Of the six cytokines, IL-2 was not detectable in any of the AH, in agreement with others.
7 9 IL-4 was detected by CBA at the lower end of the concentration range but not at all by ELISA, and levels did not differ between uveitis and control groups. The differences observed in IL-5 in the uveitis groups might suggest that Th1 polarity is more marked, with greater uveal tract involvement in panuveitis than in AAU. Similarly, peripheral blood lymphocyte supernatants of patients with presumed sarcoid uveitis demonstrated high IL-2:IL-5 and IFN-γ:IL-5 ratios, suggesting a Th1 polarization of the systemic immune response.
20 IL-10 was detected in all groups, but levels did not differ in the uveitis groups with or without systemic disease, compared with the controls. This agrees with a previous study in which IL-10 was only increased in 3 of 22 uveitis patients.
10 In contrast, in 5 patients with FHC thus far investigated, we detected significant increases in IL-10 (
P < 0.05, data not shown), in agreement with previous reports.
2 6 7 Both IL-10 and TGF-β are immunoregulatory cytokines, because of their inhibitory effects on T-cell function and on TNF-α.
21 IL-10 negatively regulates IL-12-induced inflammation
22 23 and is produced by many cell types, including T-cell subsets, B cells, eosinophils, mast cells, and cells of the monocyte/macrophage lineage, the latter being an important source in humans.
21 24 25 26 27 The increased level of IL-10 found in the panuveitis group that was taking steroids is in agreement with the work of Barrat et al.,
28 who showed that production of IL-10 by T cells was upregulated in vitro by glucocorticoids.