Abstract
The interleukin (IL)-2 - IL-2 receptor (IL-2R) pathway is important in immunity, but is also involved in maintenance of self-tolerance. This paradox is further complicated by shedding of the IL-2Ra chain, revealing soluble (s)IL-2R. Binding of IL-2 to sIL-2R may either reduce or enhance responses depending on the target cell being involved in immunity or self-tolerance. Since sIL-2R levels are increasingly measured in clinical practice, it is detrimental for clinical interpretation to understand the possible functional impact of IL-2R shedding. In this review the role of the IL-2 - IL-2R pathway is explored and the conflicting results on the function of sIL-2R are summarized. Finally, the added value of measuring sIL-2R in different types of diseases is being elaborated upon in terms of diagnosis, follow-up, and prognosis. Adequate interpretation of results is hampered by the apparent gap in our knowledge about the functional role of sIL-2R in immunity and tolerance.
Original language | English |
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Article number | 108515 |
Number of pages | 9 |
Journal | Clinical Immunology |
Volume | 218 |
DOIs | |
Publication status | Published - Sept 2020 |
Keywords
- Interleukin 2
- Interleukin 2 receptor
- CD25
- soluble IL-2R
- Immunity
- Tolerance
- REGULATORY T-CELLS
- INTERLEUKIN-2 RECEPTOR
- RHEUMATOID-ARTHRITIS
- MULTIPLE-SCLEROSIS
- CYCLOSPORINE-A
- HEMOPHAGOCYTIC SYNDROMES
- ELEVATED LEVELS
- SIL-2R LEVELS
- SERUM-LEVELS