Open Journal of Veterinary Medicine, 2013, 3, 302-308
Published Online November 2013 (http://www.scirp.org/journal/ojvm)
http://dx.doi.org/10.4236/ojvm.2013.37049
Open Access OJVM
Interleukin-1 Beta (IL-1β) in the Peripheral Blood
of Dogs as a Possible Marker for the Detection of
Early Stages of Inflammation
Christian Prachar1, Franz-Josef Kaup2, Stephan Neumann1*
1Small Animal Clinic, Institute of Veterinary Medicine, University of Goettingen, Goettingen, Germany
2German Primate Centre, Goettingen, Germany
Email: *sneuman@gwdg.de
Received August 24, 2013; revised September 24, 2013; accepted September 30, 2013
Copyright © 2013 Christian Prachar et al. This is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Background: Cytokines are mediators of disease. Expression levels in the blood could be of clinical relevance. Objec-
tive: Aim of this study was to show if serum levels of IL-1β could be of any clinical relevance concerning dogs. IL-1β
was measured in serum samples of healthy dogs to find a reference range for healthy individuals. Measurements of
IL-1β should show if this substance was a possible marker for early stages of inflammation. Therefore, a possible rela-
tion between serum levels and grades of leukocytosis was analyzed. Methods: IL-1β concentrations in the blood were
assessed by the use of a human enzyme linked immunosorbent assay (ELISA). 39 dogs with different inflammatory
diseases were analyzed to figure out if there was a correlation between IL-1β serum levels and the number of leukocytes
in peripheral blood. The control group consisted of 16 healthy dogs. Results: about half of the samples IL-1β were de-
tected. Most of the patients showed no detectable amounts of IL-1β. The IL-1β levels measured in the serum were stable
for at least nine weeks when stored at 20˚C. The patients tested positively on IL-1β had mostly lower-grade leukocy-
tosis compared to those who had no IL-1β in serum. All the dogs which were suffering from disease but still had no
traceable IL-1β, showed a leukocytosis as a common symptom. Conclusion: This study showed that IL-1β could be-
come an interesting marker for the detection of early stages of inflammation when leukocytosis does not yet appear in
peripheral blood. Nonetheless, the possible use in diagnosis is restricted. This is due to the fact that there are only low
amounts of IL-1β to be detected in the serum, even concerning patients are suffering from disease.
Keywords: IL-1β; Interleukin-1 Beta; ELISA; Dog
1. Introduction
Besides TNF-α and IFN-γ, Interleukin-1 plays a central
role in acute and chronic inflammation, both locally and
systemically. There are two subtypes which are IL-1α
and IL-1β. Both subtypes are mainly produced by mo-
nocytes, macrophages, endothelial cells and fibroblasts
[1]. Although the two subtypes only share a sequence
homology of 25% [2], they bind to the same receptor on
T-cell-surface [3].
Both subtypes consist of precursor molecules with a
molecular size of 31 kDa, which are split by converting
enzymes. The mature IL-1β-molecule has a size of 17
kDa and consists of the mature IL-1β molecule and a
pro-segment. The cell releases a combination of these
molecules along with a prepro-IL-1β[1].
IL-1 acts as a pyretic in the body. This stimulates
lymphocyte activity and the production of acute phase
proteins in the liver as well as the release of collagenases
and prostaglandins [4]. As IL-12, IL-1 induces
IFN-γ-secretion by natural killer cells, which results in an
IFN-γ-induced activation of macrophages. IL-1α is only
produced by monocytes and macrophages and is in-
volved in different immunological processes, especially
maintaining the dermal immunological barrier. IL-1β is
also produced by astrocytes, oligodendroglia, adrenal
cortical cells, platelets, osteoblasts and different kinds of
T-cells. Because IL-1β is a hormone-like substance, it is
like many other cytokines not stored in cells and tissue.
This makes it difficult to detect IL-1β in cell culture su-
pernatants, but it leads to acceptable results measuring
*Corresponding author.
C. PRACHAR ET AL. 303
IL-1β-levels in blood serum samples [5].
Many different kinds of cells have receptors to bind
IL-1β. There are two different types of receptors for IL-1:
The IL-1-receptor I (IL-1 RI) and the IL-1-receptor II
(IL-1 RII). In addition to these, there also exists a non-
binding receptor accessory protein (IL-1 RAcP). Signal-
ing is only mediated by IL-1 RI together with IL-1 RAcP,
which interacts only with IL-1 RI in complex formation
with IL-1 [1].
IL-1β is one of the most important inflammatory cyto-
kines. IL-1β precipitates acute attacks of both local and
systemic inflammation. It also contributes to several
chronic diseases. Furthermore it is also known for medi-
ating the acute phase response to infection, injury and
immune challenge [6]. For example IL-1β induces the
production of IL-6, but IL-6 inhibits the expression of the
other pro-inflammatory cytokine. Besides TNF-α, IL-1β
is one of the first pro-inflammatory cytokines increasing
in inflammation, which is important because every cyto-
kine plays a precise role in regulating the expression of
other cytokines [7].
In early stages acute inflammation is mediated by
granulocytes, while chronic inflammation is mediated by
mononuclear cells such as monocytes and lymphocytes.
Neutrophil granulocytes are those of the first-responders
of inflammatory cells and they migrate towards the site
of inflammation. Within the first 6 to 12 hours of in-
flammatory reaction, the number of leukocytes increases
and mature so-called segmented neutrophil granulocytes
are set free by the bone marrow. In case of injury, neu-
trophils emigrate from blood vessels into the damaged
tissue within a few minutes. Bacterial infections, tumors
and many other different diseases can lead to inflamma-
tion too.
Over the past years many veterinary medical studies
were made in order to analyze the expression of IL-1β in
different tissues of the canine body [8-10]. Still only a
few measurements were implemented on blood plasma or
serum samples [11]. So far, no studies were made re-
garding a correlation between IL-1β serum levels in dogs
suffering from different diseases.
The cause for this observation was to find out if IL-1β
can be detected in serum of dogs and so it may become a
useful diagnostic marker in veterinary medicine. As
mentioned above, IL-1β acts as one of the early pro-in-
flammatory cytokines. It was interesting to see if there
was a connection between increased levels of IL-1β and
different ones which meanwhile established inflamma-
tory markers like the number of leukocytes and neutro-
phil granulocytes.
2 Material and Methods
2.1. Animals
Altogether serum levels of 39 dogs were measured. 15
individuals were crossbreed while 24 were breed dogs.
Most frequent breeds were German shepherd 3), Boxer
2), Rhodesian Ridgeback 2), Golden Retriever 2) and
Beagle 2). The control group consisted of 16 healthy
individuals. The study was made according to the Ger-
man Animal Welfare Act.
Serum was isolated and aliquoted four times. The first
time point was set to the time right after the isolation.
The remaining three aliquots were frozen down immedi-
ately at ≤−20˚C. After 3, 6 and 9 weeks concentrations of
IL-1β were measured.
The number of leukoctyes was measured by volume
impedance with the Abbott Cell-Dyn® 3700 Haematol-
ogy Analyzer (Abbott GmbH & Co KG, Wiesbaden/Ger-
many).
2.2. ELISA
We used an ELISA developed for the quantitative deter-
mination of human IL-1β concentrations in serum (Quan-
tikine® ELISA, catalog number DLB50, R & D Systems,
Minnesota/USA). The genetic sequence homology of
76.4% in both human and canine IL-1β [12] made it pos-
sible to use a human ELISA to measure serum levels of
IL-1β in canine blood samples.
The measurement ofIL-1β went according to manu-
facturer’s recommendation. To determine the optical
density of each well, a microplate reader set to 450 nm
wave length was used.
The dogs tested for serum levels of IL-1β were pa-
tients of the Small Animal Clinic of Georg-August-Uni-
versity in Goettingen/Germany. Depending on theirtype
of disease, diagnosis was confirmed by general examina-
tion, blood and urine tests, X-ray, ultrasound diagnostics,
computed tomography, endoscopy, diagnostic laparo-
scopy and histopathological tests. In this study, the most
severe diagnoses were mentioned. These were confirmed
for a few patients who suffered from different diseases
simultaneously.
Altogether, serum levels of 39 dogs with different dis-
eases were measured. The control group consisted of 16
healthy individuals. The study was made according to the
German Animal Welfare Act.
Statistical analysis was made with SPSS software. Due
to the fact that both concentrations of IL-1β and the
number of leukocytes were not normally distributed
(Kolmogorov-Smirnov-test p < 0.001), non-parametric
methods were used for statistical analysis.
Blood samples from the dogs were taken to assess the
stability of IL-1β when stored at ≤−20˚C Celsius. Serum
was isolated and aliquoted into four samples. The first
time point was set to the time right after the isolation.
The remaining three aliquots were frozen down immedi-
ately at ≤−20˚C.
Open Access OJVM
C. PRACHAR ET AL.
304
Measurements of IL-1β took place at the day of the
blood taking and after 3, 6 and 9 weeks.
2.3. Results
2.3.1. Storage
Our analysis showed that IL-1β in serum can be stored at
≤−20˚C Celsius for at least nine weeks. Even beyond that
time there was no obvious decrease of IL-1β found in the
samples.
2.3.2. IL-1β in Healthy Dogs
Significantly higher serum levels of IL-1β were detected
in patients suffering from disease compared to those of
healthy controls (chi-square test = 0.003) (Figure 1). In
the healthy control group only two out of 16 dogs were
tested positively on IL-1β. Yet, they were both in very
low concentrations (0.11 and 1.04 pg/ml). 14 dogs
(87.5%) showed no detectable amount of IL-1β in their
serum.
2.3.3. IL-1β in Dogs with Different Internal Diseases
Even though most of the serum levels werevery low,
many of the patients showed positive results (22 out of
39 dogs). IL-1β serum concentrations were measured in
39 dogs with different internal diseases (Table 1), in-
cluding non-neoplastic diseases, benign tumors and ma-
lignant neoplasia. 24 of the 39 dogs were bitches, while
15 were male dogs. 7 out of the 15 male dogs showed no
detectable IL-1β in serum (46.6%), and so did 12 of the
24 bitches (50%). The age of the dogs with detectable
IL-1β in their serum lay between 3.5 and 14.5 years (me-
dian 9.2, mean 10.0).
The highest level of IL-1β was detected in the serum
of a dog with an adenoma of the hepatoid glands (64.71
pg/ml). This amount was significantly higher than those
Figure 1. IL-1β in the serum of dogs with different diseases
compared to healthy controls. Significantly higher serum
levels were found in the group of dogs with different dis-
eases compared to the healthy control group.
of all the other dogs with detectable amounts of IL-1β
(Figure 2).
2.3.4. IL-1β Serum Levels and Leukocytosis
A number of leukocytes >12.000 K/µl was stated leuko-
cytosis. There was no connection found between IL-1β
serum levels and leukocytosis (Figure 3). Noticeable is
the fact that all dogs with no detectable amount of IL-1β
in peripheral blood showed a leukocytosis (17 out of 17,
Table 2). 14 of the dogs with leukocytosis showed in-
creased levels of neutrophil granulocytes.
Two of the healthy individuals had very low serum
levels of 0.11 and 1.04 pg/ml withoutshowing the indica-
tion of a leukocytosis.
3. Discussion
In human medicine, many studies were conducted to
prove the importance of IL-1β in inflammatory reactions
of the body. Yet, in many cases they appear only for a
short period of time in acute diseases as well as in
chronic diseases with acute exacerbations. In one study
an experimentally induced endotoxin shock in dogs
based on the intravenous application of purified lipopo-
lysaccharides from Escherichia coli led to increased
IL-1-activity within the first 30 to 60 minutes with its
peak after 90 minutes. During 6 to 24 hours after appli-
cation, IL-1 was hardly detectable in blood [13]. Even in
severe systemic inflammatory diseases, levels of free
IL-1β are often undetectable, especially in peripheral
blood.
Within the last few years, most of the studies were
based on analyzing increased expression of IL-1β recep-
tors in different body tissue. This was performed espe-
cially by histopathological analyzes of tissues which
were affected by inflammatory reactions, as mentioned
above.
Measurement of IL-1β in serum or plasma in medical
diagnosis isapplied in human medicine. The reference
range forIL-1β concerninghumans is stated with <5
pg/ml.
Some diseases go along with increased serum levels of
IL-1β. In healthy patients, the detectable amounts of
IL-1β are ranging around the bottom line. However,
some studies led to different results. A study regarding
serum levels of different cytokines in patients with pri-
mary biliary cirrhosis, in which serum levels of IL-1β
were ranged from 170 to 540 pg/ml in the healthy control
group serves as an example [14].A correlation was found
between IL-1β in serum and the severity of diseases li-
keLeishmaniasis [15] or SLE, especially with a Lupus
nephritis [16]. Furthermore there was an increased IL-1β
activity found in patients with sepsis [17], traumatic
neuronal injury [18] and arteriosclerosis [19]. One study
showed that IL-1β also is involved in the aging process
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C. PRACHAR ET AL.
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305
Table 1. List of diseases of dogs tested positively on IL-1β.
Diagnosis IL-1β [pg/ml]
1) Adenoma of the hepatoid glands 64.71
2) Haemangiosarcoma of the spleen 4.7
3) Chronic renal failure, anaemia 4.7
4) Malignant mesenchymal dermal tumor 3.56
5) Cystic carcinoma of the mamma and tubular adenoma 2.9
6) Haemangiosarcoma of the spleen 2.53
7) Steatonecrosis with fibrosingsteatitis, pancreatitis 2.5
8) Lipoma 1.75
9) Borreliosis, anaplasmosis, high anti-thrombocyte antibody titer 1.33
10) Prostate carcinoma 0.82
11) Renal adenocarcinoma 0.75
12) Pyelonephritis, haemangiosarcoma of the spleen 0.65
13) Haemorrhagic liver necrosis 0.61
14) Retrobulbar round cell tumor (malignant lymphoma) 0.6
15) Oral malignant melanoma 0.53
16) Cystic granulosa cell tumor, leiomyoma of the cervix 0.51
17) Cystitis caused by struvituroliths 0.49
18) Gingivitis and stomatitis 0.29
19) Chronic renal failure 0.25
20) Solid to papillary carcinoma of the mamma 0.18
21) Pyometra 0.06
22) Purulent mastitis 0.03
Figure 2. IL-1β in the serum of dogs with different diseases
compared to healthy controls with statistical outlier in the
group of dogs with disease: 64.71 pg/ml. As you can see this
dog in the diseased group showed a serum level which was
noticeably higher than those of all other dogs.
Figure 3. Numbers of leukocytes in dogs with detectable
serum levels of IL-1β. It is noticeable, that all the dogs
without free IL-1β (n = 17) showed a leukocytosis, while
most of the dogs with measurable IL-1β had a normal leu-
kocyte count (see above in Table 2).
[20]. tive pulmonary disease. The most important agent is Ca-
nakinumab which is a human monoclonal antibody
against IL-1β and was developed by Novartis [21].
In human medicine, the blocking effect of IL-1β is
meanwhile used therapeutically. An example for this is
the treatment of rheumatoid arthritis and chronic obstruc- So far no comparable studies on IL-1β in dogs were
C. PRACHAR ET AL.
306
Table 2. Comparison of IL-1β serum levels of dogs with and without a leukocytosis (number of leukocytes >12.000 K/µl).
Number of leukocytes >12.000 K/µl
not found found total
IL-1β [pg/ml] negative Dogs 0 17 17
positive Dogs 10 12 22
Total Dogs 10 29 39
made. There are no copious studies for serum levels of
IL-1β in healthy or ill dogs, especially not regarding the
measurement of serum levels. Furthermore, blocking
IL-1β has no relevance in treating acute or chronic in-
flammatory diseases in veterinary medicine.
Since there are no reliable reference ranges for serum
levels of IL-1β concerning dogs, one aim of our study
was to find out if IL-1β can be detected in the serum of
healthy dogs. For the possible routinely use in veterinary
medicine, it was furthermore relevant to find out if mea-
surements of IL-1β serum levels are diagnostically con-
clusive. This is due to the fact that blood analyzes are
less invasive and can lead to faster results than other
tests.
4. Conclusions
Results of our study show that concerning healthy dogs,
IL-1β mostly can’t be detected at all or only in very low
concentrations in ranges of <1 pg/ml.
Our study should show if IL-1β was a possible marker
for inflammatory reactions concerning dogs which suf-
fered from different internal diseases. The outcome of
this study leads to the assumption that IL-1β in serum
increases in the majority of cases in early stages of in-
flammation, respectively during acute exacerbations of
disease. In progressed stages when leukocytosis appears
in peripheral blood, the free IL-1β in serum decreases.
We found evidence for this because all dogs without de-
tectable IL-1β (n = 17) in blood serum showed a leuko-
cytosis. Though in this study there was no statistical sig-
nificance finding between IL-1β serum levels and the
number of leukocytes, it is remarkable that all the pa-
tients with no detectable IL-1β in their serum showed a
leukocytosis.
In healthy individuals there is hardly any IL-1β finding
in peripheral blood. Most of the already implemented
studies are mainly conducted in human medicine and
show that healthy individuals have IL-1β serum concen-
trations below the minimum detectable dose. Further-
more, even patients suffering from inflammatory diseases
seldom show IL-1β serum levels above the minimum de-
tectable dose, as described above. In this study only two
healthy dogs were tested positively on IL-1β, but only in
very low concentrations.
The dogs in this study suffered from many different
diseases. Only two diseases appeared in more than one
dog (haemangiosarcoma of the spleen, n = 2, and chronic
renal failure, n = 2). Those diseases led to different con-
centrations of IL-1β (haemangiosarcoma 2.53 and 4.7
pg/ml, chronic renal failure 0.25 and 4.7 og/ml) which
are hardly comparable. Further studies on a larger group
of dogs suffering from the same disease should follow.
The highest serum levels were found in dogs with very
different diseases: the highest amount of IL-1β was
found in a dog with benign tumor (64.71 pg/ml), fol-
lowed by one with a malignant neoplasia (4.7 pg/ml) and
one with chronic renal failure (4.7 pg/ml). It is noticeable
that no other dogs in the diseased group (n = 39) reached
a serum level near the highest one.
Even if IL-1β increases in different periods of progress
of the disease, there seem to be no steadily high serum
levels. Follow-up measurements during the progress of
disease (whether treated or not) could indicate if different
stages of disease are associated with the increase or de-
crease of IL-1β in serum. This may be caused by the fact
that detectable amounts of IL-1β appear very early in
inflammation. As soon as inflammation begins, the
number of neutrophil granulocytes increases. Stored neu-
trophils are set free from the bone marrow and after that
new neutrophils are produced.
Since IL-1β is a very important pro-inflammatory cy-
tokine with many different functions regarding the be-
ginning and the progression of inflammation, it could
become an interesting diagnostic marker even in veteri-
nary medicine.
We assume that increased IL-1β can be found mainly
in a time when already no leukocytosis appears in blood.
Followed by leukocytosis with mostly banded neutro-
phils, increasing IL-1β could be used as an indicator for
the early pro-inflammatory immune response. Our study
suggests that measurement of IL-1β in the serum of dogs
suffering from disease could become a useful addition to
the measurement of the leukocyte count, which is rou-
tinely used in veterinary medicine since decades. An-
other useful marker for inflammation is the C-reactive
protein (CRP). Further studies should be conducted to
find out if there is a direct relation between the number
of leukocytes or serum levels of CRP and the detectable
amount of IL-1β in peripheral blood. Furthermore it
could be interesting to look at the neutrophil granulo-
cytes in detail, because Seite: 2 new cells must be pro-
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C. PRACHAR ET AL. 307
duced when the stored and mature neutrophils are used
up. This can be seen in blood analyzes when the amount
of the so-called banded neutrophils increases compared
to the mature and segmented neutrophils.
Detectable amounts of IL-1β are correlated with any
inflammatory reaction. Still, there appears to be a very
limited period of time in which free IL-1β can be de-
tected in the serum. This unfortunate fact is the reason
why IL-1β is not used in common diagnosis.
Diagnostic techniques with a higher sensitivity like the
ones with lower concentration ranges may be more ap-
propriate for measurements of IL-1β in the serum. Even
if measurements with a human ELISA showed good re-
sults, a specific ELISA for canine IL-1β could lead to
better results.
Further studies on a larger population could find evi-
dence that IL-1β perhaps is a useful marker for early
stages of inflammation, comparable to the fact that the
grade of leukocytosis is a good parameter to assess the
stage of inflammation.
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