Evaluation of interleukin-6 and interleukin-10 in lung transplant patients with human cytomegalovirus infection

Clin Transplant. 2009 Sep-Oct;23(5):687-91. doi: 10.1111/j.1399-0012.2009.01041.x. Epub 2009 Jul 16.

Abstract

We hypothesized that interleukin-6 (IL-6) in plasma and bronchoalveolar lavage (BAL) might serve as additional diagnostic parameter in lung transplant patients with human cytomegalovirus (HCMV) infection. Therefore, we compared IL-6 levels in HCMV-positive vs. HCMV-negative patients. IL-6 was measured by ELISA in plasma and BAL in 111 patients. Furthermore, we investigated the influence of IL-10 on IL-6 production in HCMV-positive patients. For HCMV-DNA detection in plasma and BAL a quantitative polymerase chain reaction (PCR) assay was used. IL-6 levels were significantly higher in the HCMV-positive group (n = 39; BAL p = 0.045; plasma p = 0.017) in comparison to the HCMV-negative group (n = 72). IL-10 did not correlate with IL-6 concentration (p = 0.146). Donor (D) or recipient (R) HCMV-constellation did not influence IL-6 concentration. IL-6 levels were not influenced by elevated levels of HCMV copies. Our data suggest that IL-6 does not serve as a good diagnostic parameter for existence of HCMV infection in lung transplant patients. Because of the wide range of the IL-6 levels in both groups, we were not able to find a breakpoint differentiating between infected and not-infected patients. Another important finding was that IL-6 production is not dependent of the HCMV status of D/R.

Publication types

  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Biomarkers / blood*
  • Bronchoalveolar Lavage Fluid / virology
  • Cytomegalovirus
  • Cytomegalovirus Infections / blood*
  • Cytomegalovirus Infections / virology
  • DNA, Viral / analysis
  • DNA, Viral / blood
  • DNA, Viral / genetics
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Humans
  • Interleukin-10 / blood*
  • Interleukin-6 / blood*
  • Lung Transplantation*
  • Male
  • Middle Aged
  • Polymerase Chain Reaction
  • Prognosis
  • Treatment Outcome
  • Young Adult

Substances

  • Biomarkers
  • DNA, Viral
  • Interleukin-6
  • Interleukin-10