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PLoS One . Increased serum levels of IL-40 are associated with IgA and NETosis biomarkers in Covid-19 patients: IL-40 and infectious diseases

tetano

Editor, Senior Moderator
PLoS One


. 2025 May 2;20(5):e0321578.
doi: 10.1371/journal.pone.0321578. eCollection 2025. Increased serum levels of IL-40 are associated with IgA and NETosis biomarkers in Covid-19 patients: IL-40 and infectious diseases

Umit Bagriacik[SUP] 1 [/SUP], Resul Karakus[SUP] 1 [/SUP], Melek Yaman[SUP] 1 [/SUP], Nihan Oruklu[SUP] 1 [/SUP], Milat Araz[SUP] 1 [/SUP], Zafer Kalayci[SUP] 1 [/SUP], Hasan Selcuk Ozger[SUP] 2 [/SUP], Yesim Yildiz[SUP] 2 [/SUP], Esin Senol[SUP] 2 [/SUP]



Affiliations
Abstract

Interleukin 40 (IL-40) is a novel cytokine that has been associated with B lymphocytes, particularly IgA-secreting cells in gut mucosa. Considering mucosal association of IL-40, we aimed to determine serum IL-40 levels in patients with Covid-19. We compared IL-40 concentrations in healthy people to both patients with mild symptoms of SARS-CoV-2 infection and pneumonia. IL-40 was measured by ELISA. Serum IgA levels were tested by nephelometry. For the first time, we demonstrated that SARS-CoV-2 infection increased serum IL-40 levels significantly. The elevation of IL-40 in serum was related to severity of the infection. Therefore, IL-40 concentrations were quite higher in patients with symptoms of pneumonia. Our findings indicated that IgA and NETosis biomarkers were related with IL-40 increase. Based on these findings, we speculated that IL-40 would be associated with immune activities in the mucosa of the lungs of SARS-CoV-2-infected patients. This association may be linked to a mechanism that has a control on IgA and NETosis.


 
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