Serum Concentrations of Th1, Th2 and Treg-Associated Cytokines in Patients With Ocular Toxoplasmosis

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Ovi Sofia, Rahajeng Anugrahing Saldianovitta, I. Nyoman Surya Ari Wahyudi, Loeki Enggar Fitri, Hani Susianti, Seskoati Prayitnaningsih, Hidayat Sujuti

2025 Parasite Immunology Vol. 47 Issue 11 Article Cited by 0 Quartile

Abstract

Ocular toxoplasmosis (OT) is a common cause of posterior uveitis worldwide, primarily caused by Toxoplasma gondii. The immune response plays a crucial role in OT pathogenesis. However, a study using aqueous humour samples has limited applicability due to the invasive procedure. This study used peripheral blood samples to compare the concentrations and ratios of cytokines involved in Th1, Th17 and Treg immune responses between OT patients and seropositive individuals without ocular lesions (SP) who met the inclusion criteria. The ELISA method was used to measure cytokine concentrations, and the cytokine ratio was determined by comparing the concentration of two cytokines. This study revealed the differences in the concentrations of IL-17 (p = 0.015), IFN-α (p = 0.015) and IL-6 (p = < 0.001) between OT and SP groups, as well as the ratio of IFN-α/TGF-β (p = 0.012), IFN-β/TGF-β (p = 0.020), IL-17/TGF-β (p = 0.018), TNF-α/TGF-β (p = 0.015), IL-17/IL-6 (p = 0.003), IL-6/IFN-γ (p = < 0.001) and IL-6/TNF-α (p = < 0.001). Among the variables, the IFN-α concentrations and IL-6/TNF-α ratio were the most significant factors influencing the risk of OT. The novel findings of this study regarding the involvement of IFN-α in the pathogenesis of OT are considered important and have the potential to reveal a predictive factor for the occurrence of OT in humans. © 2025 John Wiley & Sons Ltd.

Affiliations

Department of Ophthalmology, Faculty of Medicine, Universitas Brawijaya, Dr. Saiful Anwar General Hospital, Malang, Indonesia; Residency Training Program, Department of Ophthalmology, Faculty of Medicine, Universitas Brawijaya, Dr. Saiful Anwar General Hospital, Malang, Indonesia; Department of Clinical Parasitology, Faculty of Medicine, Universitas Brawijaya, Dr. Saiful Anwar General Hospital, Malang, Indonesia; Department of Clinical Pathology, Faculty of Medicine, Universitas Brawijaya, Dr. Saiful Anwar General Hospital, Malang, Indonesia