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. 2020 Apr 14;10:6405. doi: 10.1038/s41598-020-63042-3

Figure 3.

Figure 3

Il-33 predominantly induced a Th2 and regulatory immune response in LVV. (A) Freshly isolated PBMC from LVV patients (with corticosteroids<15 mg/day) were cultured with anti-CD3/CD28 with or without IL-33 stimulation for 5 days. The secretion of Th1 and Th2 cytokines was assessed by flow cytometry. Left panel: Dot plots representing IFNγ and IL-4 secreting CD4+ T cells with or without IL-33 stimulation. Right panel: Changes of cytokine production in PBMC stimulated with IL-33 compared to PBMC not stimulated. The proportion of IL4-secreting CD4+ T cells was increased with IL-33 stimulation (p = 0.01) in LVV patients (n = 13) but not in HD (n = 6). These data are shown as the mean ± SEM. These results are from 13 independent experiments. (B) After 5 days of culture, quantitative determination of cytokines was performed in culture supernatants (n = 12) of LVV PBMC. IL-33 stimulation led to a significant increase of IL-5 and IL-4 secretion, *p < 0.05, ***P < 0.001. (C) Left panel: Dot plots representing CD25hiFOXP3+ and CD127lowFOXP3+ CD4+ cells are shown. On the left, PBMC of one LVV patient are cultured for 5 days without IL-33. The frequency of CD127lowFOXP3+ CD4+ cells is shown. On the right, PBMC of the same LVV patient were cultured for 5 days with IL-33. Right panel: Corresponding results of 15 LVV patients. The frequency of Tregs was increased in stimulated PBMC with IL-33 as compared to those without IL-33. These results are from 4 independent experiments. These data are shown as the mean ± SEM. **P < 0.01. The statistical test used was a Wilcoxon matched pair test. (D) We next assessed by quantitative PCR the expression of IL-33, ST2 and Th1 and Th2 cytokines within LVV aortic lesions (n = 18). Relative expression of IL-33 mRNA was significantly correlated with the expression of IL-10 mRNA [r = 0.6 (p = 0.008)]. Relative expression of IL-33 mRNA was significantly correlated with the expression of TGF-b mRNA [r = 0.8 (p < 0.0001)].