respiratory health
IL13

Can This Gene Protect You From Lung Failure? (IL13)

Written by Aleksa Ristic, MS (Pharmacy) on April 13th, 2020
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The IL13 gene codes for interleukin 13, an anti-inflammatory cytokine with conflicting effects on respiratory function. Can this gene protect you from lung failure—and at what price? Read on to find out.

IL13 and Airway Inflammation

Introduction

The IL13 gene codes for interleukin 13 (IL-13), a cytokine that belongs to type 2 or “humoral” immunity. Along with IL-4, it fights pathogens and other outside threats that don’t enter our cells but stay in the fluids (humor=fluid). IL-13 and IL-4 have similar roles and health effects [R, R].

Type 2 immunity, driven by the Th2 cells, is often regarded as anti-inflammatory, but it can also trigger inflammation under specific conditions. It’s responsible for allergic reactions and the rejection of foreign bodies, including transplants [R, R].

On the one hand, IL-13 can prevent excessive inflammation in response to microbial infections. On the other, it plays a crucial role in allergic asthma and airway hypersensitivity, which are Th2-dominant conditions [R, R, R].

IL-13 and IL-4 also enable robust defense against worms and other parasitic infections [R, R].

IL-13 is a cytokine that can prevent excessive inflammation but also trigger allergic reactions.

ARDS

Acute respiratory distress syndrome (ARDS) is a sudden lung failure caused by blood poisoning (sepsis), severe pneumonia, or other critical conditions. Most ARDS patients require urgent supportive care in the intensive care unit (ICU) to avoid a fatal outcome [R, R, R].

Uncontrolled inflammation caused by excessive cytokine release is the hallmark of ARDS. The stimulation of white blood cells can cause a so-called cytokine storm and do more damage than the infection itself [R, R, R, R, R].

ARDS is a severe, often fatal complication of blood poisoning or respiratory diseases. It occurs due to the excessive release of pro-inflammatory cytokines.

The Protective Role of IL-13

The battle between pro- and anti-inflammatory cytokines can determine ARDS occurrence and severity. The anti-inflammatory effects of IL-13 may prevent lung injury in critically ill patients [R].

According to preliminary research, some ARDS patients may have lower IL-13 levels and thus lack the protective effects. However, there’s conflicting evidence about the role of this cytokine in ARDS, calling for further investigation [R, R].

The Link Between IL13 Variant and ARDS

A Russian study of 430 patients found a link between one IL13 variant and ARDS. Critically ill patients with the “A” allele at rs20541 had nearly a two times lower likelihood of developing ARDS [R].

However, the same allele has a robust link with allergic tendencies, asthma, and chronic lung disease (COPD), which are Th2-dominant conditions [R, R, R].

This variant is an example of complex genetic factors that can be both positive and negative, depending on the circumstances. In summary, it may play a role in allergic respiratory complications but also protect against acute lung failure.

One IL13 variant, rs20541-A, is associated with lower rates of acute lung failure but may play a role in allergic reactions.

How It Works

The “A” allele at rs20541 is associated with higher IL-13 activity. More precisely, the other allele (G) changes one amino acid in the IL-13 structure, reducing its ability to activate receptors [R, R, R].

Higher IL-13 levels and activity help prevent excessive inflammation in response to infections, which is the culprit behind ARDS. On the other hand, this may be a downside for people prone to respiratory allergies, given the role of IL-13 in airway hypersensitivity [R, R, R].

The “A” allele at rs20541 increases IL-13 activity, which may help prevent excessive inflammation.

Your IL13 Results for Lung Failure

SNP Table

variant genotype frequency risk allele
rs20541

 

SNP Summary and Table

Primary SNP:

IL13 rs20541

  • ‘A’ = associated with lower rates of acute lung failure
  • ‘G’ = associated with higher rates of acute lung failure, compared with the “A” allele

Population Frequency: Among the general population and European descendants, 30% of people carry one and 5% carry both copies of the “A” allele. It’s more common in East Asian populations, where 50% of people have one and 11% both copies.

 

 

Recommendations

Lifestyle

Avoid Air Pollution

Particulate matter from industrialized and high-traffic areas inhibits anti-inflammatory cytokines such as IL-4 and IL-13 [R]. 

The risk and severity of respiratory tract infections increase in people exposed to airway irritants, such as:

  • Air pollution [R, R]
  • Dust [R]
  • Fumes [R]

Multiple studies have associated long-term exposure to high air pollution levels with increased chances of developing ARDS and dying from it [R, R, R].

To maintain good respiratory health, try to spend more time in traffic- and industry-free, natural environments.

Air pollution from particulate matter, dust, and fumes can inhibit IL-13 and contribute to respiratory infections and ARDS.

Exercise

Short bouts of intense exercise can increase anti-inflammatory IL-4 and IL-13 in the long run [R, R].

Exercise and physical fitness improve the immune response and help fight off respiratory infections [R, R, R].

However, for robust immunity, it's important not to push too hard; periods of intense physical training may contribute to windows of lower resistance and predispose to upper respiratory tract infections [R, R].

In simple terms, getting and staying fit but not overtaxing yourself could help prevent infections [R].

Exercise in moderation can boost IL-13 and help prevent respiratory infections.

Sunlight

Moderate sun exposure is the primary source of vitamin D, which may stimulate type 2 immunity and thus increase IL-13 levels. However, it’s immune-modulating effects are complex and depend on various factors [R, R, R, R].

Vitamin D plays a critical role in the immune system, and its deficiency may increase the risk of developing several types of bacterial and viral infections [R, R, R].

Vitamin D deficiency was associated with increased risk of ARDS in 2 studies on 215 hospitalized people but not in another one on 478 critically ill patients [R, R, R].

By supplying vitamin D, moderate sun exposure may increase IL-13 levels and help prevent respiratory infections.

Diet

Mediterranean Diet

The Mediterranean diet is famous for its anti-inflammatory and health-promoting effects. In a trial of 66 volunteers, a Mediterranean diet supplemented with olive oil increased IL-13 and IL-10 [R].

Clinical trials have found that eating a Mediterranean diet protected immune function in people with chronic inflammatory diseases and improved lung function in smokers [R, R].

The Mediterranean diet is rich in fruits, vegetables, nuts, and olive oil, with moderate intakes of fish, chicken, and meat.

The Mediterranean diet can suppress inflammation, improve lung function, and reduce the risk factors for respiratory infections.

Avoid Zinc Deficiency

In preclinical research, zinc deficiency caused a drop in IL-4 and IL-13 [R, R].

Zinc is crucial for good immune defense. Even a mild deficiency can impair immune function and increase the risk of bacterial, viral, and parasitic infections [R, R].

In malnourished infants and children, zinc administration reduced the duration, severity, and incidence of respiratory infections [R, R, R].

Zinc may help improve health outcomes in severe forms of pneumonia. Zinc deficiency, which is common in older people, reduces immune defense and increases the risk of walking pneumonia and other respiratory infections [R, R, R, R].

In a study of 116 people, those who developed ARDS had lower blood zinc levels than both people in the ICU who didn’t develop this complication and healthy volunteers. The same study found that zinc deficiency stimulated the development of lung injuries due to mechanical ventilation in mice [R].

Zinc-rich foods include seafood (especially oysters), beef, pork, beans, and pumpkin seeds [R, R, R].

Zinc is crucial for a robust immune response. A deficiency can lower IL-13 and increase the risk of respiratory infections.

Avoid Iron Deficiency

According to preliminary research, iron favors type 2 immunity and the production of anti-inflammatory IL-4 and IL-13 cytokines [R, R, R].

A study of over 6,000 children and their mothers associated iron deficiency during pregnancy with a reduced lung function in the offspring [R]. 

Similarly, anemia was associated with an increased incidence of respiratory infections in 2 studies of 500 children [R, R].

In one trial on 22 women, iron deficiency was more common in women with chronic cough. Iron supplementation improved the symptoms [R].

Red meat and liver are good sources of iron. Other iron-rich foods include fish, seafood, pulses, and green leafy vegetables. You can increase iron absorption from plant sources by combining them with large amounts of vitamin C [R, R].

Avoid iron deficiency to maintain optimal levels of IL-13 and prevent respiratory infections.

Supplements

Zinc

Zinc supplementation may cut the duration of respiratory infections in adults. Zinc gluconate or zinc acetate supplements with 9-24 mg of elemental zinc per dose have shown the best results when initiated within the first 24 hours [R, R, R].

If you can’t obtain enough zinc from a balanced diet, consider taking a supplement.

Author photo
Aleksa Ristic
MS (Pharmacy)

Aleksa received his MS in Pharmacy from the University of Belgrade, his master thesis focusing on protein sources in plant-based diets.  

Aleksa is passionate about herbal pharmacy, nutrition, and functional medicine. He found a way to merge his two biggest passions—writing and health—and use them for noble purposes. His mission is to bridge the gap between science and everyday life, helping readers improve their health and feel better.

Disclaimer

The information on this website has not been evaluated by the Food & Drug Administration or any other official medical body. This information is presented for educational purposes only, and may not be used to diagnose or treat any illness or disease.

Also keep in mind that the “Risk Score” presented in this post is based only on a select number of SNPs, and therefore only represents a small portion of your total risk as an individual. Furthermore, these analyses are based primarily on associational studies, which do not necessarily imply causation. Finally, many other (non-genetic) factors can also play a significant role in the development of a disease or health condition — therefore, carrying any of the risk-associated genotypes discussed in this post does not necessarily mean you are at increased risk of developing a major health condition.

Always consult your doctor before acting on any information or recommendations discussed in this post — especially if you are pregnant, nursing, taking medication, or have been officially diagnosed with a medical condition.

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