Systemic IL-26 correlates with improved asthma control in children sensitized to dog allergen

This is the authors' abstract. We don't add key points for this paper.

Background: Interleukin (IL)-26 is produced by T helper type 17 (Type 17) cells and exerts immunomodulatory plus antimicrobial effects. Previous studies show that local IL-26 concentrations in the airways are higher in patients with uncontrolled than in those with controlled asthma, and that this intriguing cytokine bears biomarker potential. Here, we determined how systemic IL-26 relates to allergen sensitization, asthma severity, and to IL-17A in children. Methods: Serum samples were obtained from children with (n=60) and without (n=17) sensitization to dog allergen, and IL-26 and IL-17A protein concentrations were measured using ELISA. Self-reported history, including medication use and validated symptom-based questionnaire scores, was recorded. Results: The serum concentrations of IL-26 were enhanced in allergen-sensitized subjects and correlated with those of IL-17A in a positive manner. However, the IL-26 concentrations did not markedly differ between allergen-sensitized subjects with and without asthma, eczema, allergic rhinitis, or a history of food allergy. Notably, IL-26 concentrations correlated with increasing Asthma Control Test (ACT) scores in a positive manner and with inhaled corticosteroid in a negative manner, amongst sensitized subjects with asthma. Moreover, subjects with asthma requiring ≥1 course of oral corticosteroids in the preceding 12 months had decreased IL-26 concentrations. Conclusion: This study forwards evidence that systemic IL-26, just like IL-17A, is involved in allergen sensitization among children. The association of systemic IL-26 with improved asthma control is compatible with the cellular sources being recruited into the airways in severe asthma, which supports that this kinocidin bears potential as a biomarker and therapeutic target.