Abstract
IL-33 is a recently identified cytokine, encoded by the IL-33 gene, which is a member of the IL-1 family that drives the production of T-helper-2 (Th-2)-associated cytokines. Serum levels of IL-33 have been reported to be up-regulated in various T-helper (Th)-1/Th-17-mediated diseases, such as psoriasis, rheumatoid arthritis, and inflammatory bowel. To investigate whether cytokine imbalance plays a role in the pathogenesis of vitiligo, we performed a case–control association study by enzyme-linked immunosorbent assay of IL-33 in our patients. IL-33 serum levels were measured by a quantitative enzyme immunoassay technique in patients with non-segmental generalized vitiligo and compared with those of healthy controls. IL-33 serum levels in patients with vitiligo were significantly increased than those in healthy controls. There was a positive correlation of IL-33 serum levels with extension of vitiligo and disease activity. This study suggests a possible systemic role of IL-33 in the pathogenesis of vitiligo. Inhibiting IL-33 activity might be a novel therapeutic strategy in the treatment of autoimmune inflammatory disease, like vitiligo.
References
Alikhan A, Felsten LM, Daly M, Petronic-Rosic V (2011) Vitiligo: a comprehensive overview Part I. Introduction, epidemiology, quality of life, diagnosis, differential diagnosis, associations, histo-pathology, etiology, and work-up. J Am Acad Dermatol 65:473–491
Allakhverdi Z, Smith DE, Comeau MR, Delespesse G (2007) The ST2 ligand IL-33 potently activates and drives maturation of human mast cells. J Immunol 179:2051–2054
Cayrol C, Girard JP (2014) L-33: an alarmin cytokine with crucial roles in innate immunity, inflamma-tion and allergy. Curr Opin Immunol 31:31–37
Chackerian AA, Oldham ER, Murphy EE, Schmitz J, Pflanz S, Kastelein RA (2007) IL-1 receptor ac-cessory protein and ST2 comprise the IL-33 receptor complex. J Immunol 179:2551–2555
De la Fuente M, MacDonald TT, Hermoso MA (2015) The IL-33/ST2 axis: role in health and disease. Cytokine Growth Factor Rev. doi:10.1016/j.cytogfr.2015.07.017 (Epub ahead of print)
Gangemi S, Franchina T, Minciullo PL, Profita M, Zanghì M, David A et al (2013) IL-33/IL-31 axis: a new pathological mechanisms for EGFR tyrosine kinase inhibitors-associated skin toxicity. J Cell Biochem 114:2673–2676
Glück J, Rymarczyk B, Rogala B (2012) Serum IL-33 but not ST2 level is elevated in intermittent allergic rhinitis and is a marker of the disease severity. Inflamm Res 61:547–550
Huang CL, Nordlund JJ, Boissy R (2002) Vitiligo: a manifestation of apoptosis? Am J Clin Dermatol 3:301–308
Kamekura R, Kojima T, Takano K, Go M, Sawada N, Himi T (2012) The role of IL-33 and its receptor ST2 in human nasal epithelium with allergic rhinitis. Clin Exp Allergy 42:218–228
Kim NH, Torchia D, Rouhani P, Roberts B, Romanelli P (2011) Tumor necrosis factor-α in vitiligo: direct correlation between tissue levels and clinical parameters. Cutan Ocul Toxicol 30:225–227
Laddha NC, Dwivedi M, Begum R (2012) Increased Tumor Necrosis Factor (TNF)-α and its promnoter polymorphisms correlate with disease progression and higher susceptibility towards vitiligo. PLoS One 7:e52298
Lambe T, Leung JC, Bouriez-Jones T, Silver K, Makinen K, Crockford TL et al (2006) CD4 T cell de-pendent autoimmunity against melanocyte neoantigen induces spontaneous vitiligo and depends upon Fas-Fas ligand interactions. J Immunol 177:3055–3062
Lee JH, Wang LC, Yu HH, Lin YT, Yang YH, Chiang BL (2010) Type I IL-1 recep-tor (IL-1RI) as potential new therapeutic target for bronchial asthma. Inflamm Mediat (Epub 2010 5)
Li P, Ma H, Han D, Mou K (2015) Interleukin-33 affects cytokine production by keratinocytes in vitiligo. Clin Exp Dermatol 40:163–170
Liew FY, Pitman NI, McInnes IB (2010) Disease-associated functions of IL-33: the new kid in the IL-1 family. Nat Rev Immunol 10:103–110
Lloyd CM (2010) IL-33 family members and asthma–bridging innate and adaptive immune responses. Curr Opin Immunol 22:800–806
Lotti T, D’Erme AM (2014) Vitiligo as a systemic disease. Clin Dermatol 32:430–434
Mitsui A, Tada Y, Takahashi T, Shibata S, Kamata M, Miyagaki T,et al (2015) Serum IL-33 levels are increased in patients with psoriasis. Clin Exp Dermatol. doi:10.1111/ced.12670
Moretti S, Fabbri P, Baroni G, Berti S, Bani D, Berti E et al (2009) Keratinocyte dysfunction in vitiligo epidermis: cytokine microenvironment and correlation to keratinocyte apoptosis. Histol Histopathol 24:849–857
Moseley TA, Haudenschild DR, Rose L, Reddi AH (2003) Interleukin-17 family and IL-17 receptors. Cytokine Growth Factor Rev 14:155–174
Ohno T, Morita H, Arae K, Matsumoto K, Nakae S (2012) Interleukin-33 in allergy. Allergy 67:1203–1214
Pichler R, Sfetsos K, Badics B, Gutenbrunner S, Berg J, Auböck J (2009) Lymphocyte imbalance in vit-iligo patients indicated by elevated CD4+/CD8+T-cell ratio. Wien Med Wochenschr 159:337–341
Sandoval-Cruz M, García-Carrasco M, Sánchez-Porras R, Mendoza-Pinto C, Jiménez-Hernández M, Munguía-Realpozo P et al (2011) Immunopathogenesis of vitiligo. Autoimmun Rev 10:762–765
Taieb A, Alomar A, Böhm M et al (2013) Guidelines for the management of vitiligo: the European Dermatology Forum consensus. Br J Dermatol 168:5–19
Vaccaro M, Cannavò SP, Imbesi S, Cristani M, Barbuzza O, Tigano V et al (2015) Increased serum levels of interleukin-23 circulating in patients with non-segmental generalized vitiligo. Int J Dermatol 54:672–674
Vocca L, Di Sano C, Uasuf CG, Sala A, Riccobono L, Gangemi S, Albano GD, Bonanno A, Gagliardo R, Profita M (2015) IL-33/ST2 axis controls Th2/IL-31 and Th17 immune response in allergic airway diseases. Immunobiology 220:954–963
van den Wijngaard RM, Aten J, Scheepmaker A, Le Poole IC, Tigges AJ, Westerhof W et al (2000) Ex-pression and modulation of apoptosis regulatory molecules in human melanocytes: significance in vitiligo. Br J Dermatol 143:573–581
Webb KC, Tung R, Winterfield LS, Gottlieb AB, Eby JM, Henning SW et al (2015) Tumour necrosis factor-α inhibition can stabilize disease in progressive vitiligo. Br J Dermatol 173:641–650
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors have no conflict of interest to declare.
Rights and permissions
About this article
Cite this article
Vaccaro, M., Cicero, F., Mannucci, C. et al. IL-33 circulating serum levels are increased in patients with non-segmental generalized vitiligo. Arch Dermatol Res 308, 527–530 (2016). https://doi.org/10.1007/s00403-016-1675-2
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00403-016-1675-2