interleukin 26
{{Infobox_gene}}
Interleukin-26 (IL-26) is a protein that in humans is encoded by the IL26 gene.{{cite web | title = Entrez Gene: interleukin 26| url = https://www.ncbi.nlm.nih.gov/sites/entrez?Db=gene&Cmd=ShowDetailView&TermToSearch=55801}}{{cite journal | vauthors = Knappe A, Hör S, Wittmann S, Fickenscher H | title = Induction of a novel cellular homolog of interleukin-10, AK155, by transformation of T lymphocytes with herpesvirus saimiri | journal = Journal of Virology | volume = 74 | issue = 8 | pages = 3881–7 | date = April 2000 | pmid = 10729163 | pmc = 111897 | doi = 10.1128/JVI.74.8.3881-3887.2000 }}{{cite journal | vauthors = Goris A, Marrosu MG, Vandenbroeck K | title = Novel polymorphisms in the IL-10 related AK155 gene (chromosome 12q15) | journal = Genes and Immunity | volume = 2 | issue = 5 | pages = 284–6 | date = August 2001 | pmid = 11528524 | doi = 10.1038/sj.gene.6363772 | s2cid = 11291286 | doi-access = }}
IL-26 is the most recently identified member of the IL-20 cytokine subfamily,{{cite journal | vauthors = Larochette V, Miot C, Poli C, Beaumont E, Roingeard P, Fickenscher H, Jeannin P, Delneste Y | display-authors = 6 | title = IL-26, a Cytokine With Roles in Extracellular DNA-Induced Inflammation and Microbial Defense | journal = Frontiers in Immunology | volume = 10 | pages = 204 | date = 2019-02-12 | pmid = 30809226 | pmc = 6379347 | doi = 10.3389/fimmu.2019.00204 | doi-access = free }} which was formed according to the usage of common receptor subunits and similarities in target-cell profiles and functions. All cytokines belonging to this subfamily are members of the larger IL-10 family. IL-26 is expressed in certain herpesvirus-transformed T cells but not in primary stimulated T cells. IL-26 signals through a receptor complex comprising two distinct proteins called IL-20 receptor 1 and IL-10 receptor 2.{{cite journal | vauthors = Sheikh F, Baurin VV, Lewis-Antes A, Shah NK, Smirnov SV, Anantha S, Dickensheets H, Dumoutier L, Renauld JC, Zdanov A, Donnelly RP, Kotenko SV | display-authors = 6 | title = Cutting edge: IL-26 signals through a novel receptor complex composed of IL-20 receptor 1 and IL-10 receptor 2 | journal = Journal of Immunology | volume = 172 | issue = 4 | pages = 2006–10 | date = February 2004 | pmid = 14764663 | doi = 10.4049/jimmunol.172.4.2006 | doi-access = free | hdl = 2078.1/83944 | hdl-access = free }} By signaling through this receptor complex, IL-26 induces rapid phosphorylation of the transcription factors STAT1 and STAT3, which enhance IL-10 and IL-8 secretion and as expression of the CD54 molecule on the surface of epithelial cells.{{cite journal | vauthors = Hör S, Pirzer H, Dumoutier L, Bauer F, Wittmann S, Sticht H, Renauld JC, de Waal Malefyt R, Fickenscher H | display-authors = 6 | title = The T-cell lymphokine interleukin-26 targets epithelial cells through the interleukin-20 receptor 1 and interleukin-10 receptor 2 chains | journal = The Journal of Biological Chemistry | volume = 279 | issue = 32 | pages = 33343–51 | date = August 2004 | pmid = 15178681 | doi = 10.1074/jbc.M405000200 | doi-access = free }}
Gene organization and protein structure
The IL26 gene is conserved in various vertebrates, but it is curiously absent in mice and rats. Paralogs of this gene have been identified in several non-mammalian species.{{cite journal | vauthors = Igawa D, Sakai M, Savan R | title = An unexpected discovery of two interferon gamma-like genes along with interleukin (IL)-22 and -26 from teleost: IL-22 and -26 genes have been described for the first time outside mammals | journal = Molecular Immunology | volume = 43 | issue = 7 | pages = 999–1009 | date = March 2006 | pmid = 16005068 | doi = 10.1016/j.molimm.2005.05.009 }} The human gene is located on chromosome 12 (12q15), between the genes encoding IL-22 and IFNγ,{{cite journal | vauthors = Donnelly RP, Sheikh F, Dickensheets H, Savan R, Young HA, Walter MR | title = Interleukin-26: an IL-10-related cytokine produced by Th17 cells | journal = Cytokine & Growth Factor Reviews | volume = 21 | issue = 5 | pages = 393–401 | date = October 2010 | pmid = 20947410 | pmc = 2997847 | doi = 10.1016/j.cytogfr.2010.09.001 | series = IL-10 Family of Cytokines }} and composed of five exons separated by three introns. This genomic cluster of genes encoding IL-22, IL-26, and IFNγ is present among all vertebrates.{{cite journal | vauthors = Qi ZT, Nie P | title = Comparative study and expression analysis of the interferon gamma gene locus cytokines in Xenopus tropicalis | journal = Immunogenetics | volume = 60 | issue = 11 | pages = 699–710 | date = November 2008 | pmid = 18726591 | doi = 10.1007/s00251-008-0326-y | s2cid = 25613652 }}
IL-26 is a 171-amino acid protein that exhibits six alpha helices connected by loops and four conserved cysteine residues. Endogenous IL-26 is expressed as a 36 kDa homodimer. Originally named AK155, IL-26 was categorized in the IL-10 cytokine family due to sequence homology and secondary structure similarities.
Expression
The IL-26 expression was initially discovered in human HVS-transformed T cells. Since then it was confirmed that T helper 1 cells and Th17 memory CD4+ cells are the major sources of IL-26. More accurately, IL-26 is expressed by pro-inflammatory IL-17 producing T cells in chronically inflamed tissues.{{cite journal | vauthors = Pène J, Chevalier S, Preisser L, Vénéreau E, Guilleux MH, Ghannam S, Molès JP, Danger Y, Ravon E, Lesaux S, Yssel H, Gascan H | display-authors = 6 | title = Chronically inflamed human tissues are infiltrated by highly differentiated Th17 lymphocytes | journal = Journal of Immunology | volume = 180 | issue = 11 | pages = 7423–30 | date = June 2008 | pmid = 18490742 | doi = 10.4049/jimmunol.180.11.7423 | doi-access = free }}{{cite journal | vauthors = Corvaisier M, Delneste Y, Jeanvoine H, Preisser L, Blanchard S, Garo E, Hoppe E, Barré B, Audran M, Bouvard B, Saint-André JP, Jeannin P | display-authors = 6 | title = IL-26 is overexpressed in rheumatoid arthritis and induces proinflammatory cytokine production and Th17 cell generation | journal = PLOS Biology | volume = 10 | issue = 9 | pages = e1001395 | date = 2012-09-25 | pmid = 23055831 | pmc = 3463509 | doi = 10.1371/journal.pbio.1001395 | veditors = Marrack P | doi-access = free }} Co-expression of IL-17, IL-22, and IL-26 de facto defines the phenotype of human Th17 cells. Furthermore, CD26+ CD4+ T cells produce IL-26 in a model of graft-versus-host disease (GvHD).{{cite journal | vauthors = Ohnuma K, Hatano R, Aune TM, Otsuka H, Iwata S, Dang NH, Yamada T, Morimoto C | display-authors = 6 | title = Regulation of pulmonary graft-versus-host disease by IL-26+CD26+CD4 T lymphocytes | journal = Journal of Immunology | volume = 194 | issue = 8 | pages = 3697–712 | date = April 2015 | pmid = 25786689 | pmc = 4568737 | doi = 10.4049/jimmunol.1402785 }} CD4+ T cells polarized toward a regulatory phenotype (Treg), naïve CD4+ T cells, and T helper 2 cells show low or no expression of IL-26.{{cite journal | vauthors = Wolk K, Kunz S, Asadullah K, Sabat R | title = Cutting edge: immune cells as sources and targets of the IL-10 family members? | journal = Journal of Immunology | volume = 168 | issue = 11 | pages = 5397–402 | date = June 2002 | pmid = 12023331 | doi = 10.4049/jimmunol.168.11.5397 | doi-access = free }}
It remains unclear whether IL-26 monocytes and macrophages express IL-26. Some studies showed there is no expression, whereas other studies inconsistently reported constitutive expression at a low level in monocytes,{{cite journal | vauthors = Guerra-Laso JM, Raposo-García S, García-García S, Diez-Tascón C, Rivero-Lezcano OM | title = Microarray analysis of Mycobacterium tuberculosis-infected monocytes reveals IL26 as a new candidate gene for tuberculosis susceptibility | journal = Immunology | volume = 144 | issue = 2 | pages = 291–301 | date = February 2015 | pmid = 25157980 | pmc = 4298423 | doi = 10.1111/imm.12371 }} and the secretion of IL-26 by lung alveolar macrophages locally exposed to endotoxin.{{cite journal | vauthors = Che KF, Tengvall S, Levänen B, Silverpil E, Smith ME, Awad M, Vikström M, Palmberg L, Qvarfordt I, Sköld M, Lindén A | display-authors = 6 | title = Interleukin-26 in antibacterial host defense of human lungs. Effects on neutrophil mobilization | journal = American Journal of Respiratory and Critical Care Medicine | volume = 190 | issue = 9 | pages = 1022–31 | date = November 2014 | pmid = 25291379 | doi = 10.1164/rccm.201404-0689OC }} The IL-26 expression is also present in NK cells, especially NKp44+ human NK cell subset localized in mucosa-associated lymphoid tissue express substantial amounts of IL-26.{{cite journal | vauthors = Cella M, Fuchs A, Vermi W, Facchetti F, Otero K, Lennerz JK, Doherty JM, Mills JC, Colonna M | display-authors = 6 | title = A human natural killer cell subset provides an innate source of IL-22 for mucosal immunity | journal = Nature | volume = 457 | issue = 7230 | pages = 722–5 | date = February 2009 | pmid = 18978771 | pmc = 3772687 | doi = 10.1038/nature07537 | bibcode = 2009Natur.457..722C }} Very low IL-26 expression was reported in human herpesvirus 8-transformed B cells.
Regarding non-immune cells, IL-26 expression was detected in primary bronchial epithelial cells from healthy individuals. Pathologically, fibroblasts harvested from the inflamed synovia of patients with rheumatoid arthritis constituted the main source of IL-26.
Receptors
{{See also|Type II cytokine receptor}}
IL-26R heterodimer, a conventional receptor for IL-26, consists of two chains – IL-10R2, and IL-20R1. The IL-20R1 subunit contains the IL-26-binding site, whereas the IL-10R2 subunit acts as a second chain completing the assembly. Experiments performed with epithelial cells suggested both receptor subunits are required for the IL-26-dependent signal transduction. According to some observations,{{cite journal | vauthors = Hummelshoj L, Ryder LP, Poulsen LK | title = The role of the interleukin-10 subfamily members in immunoglobulin production by human B cells | journal = Scandinavian Journal of Immunology | volume = 64 | issue = 1 | pages = 40–7 | date = July 2006 | pmid = 16784489 | doi = 10.1111/j.1365-3083.2006.01773.x | s2cid = 46419911 }} there is a possibility that additional IL-26 receptors exist.
Ligand binding by functional IL-26 receptor complex results in the initiation of a signal transduction pathway involving receptor-associated Janus tyrosine kinases JAK1 and TYK2. IL-20R1 interacts with JAK1, and IL-10R2 is associated with TYK2. Ligand-induced heterodimerization of receptor chains promotes cross-activation of Janus kinases, which phosphorylate receptor intracellular domains, leading to the activation of STAT protein family intracellular transcription factors STAT1 and STAT3. In addition, IL-26 activates extracellular signal-regulated kinases (ERK)-1/2, c-Jun N-terminal kinase (JNK), mitogen-activated protein kinases (MAPKs), and protein kinase B (PKB).
While IL-10R2 is expressed on a wide variety of tissues, the expression of IL-20R1 is limited only to some tissues.{{cite journal | vauthors = Nagalakshmi ML, Murphy E, McClanahan T, de Waal Malefyt R | title = Expression patterns of IL-10 ligand and receptor gene families provide leads for biological characterization | journal = International Immunopharmacology | volume = 4 | issue = 5 | pages = 577–92 | date = May 2004 | pmid = 15120644 | doi = 10.1016/j.intimp.2004.01.007 | series = IL-Teenagers; the family of the IL-10 homologue comes of age }} Thus, the ability to respond to IL-26 is restricted by the expression of IL-20R1 subunit.
Role
Interleukin 26 (IL-26) is an inflammatory mediator and a driver of chronic inflammation due to its ability to act as a carrier of extracellular DNA,{{cite journal | vauthors = Meller S, Di Domizio J, Voo KS, Friedrich HC, Chamilos G, Ganguly D, Conrad C, Gregorio J, Le Roy D, Roger T, Ladbury JE, Homey B, Watowich S, Modlin RL, Kontoyiannis DP, Liu YJ, Arold ST, Gilliet M | display-authors = 6 | title = T(H)17 cells promote microbial killing and innate immune sensing of DNA via interleukin 26 | journal = Nature Immunology | volume = 16 | issue = 9 | pages = 970–9 | date = September 2015 | pmid = 26168081 | pmc = 4776746 | doi = 10.1038/ni.3211 }} and as an antimicrobial molecule through its capacity to form pores in bacterial membranes. These properties suggest that IL-26 can be categorized as a kinocidin.
IL-26 is a natural human antimicrobial that promotes immune sensing of bacterial and host cell death. IL-26 is a cationic amphipathic protein that kills extracellular bacteria via membrane-pore formation. Furthermore, Th17 cell–derived IL-26 formed complexes with bacterial DNA and self-DNA released by dying bacteria and host cells. The IL-26–DNA complexes triggered the production of type I interferon by plasmacytoid dendritic cells via activation of Toll-like receptor 9, but independently of the IL-26 receptor. Monocytes infected with intracellular bacterium Mycobacterium tuberculosis reacted by decreasing IL-26 production, and IL-26 serum concentrations were lower in tuberculosis patients. These data indicate that IL-26 may be involved in host defense against bacteria in more ways.
Concerning host defense to viruses, the role of IL-26 appears to be related to the expression of IL-26R by epithelial cells as these constitute the first barrier against many viruses. Elevated serum levels of IL-26 were detected in patients with chronic infection by hepatitis C virus. Moreover, the sensitivity of NK cells to IL-26 might trigger the ability to kill the virus-infected host cells.{{cite journal | vauthors = Miot C, Beaumont E, Duluc D, Le Guillou-Guillemette H, Preisser L, Garo E, Blanchard S, Hubert Fouchard I, Créminon C, Lamourette P, Fremaux I, Calès P, Lunel-Fabiani F, Boursier J, Braum O, Fickenscher H, Roingeard P, Delneste Y, Jeannin P | display-authors = 6 | title = IL-26 is overexpressed in chronically HCV-infected patients and enhances TRAIL-mediated cytotoxicity and interferon production by human NK cells | journal = Gut | volume = 64 | issue = 9 | pages = 1466–75 | date = September 2015 | pmid = 25183206 | doi = 10.1136/gutjnl-2013-306604 | s2cid = 8052342 }}
So far, the role of IL-26 in acute inflammation has not been properly studied, and most biological functions of IL-26 have been identified in pathological situations that feature chronic inflammation. The expression of IL-26 is elevated in the inflamed colonic mucosa of patients with Crohn's disease and it was reported that IL-26 induces the expression of IL-8 and TNFα as well as IL-10 in human gut epithelial cells. This activation of epithelial cells involves STAT1 and/or STAT3.{{cite journal | vauthors = Dambacher J, Beigel F, Zitzmann K, De Toni EN, Göke B, Diepolder HM, Auernhammer CJ, Brand S | display-authors = 6 | title = The role of the novel Th17 cytokine IL-26 in intestinal inflammation | journal = Gut | volume = 58 | issue = 9 | pages = 1207–17 | date = September 2009 | pmid = 18483078 | doi = 10.1136/gut.2007.130112 | s2cid = 3186117 | url = http://nbn-resolving.de/urn:nbn:de:bvb:19-epub-14992-3 }} IL26 gene is also over-expressed in the joints of patients with spondyloarthritis{{cite journal | vauthors = Heftdal LD, Andersen T, Jæhger D, Woetmann A, Østgård R, Kenngott EE, Syrbe U, Sieper J, Hvid M, Deleuran B, Kragstrup TW | display-authors = 6 | title = Synovial cell production of IL-26 induces bone mineralization in spondyloarthritis | journal = Journal of Molecular Medicine | volume = 95 | issue = 7 | pages = 779–787 | date = July 2017 | pmid = 28365787 | doi = 10.1007/s00109-017-1528-2 | s2cid = 3932106 }} and rheumatoid arthritis, in the sera and lesional skin tissues of psoriasis patients,{{cite journal | vauthors = Michalak-Stoma A, Pietrzak A, Szepietowski JC, Zalewska-Janowska A, Paszkowski T, Chodorowska G | title = Cytokine network in psoriasis revisited | journal = European Cytokine Network | volume = 22 | issue = 4 | pages = 160–8 | date = December 2011 | pmid = 22236965 | doi = 10.1684/ecn.2011.0294 }} and in the sera of multiple sclerosis patients.{{cite journal | vauthors = Esendagli G, Kurne AT, Sayat G, Kilic AK, Guc D, Karabudak R | title = Evaluation of Th17-related cytokines and receptors in multiple sclerosis patients under interferon β-1 therapy | language = English | journal = Journal of Neuroimmunology | volume = 255 | issue = 1–2 | pages = 81–4 | date = February 2013 | pmid = 23177721 | doi = 10.1016/j.jneuroim.2012.10.009 | s2cid = 11325105 }}
A novel effect of IL-26 produced by donor-derived CD26+ CD4+ T cells on the pathophysiology of pulmonary chronic GVHD was observed in a murine model.
The roles of IL-26 in normal physiology remain unknown. By contrast to other IL-10 cytokine family members, no induction of primary human keratinocyte proliferation in response to IL-26 has been detected.
References
{{Reflist|30em}}
Further reading
{{refbegin|30em}}
- {{cite journal | vauthors = Davila S, Froeling FE, Tan A, Bonnard C, Boland GJ, Snippe H, Hibberd ML, Seielstad M | display-authors = 6 | title = New genetic associations detected in a host response study to hepatitis B vaccine | journal = Genes and Immunity | volume = 11 | issue = 3 | pages = 232–8 | date = April 2010 | pmid = 20237496 | doi = 10.1038/gene.2010.1 | s2cid = 11183658 | doi-access = }}
- {{cite journal | vauthors = Silverberg MS, Cho JH, Rioux JD, McGovern DP, Wu J, Annese V, Achkar JP, Goyette P, Scott R, Xu W, Barmada MM, Klei L, Daly MJ, Abraham C, Bayless TM, Bossa F, Griffiths AM, Ippoliti AF, Lahaie RG, Latiano A, Paré P, Proctor DD, Regueiro MD, Steinhart AH, Targan SR, Schumm LP, Kistner EO, Lee AT, Gregersen PK, Rotter JI, Brant SR, Taylor KD, Roeder K, Duerr RH | display-authors = 6 | title = Ulcerative colitis-risk loci on chromosomes 1p36 and 12q15 found by genome-wide association study | journal = Nature Genetics | volume = 41 | issue = 2 | pages = 216–20 | date = February 2009 | pmid = 19122664 | pmc = 2652837 | doi = 10.1038/ng.275 }}
- {{cite journal | vauthors = Dambacher J, Beigel F, Zitzmann K, De Toni EN, Göke B, Diepolder HM, Auernhammer CJ, Brand S | display-authors = 6 | title = The role of the novel Th17 cytokine IL-26 in intestinal inflammation | journal = Gut | volume = 58 | issue = 9 | pages = 1207–17 | date = September 2009 | pmid = 18483078 | doi = 10.1136/gut.2007.130112 | s2cid = 3186117 | url = http://nbn-resolving.de/urn:nbn:de:bvb:19-epub-14992-3 }}
- {{cite journal | vauthors = Rose JE, Behm FM, Drgon T, Johnson C, Uhl GR | title = Personalized smoking cessation: interactions between nicotine dose, dependence and quit-success genotype score | journal = Molecular Medicine | volume = 16 | issue = 7–8 | pages = 247–53 | year = 2010 | pmid = 20379614 | pmc = 2896464 | doi = 10.2119/molmed.2009.00159 }}
- {{cite journal | vauthors = Sheikh F, Baurin VV, Lewis-Antes A, Shah NK, Smirnov SV, Anantha S, Dickensheets H, Dumoutier L, Renauld JC, Zdanov A, Donnelly RP, Kotenko SV | display-authors = 6 | title = Cutting edge: IL-26 signals through a novel receptor complex composed of IL-20 receptor 1 and IL-10 receptor 2 | journal = Journal of Immunology | volume = 172 | issue = 4 | pages = 2006–10 | date = February 2004 | pmid = 14764663 | doi = 10.4049/jimmunol.172.4.2006 | doi-access = free | hdl = 2078.1/83944 | hdl-access = free }}
- {{cite journal | vauthors = Siezen CL, Bont L, Hodemaekers HM, Ermers MJ, Doornbos G, Van't Slot R, Wijmenga C, Houwelingen HC, Kimpen JL, Kimman TG, Hoebee B, Janssen R | display-authors = 6 | title = Genetic susceptibility to respiratory syncytial virus bronchiolitis in preterm children is associated with airway remodeling genes and innate immune genes | journal = The Pediatric Infectious Disease Journal | volume = 28 | issue = 4 | pages = 333–5 | date = April 2009 | pmid = 19258923 | doi = 10.1097/INF.0b013e31818e2aa9 | s2cid = 25601837 | doi-access = free }}
- {{cite journal | vauthors = Vandenbroeck K, Cunningham S, Goris A, Alloza I, Heggarty S, Graham C, Bell A, Rooney M | display-authors = 6 | title = Polymorphisms in the interferon-gamma/interleukin-26 gene region contribute to sex bias in susceptibility to rheumatoid arthritis | journal = Arthritis and Rheumatism | volume = 48 | issue = 10 | pages = 2773–8 | date = October 2003 | pmid = 14558082 | doi = 10.1002/art.11236 | doi-access = free }}
- {{cite journal | vauthors = Dumoutier L, Van Roost E, Ameye G, Michaux L, Renauld JC | title = IL-TIF/IL-22: genomic organization and mapping of the human and mouse genes | journal = Genes and Immunity | volume = 1 | issue = 8 | pages = 488–94 | date = December 2000 | pmid = 11197690 | doi = 10.1038/sj.gene.6363716 | s2cid = 1477389 | doi-access = }}
- {{cite journal | vauthors = Kantarci OH, Hebrink DD, Schaefer-Klein J, Sun Y, Achenbach S, Atkinson EJ, Heggarty S, Cotleur AC, de Andrade M, Vandenbroeck K, Pelfrey CM, Weinshenker BG | display-authors = 6 | title = Interferon gamma allelic variants: sex-biased multiple sclerosis susceptibility and gene expression | journal = Archives of Neurology | volume = 65 | issue = 3 | pages = 349–57 | date = March 2008 | pmid = 18332247 | doi = 10.1001/archneurol.2007.66 | doi-access = }}
- {{cite journal | vauthors = Janssen R, Bont L, Siezen CL, Hodemaekers HM, Ermers MJ, Doornbos G, van 't Slot R, Wijmenga C, Goeman JJ, Kimpen JL, van Houwelingen HC, Kimman TG, Hoebee B | display-authors = 6 | title = Genetic susceptibility to respiratory syncytial virus bronchiolitis is predominantly associated with innate immune genes | journal = The Journal of Infectious Diseases | volume = 196 | issue = 6 | pages = 826–34 | date = September 2007 | pmid = 17703412 | doi = 10.1086/520886 | doi-access = free }}
- {{cite journal | vauthors = Wang K, Baldassano R, Zhang H, Qu HQ, Imielinski M, Kugathasan S, Annese V, Dubinsky M, Rotter JI, Russell RK, Bradfield JP, Sleiman PM, Glessner JT, Walters T, Hou C, Kim C, Frackelton EC, Garris M, Doran J, Romano C, Catassi C, Van Limbergen J, Guthery SL, Denson L, Piccoli D, Silverberg MS, Stanley CA, Monos D, Wilson DC, Griffiths A, Grant SF, Satsangi J, Polychronakos C, Hakonarson H | display-authors = 6 | title = Comparative genetic analysis of inflammatory bowel disease and type 1 diabetes implicates multiple loci with opposite effects | journal = Human Molecular Genetics | volume = 19 | issue = 10 | pages = 2059–67 | date = May 2010 | pmid = 20176734 | pmc = 2860894 | doi = 10.1093/hmg/ddq078 }}
- {{cite journal | vauthors = Schuurhof A, Bont L, Siezen CL, Hodemaekers H, van Houwelingen HC, Kimman TG, Hoebee B, Kimpen JL, Janssen R | display-authors = 6 | title = Interleukin-9 polymorphism in infants with respiratory syncytial virus infection: an opposite effect in boys and girls | journal = Pediatric Pulmonology | volume = 45 | issue = 6 | pages = 608–13 | date = June 2010 | pmid = 20503287 | doi = 10.1002/ppul.21229 | s2cid = 24678182 }}
{{refend}}
{{Interleukins}}
{{Interleukin receptor modulators}}