review. FAU - Kojima, Somei AU - Kojima S AD - Department of Parasitology, Institute of Medical Science, The University of Tokyo, Tokyo, Japan. fnskj@diamond.manhidol.ac.th FAU - Nagamine, Yukiko AU - Nagamine Y FAU - Hayano, Masashi AU - Hayano M FAU - Looareesuwan, Sornchai AU - Looareesuwan S FAU - Nakanishi, Kenji AU - Nakanishi K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - Netherlands TA - Acta Trop JT - Acta tropica JID - 0370374 RN - 0 (Interleukin-18) RN - 37341-29-0 (Immunoglobulin E) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Adolescent MH - Adult MH - Animals MH - Humans MH - Immunoglobulin E/blood MH - Interferon-gamma/*blood MH - Interleukin-18/blood/*physiology MH - Malaria, Falciparum/*blood/classification/pathology MH - Middle Aged MH - Plasmodium falciparum/*pathogenicity MH - Severity of Illness Index RF - 38 EDAT- 2004/01/28 05:00 MHDA- 2004/03/06 05:00 CRDT- 2004/01/28 05:00 PHST- 2004/01/28 05:00 [pubmed] PHST- 2004/03/06 05:00 [medline] PHST- 2004/01/28 05:00 [entrez] AID - S0001706X03002754 [pii] AID - 10.1016/j.actatropica.2003.10.005 [doi] PST - ppublish SO - Acta Trop. 2004 Feb;89(3):279-84. doi: 10.1016/j.actatropica.2003.10.005.