PMID- 29142506 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220310 IS - 1476-9255 (Print) IS - 1476-9255 (Electronic) IS - 1476-9255 (Linking) VI - 14 DP - 2017 TI - Detection of circulating natural antibodies to inflammatory cytokines in type-2 diabetes and clinical significance. PG - 24 LID - 10.1186/s12950-017-0171-6 [doi] LID - 24 AB - BACKGROUND: Inflammatory cytokines have been demonstrated to be involved in developing insulin resistance and type-2 diabetes (T2D). Natural antibodies in the circulation have protective effects on common diseases in humans. The present study was thus designed to test the hypothesis that natural antibodies against inflammatory cytokines could be associated with T2D. METHODS: An enzyme-linked immunosorbent assay (ELISA) was developed in-house to detect plasma IgG against peptide antigens derived from interleukin 1alpha (IL1alpha), IL1beta, IL6, IL8 and tumor necrosis factor-alpha (TNF-alpha) in 200 patients with T2D and 220 control subjects. RESULTS: Binary regression showed that compared with control subjects, T2D patients had a decreased level of plasma anti-IL6 IgG (adjusted r(2)=0.034, p=0.0001), anti-IL8 IgG (adjusted r(2)=0.021, p=0.002) and anti-TNF-alpha IgG (adjusted r(2)=0.017, p=0.003). Female patients mainly contributed to decreased levels of anti-IL6 IgG (adjusted r(2)=0.065, p=0.0008) and anti-IL8 IgG (adjusted r(2)=0.056, p=0.003), while male patients mainly contributed to decreased anti-TNF-alpha IgG levels (adjusted r(2)=0.024, p=0.005). ROC curve analysis revealed a sensitivity of 16.5% against specificity of 95.5% for anti-IL6 IgG assay and a sensitivity of 19.5% against specificity of 95.9% for anti-IL8 IgG assay. Glycated hemoglobin levels measured after 6-month glucose-lowering treatment appeared to be inversely correlated with plasma anti-IL1alpha IgG (r=-0.477, df=17, p=0.039) and anti-IL6 IgG (r=-0.519, df=17, p=0.023) although such correlation failed to survive the Bonferroni correction. CONCLUSIONS: Deficiency of natural IgG against inflammatory cytokines is likely to be a risk factor for T2D development and detection of such antibodies may be useful for personalized treatment of the disease. FAU - Cai, Weiyi AU - Cai W AD - Laboratory for Nursing Science & Institute of Laboratory Medicine, Guangdong Medical University, No.1 Xincheng Road, Dongguan, 523808 China. ISNI: 0000 0004 1760 3078. GRID: grid.410560.6 FAU - Qiu, Cailing AU - Qiu C AD - Dalang Hospital of Dongguan, Dongguan, 523000 China. FAU - Zhang, Hongyu AU - Zhang H AD - The Second Hospital, Jilin University, Changchun, 130041 China. ISNI: 0000 0004 1760 5735. GRID: grid.64924.3d FAU - Chen, Xiangyun AU - Chen X AD - Dalang Hospital of Dongguan, Dongguan, 523000 China. FAU - Zhang, Xuan AU - Zhang X AD - The Second Hospital, Jilin University, Changchun, 130041 China. ISNI: 0000 0004 1760 5735. GRID: grid.64924.3d FAU - Meng, Qingyong AU - Meng Q AD - Laboratory for Nursing Science & Institute of Laboratory Medicine, Guangdong Medical University, No.1 Xincheng Road, Dongguan, 523808 China. ISNI: 0000 0004 1760 3078. GRID: grid.410560.6 FAU - Wei, Jun AU - Wei J AD - Division of Health Research, University of the Highlands & Islands, Centre for Health Science, Perth Road, Inverness, IV2 3JH UK. ISNI: 0000 0001 2189 1357. GRID: grid.23378.3d LA - eng PT - Journal Article DEP - 20171106 PL - England TA - J Inflamm (Lond) JT - Journal of inflammation (London, England) JID - 101232234 PMC - PMC5674864 OTO - NOTNLM OT - ELISA OT - IgG antibody OT - Inflammatory cytokines OT - Natural antibodies OT - Type-2 diabetes COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: This work was approved by the Institutional Review Board of the Second Hospital of Jilin University, Changchun, China, (IRB#: SHJU2017-101), and performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments. CONSENT FOR PUBLICATION: Not applicable. COMPETING INTERESTS: All authors declared that they have no competing interests. PUBLISHER'S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2017/11/17 06:00 MHDA- 2017/11/17 06:01 PMCR- 2017/11/06 CRDT- 2017/11/17 06:00 PHST- 2017/07/26 00:00 [received] PHST- 2017/10/28 00:00 [accepted] PHST- 2017/11/17 06:00 [entrez] PHST- 2017/11/17 06:00 [pubmed] PHST- 2017/11/17 06:01 [medline] PHST- 2017/11/06 00:00 [pmc-release] AID - 171 [pii] AID - 10.1186/s12950-017-0171-6 [doi] PST - epublish SO - J Inflamm (Lond). 2017 Nov 6;14:24. doi: 10.1186/s12950-017-0171-6. eCollection 2017.