The serum concentration of the inter-α trypsin inhibitor heavy chain 4 protein (ITIH4) increases (from 1.4–3 times) in male patients suffering of different acute-phase processes (myocardial infarction, unstable angina or programmed surgery). The concentration of C-reactive protein (CRP) in these samples ranged from 15 μg/ml to 133 μg/ml. Using the hepatocarcinoma HepG2 cell line we have observed up-regulation of ITIH4 mRNA expression upon dose-response treatments with interleukin-6 (IL-6). This effect correlates with the increase of radiolabeled ITIH4 in the cellular media of 35S-labeled HepG2 cells treated with the cytokine. A similar effect was observed for haptoglobin mRNA, used as a control for acute-phase protein expression. IL-1β, although up-regulating the expression of α1-acid glycoprotein in these cells, did not induce any effect in the expression of ITIH4. No changes were observed after TNF-α treatments. The results presented here indicate that ITIH4 is a type II acute-phase protein in humans.
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