PMID- 25878254 OWN - NLM STAT- MEDLINE DCOM- 20160225 LR - 20181113 IS - 1556-679X (Electronic) IS - 1556-6811 (Print) IS - 1556-679X (Linking) VI - 22 IP - 6 DP - 2015 Jun TI - Normal free interleukin-18 (IL-18) plasma levels in dengue virus infection and the need to measure both total IL-18 and IL-18 binding protein levels. PG - 650-5 LID - 10.1128/CVI.00147-15 [doi] AB - Activated monocytes/macrophages and T lymphocytes that produce a cytokine storm are assumed to play a pivotal role in the pathogenesis of dengue. Interleukin-18 (IL-18) is a proinflammatory cytokine that is increased during dengue and known to induce gamma interferon (IFN-gamma), which is crucial for dengue immune response. No data are available regarding the balance between IL-18 and its natural inhibitor IL-18 binding protein (IL-18BP) and how they interact within the inflammatory reaction of patients with dengue virus infections. Circulating levels of IL-18; IL-18BP; free, biologically active IL-18; the IL-18-dependent proinflammatory cytokine IFN-gamma; monocyte-derived cytokines; and ferritin were assessed in adult Indonesian dengue patients (n = 95). Healthy individuals (n = 22) and leptospirosis (n = 19) and enteric fever (n = 6) patients served as controls. Total IL-18 levels were increased during dengue, leptospirosis, and enteric fever compared to healthy controls. However, due to a concurrent increase in IL-18BP levels, biologically active IL-18 levels remained similar in the different phases of dengue and in patients with leptospirosis. Biologically active IL-18 levels were also similar in patients with severe and nonsevere dengue. In conclusion, high total IL-18 and IL-18BP levels concur in dengue virus infections, leptospirosis, and enteric fever. This resulted in unchanged levels of free, biologically active IL-18 in dengue and leptospirosis, which underlines the importance of measuring both IL-18 and IL-18BP when studying the role of IL-18 in diseases. CI - Copyright (c) 2015, American Society for Microbiology. All Rights Reserved. FAU - Michels, Meta AU - Michels M AD - Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands Meta.Michels@radboudumc.nl. FAU - de Mast, Quirijn AU - de Mast Q AD - Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands. FAU - Netea, Mihai G AU - Netea MG AD - Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands. FAU - Joosten, Leo A AU - Joosten LA AD - Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands. FAU - Dinarello, Charles A AU - Dinarello CA AD - Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands. FAU - Rudiman, Pandji I F AU - Rudiman PI AD - Department of Internal Medicine, Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia. FAU - Sinarta, Sylvia AU - Sinarta S AD - Department of Internal Medicine, Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia. FAU - Wisaksana, Rudi AU - Wisaksana R AD - Department of Internal Medicine, Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia. FAU - Alisjahbana, Bachti AU - Alisjahbana B AD - Department of Internal Medicine, Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia. FAU - van der Ven, Andre J A M AU - van der Ven AJ AD - Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands. LA - eng GR - AI-15614/AI/NIAID NIH HHS/United States GR - R01 AI015614/AI/NIAID NIH HHS/United States GR - R01 AR045584/AR/NIAMS NIH HHS/United States GR - AR-45584/AR/NIAMS NIH HHS/United States GR - R56 AI015614/AI/NIAID NIH HHS/United States GR - CA-046934/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20150415 PL - United States TA - Clin Vaccine Immunol JT - Clinical and vaccine immunology : CVI JID - 101252125 RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (Interleukin-18) RN - 0 (interleukin-18 binding protein) SB - IM MH - Adolescent MH - Adult MH - Dengue/immunology/*pathology MH - Female MH - Humans MH - Indonesia MH - Intercellular Signaling Peptides and Proteins/*blood MH - Interleukin-18/*blood MH - Leptospirosis/immunology/pathology MH - Male MH - Plasma/*chemistry MH - Prospective Studies MH - Typhoid Fever/immunology/pathology MH - Young Adult PMC - PMC4446409 EDAT- 2015/04/17 06:00 MHDA- 2016/02/26 06:00 PMCR- 2015/12/01 CRDT- 2015/04/17 06:00 PHST- 2015/03/14 00:00 [received] PHST- 2015/04/09 00:00 [accepted] PHST- 2015/04/17 06:00 [entrez] PHST- 2015/04/17 06:00 [pubmed] PHST- 2016/02/26 06:00 [medline] PHST- 2015/12/01 00:00 [pmc-release] AID - CVI.00147-15 [pii] AID - 00147-15 [pii] AID - 10.1128/CVI.00147-15 [doi] PST - ppublish SO - Clin Vaccine Immunol. 2015 Jun;22(6):650-5. doi: 10.1128/CVI.00147-15. Epub 2015 Apr 15.