respiratory health
immunity & infections
IL2

Can This Gene Protect Against Respiratory Infections? (IL2)

Written by Biljana Novkovic, PhD on April 18th, 2020
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Can genetics make you more susceptible to respiratory infections? Studies of IL2 suggest so. How does an IL2 variant affect your immune response? Read on to learn more.

What is IL2?

IL2 is a gene that encodes interleukin 2 (IL-2), which is a type of cytokine. Cytokines are signaling molecules of the immune system. IL-2, in particular, plays many important and seemingly opposing roles in the immune system. 

On one hand, IL-2 boosts the immune response and helps fight infections by increasing the production of memory T cells. Memory T cells remember particular microbes and help the immune system mount a faster and stronger response when exposed to these microbes again. In addition, IL-2 also promotes the action of NK (natural killer) cells, which destroy cells that have been infected by viruses [R, R, R].

On the other hand, IL-2 is also important for subduing the immune response to prevent autoimmunity.  Scientists found that animals which lack IL-2 develop serious autoimmune diseases. They also found that IL-2 does this by increasing Tregs (regulatory T cells) and decreasing the production of highly inflammatory Th17 [R, R, R].

IL-2 is a signaling molecule that helps balance the immune system. It can both boost the immune system to help the body fight off infections, or help subdue the immune system to prevent autoimmunity and excessive inflammation.

IL2 and Respiratory Infections

One US study looked into the DNA of 500 people in nursing homes. They found that those who had the ‘CC’ genotype of rs2069762, a SNP in IL-2, had a lower incidence of respiratory infections and common colds compared with people who had ‘AA’ or ‘AC’ genotypes [R].

In another smaller German study, people with the ‘AC’ genotype had a higher incidence of self-reported common colds than did subjects with either ‘AA’ or the ‘CC’ genotype [R].

However, it’s important to note that the opposite has been found for tuberculosis. Two meta-analyses suggest that the ‘AA’ genotype may be protective against tuberculosis in Asians, but not in Whites [R, R].

One variant in the IL-2 gene has been associated with a lower risk of getting upper respiratory infections and common cold. However, this variant has been linked to a higher risk of developing tuberculosis.

How This Works

How does having an ‘A’ or ‘C’ allele of rs2069762 affect a person’s immune system? 

One hint comes from a Danish study of 235 families. They found that the ‘A’ allele was more common in people with allergies, suggesting that this allele may skew the Th1/Th2 balance towards Th2 (a skewed immune response commonly seen in allergies) [R].

Firstly, IL-2 is considered a Th1 cytokine. Therefore, it’s possible that the ‘A’ allele decreases IL-2 production and thereby shifts the Th1/Th2-balance towards Th2 [R].

We also know that Th1 immune response and IL-2 are important for fighting viruses [R, R]. A study in mice found that increasing IL-2 boosted the antiviral response and was associated with much lower viral levels in the lungs [R].

That is how a variant that decreases IL-2 and thereby the Th1 response, in this case the ‘A’ allele, would increase susceptibility to respiratory infections .

Do we know for certain that the ‘A’ variant decreases IL-2 production? Two studies do suggest that white blood cells of people with ‘CC’ genotypes may make two to three times as much IL-2 protein as cells of people with ‘AA’ or ‘AC’ genotypes [R, R]. 

However, one of these studies suggest that what happens in the body may differ to what happens in isolated cells. In other words, there is a possibility that ‘CC’ is actually associated with lower IL-2 levels [R].  At this point, we need more research to know for sure.

Finally, there are some studies that suggest that low levels of IL-2 boost the immune system by being pro-inflammatory, while higher levels act as anti-inflammatory [R, R, R]. More research is needed to support this.

The ‘A’ allele of the rs2069762 variant may skew the Th1/Th2 balance towards Th2, thereby lowering the body’s defence against viruses. 

Your IL2 Results for Respiratory Infections

SNP Table

variant genotype frequency risk allele
rs2069762

 

SNP Summary and Table

IL2 rs2069762

  • ‘A’ = more common allele, linked to higher susceptibility to respiratory infections
  • ‘C’ = less common allele, linked to lower susceptibility to respiratory infections

About 90% of people worldwide carry either the ‘AA’ or the ‘AC’ genotype, while 10% of people carry the ‘CC’ genotype. The ‘CC’ genotype is more frequent in South Asia, where 24% of people have it.

 

 

Recommendations

Lifestyle

Exercise

A study in 10 elite Taekwondo athletes suggests that exercise may increase IL-2 levels [R].

We know that exercise and physical fitness improve the immune response and reduce rates of illness [R].

Moderate to vigorous exercise improved the immune function of the respiratory tract (measured as higher production of IgA antibodies, which fight off respiratory infections) and reduced the incidence of upper respiratory tract infections in several studies [R, R, R, R, R].

However, for the purposes of immunity and preventing infections, it’s important to stay within your comfort zone; periods of intense physical training have been linked to windows of reduced immunity that predispose to upper respiratory tract infections [R, R].

Indeed, strenuous exercise reduced IgA production and increased the incidence of upper respiratory tract infections in multiple studies [R, R, R, R, R, R, R, R, R, R, R, R]. 

One study, for example, found increased production of IL-2, together with anti-inflammatory cytokines IL-4, and IL-10 after intense exercise, which could partly explain the increased rate of infections [R].

This is in line with the theory that low/moderate levels of IL-2 may boost the immune response but high levels act to suppress it [R, R, R].

In simple terms, getting and staying physically fit but not overtaxing yourself could help improve defenses against infections [R].

Moderate exercise helps boost the immune system and this may partially be due to an increase in IL-2. However, both strenuous exercise and higher IL-2 levels may suppress the immune response in excess. 

Getting Enough Sleep

Human studies suggest that IL-2 is produced during sleep and that sleep deprivation decreases the production of IL-2 and NK cells, which are important for combating viral infections [R].

Sleep deprivation, disrupted circadian rhythms, and insomnia are well-known triggers of poor immune function and increased susceptibility to infections, including those of the respiratory tract [R, R].

Two studies on over 1,300 people associated suboptimal sleeping with an increased incidence of respiratory tract infections [R, R]. 

Try to go to sleep at the same time each night and sleep for eight hours whenever possible to help with the prevention and recovery of respiratory infections [R, R].

Sleep is important for IL-2 production. Studies suggest that sleep deprivation may decrease IL-2 levels.

Diet

Zinc

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].

Studies in cells show that zinc enhances the effect of IL-2 on immune cells and also increases the production of IL-2 by immune cells [R].

Humans with mild zinc deficiency have lower IL-2 levels and they have lower levels of immune cells needed to combat viral infections. Supplementing immune cells with zinc boosts IL-2 production in laboratory [R].

Zinc supplementation was shown to improve the immune response and increase IL-2 production in pigs [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 infections [R, R, R, R].

According to some estimates, zinc deficiency contributes to about 16% of lower respiratory infections [R].

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

Studies suggest that zinc is important for both IL-2 production and IL-2 function. People with mild zinc deficiency tend to have lower IL-2 levels and may have a higher risk of respiratory infections.

Garlic

In cell studies, garlic and its compound allicin boost the immune response by increasing IL-2 production [R, R, R]. Clinical studies are needed to confirm this effect in humans.

In a study of 120 people, aged garlic extract reduced the severity of colds and the flu. It increased the number of immune cells (T cells and NK cells), thus boosting the immune system while lowering inflammatory proteins (cytokines) [R, R].

Another clinical trial on 146 healthy volunteers found that taking an allicin-containing garlic supplement every day helped prevent the common cold and reduce its duration [R].

The latest analysis, however, failed to find any other studies with good quality. Overall, the evidence is insufficient to claim that garlic can prevent or fight the cold and flu [R].

In one study on 52 healthy volunteers, garlic powder extract with a cellulose-containing nose spray (Nasaleze Travel) prevented airborne infections better than the spray alone [R].

However, garlic extract had little or no effect in a clinical trial on 26 people with a bacterial lung infection [R].

Importantly, have in mind that cooked garlic is less potent than raw garlic because its main active compound (allicin) is broken down by heat [R, R, R]. 

Cell studies suggest that garlic helps boost the immune response by increasing IL-2 levels. Clinical studies are needed to confirm this in humans.

Supplements

Licorice Root

Licorice root may enhance antiviral immunity by boosting IL-2 and IFN-gamma. In test tubes, it has shown promising effects against different respiratory viruses [R, R, RR].

In a trial of 28 patients, maoto (an herbal product that contains licorice root) was as effective as antiviral drugs for treating flu symptoms and reducing viral activity [R].

A study of 46 children with respiratory tract infections found that an herbal mixture containing licorice root may be able to reduce coughing and awakenings during the night [R].

According to another study of 70 patients with a chronic cough, licorice pastille (a type of candy) was able to significantly reduce coughing compared to placebo [R].

Licorice root may enhance antiviral immunity by boosting IL-2 and help prevent respiratory infections.

Asian Ginseng

In mouse studies, ginseng enhances both innate and adaptive immunity and these effects include an increase in IL-2 production [R, R].

Ginseng also helped increase IL-2 levels in a study with 97 lung cancer patients [R].

In a trial of 227 people, those who took 100 mg of a ginseng extract (G115) were less likely to catch a cold or flu. The ginseng group also had higher levels of NK cell activity [R].

In another trial on 100 people, Korean red ginseng reduced the incidence and severity of upper respiratory infections [R].

In mice, Asian ginseng, its fermented extracts, and compounds (saponins and polysaccharides) increased survival after infection with different influenza viruses [R, R, R, R, R] and enhanced the effectiveness of the vaccines against them [R, R, R].

Small-scale human and animal studies suggest that ginseng enhances immunity by increasing IL-2 levels.

Author photo
Biljana Novkovic
PhD

Biljana received her PhD in Ecological Genetics from Hokkaido University.

Before joining SelfHacked, she was a research scientist with extensive field and laboratory experience. She spent 4 years reviewing the scientific literature on supplements, lab tests and other areas of health sciences. She is passionate about releasing the most accurate science & health information available on topics, and she's meticulous when writing and reviewing articles to make sure the science is sound. She believes that SelfHacked has the best science that is also layperson-friendly on the web.

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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