respiratory health

The Genetic Link Between Inflammation and Lung Failure (IL8)

Written by Aleksa Ristic, MS (Pharmacy) on April 8th, 2020
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The IL8 gene codes for interleukin 8, a pro-inflammatory cytokine that may contribute to excessive inflammation. Read on to learn how one variant in this gene correlates with acute lung failure (ARDS).

Interleukin 8 in Airway Inflammation

Interleukin 8 (IL-8) is a potent inflammatory protein or cytokine. It acts as a signal to attract white blood cells at sites of infection, especially in the lungs. The IL8 (CXCL8) gene codes for IL-8 and thus contributes to airway inflammation [R, R].

IL-8 plays a role in viral respiratory infections, cancer, and a range of inflammatory conditions [R, R, R].

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].

The Role of IL-8

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].

IL-8 is a central cytokine in ARDS development. ARDS patients have much higher IL-8 levels in the blood and lungs, which correlate with disease progression and mortality [R, R, R].

ARDS occurs due to excessive release of cytokines, especially IL-8, in the lungs.

IL8 Variant and ARDS

In a study of 1,200 patients, one SNP in the IL8 gene had a significant impact on ARDS development and progression. People with the “AA” genotype at rs4073 were more likely to develop ARDS and remain on mechanical ventilation in the first two weeks [R].

A small trial of 97 patients analyzed this genetic effect and came to the same conclusion [R].

Among 750 patients with widespread inflammation, those with rs4073-A had more severe forms of acute liver injury (ALI) and required mechanical ventilation more frequently. However, the association was weak and inconsistent [R].

This genetic variant may not impact ARDS development in children, according to a study of 549 participants [R].

Note: You may come across a resource that attributes the above effects to the "T" allele or "TT" genotype. Unlike SelfDecode, others may report on a negative DNA strand, where "A" becomes "T" and vice versa.

The “AA” genotype at rs4073 may be associated with ARDS development and severity.

How It Works

As mentioned earlier, excess IL-8 levels are one of the culprits behind a “cytokine storm” and ARDS.

Multiple studies have found that the “AA” genotype at rs4073 increases IL-8 expression in white blood cells, which might contribute to ARDS development [R, R, R].

Your IL8 Results for Respiratory Complications

SNP Table

variant genotype frequency risk allele
rs4073

 

SNP Summary and Table

Primary SNP:

IL8 rs4073

  • ‘A’ = associated with increased rates and severity of lung failure
  • ‘T’ = not associated with lung failure rates or severity

Population Frequency: Around 18% of European, 16% of East-Asian, and 71% of African descendants carry the problematic “AA” genotype.

 

 

Recommendations

Lifestyle

Sleep deprivation and a disrupted circadian rhythm can wreak havoc on the immune system and promote inflammation. In one study, people who worked 24-hour shifts had significantly higher IL-8 levels [R, R, R, R].

Rest is crucial both for preventing respiratory infections and for recovery if you are sick. Try to maintain proper sleep hygiene to boost your immunity and ward off harmful microbes [R, R, R, R].

Diet

Eat More Garlic

Different garlic components may reduce oxidative stress and lower the levels of IL-8 and other pro-inflammatory cytokines [R]. 

In test tubes, garlic extract was active against several viruses that cause respiratory infections [R, R].

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) while lowering inflammatory cytokines [R].

In another clinical trial of 146 healthy volunteers, an allicin-containing garlic supplement helped prevent the common cold and reduce its duration [R].

Garlic may reduce IL-8, strengthen the immune response, and help prevent respiratory infections. 

Avoid Selenium Deficiency

Selenium blocks the activation of NF-kB, the key controller of inflammation in the body. As a result, fewer inflammatory substances are released into the bloodstream, including IL-8 [R, R].

Selenium deficiency impairs immune function, while supplementation stimulates the immune system, even in people who are not deficient. Lymphocytes of people who supplemented with selenium (200 µg/day) were more efficient at destroying pathogens and tumor cells [R].

Lack of selenium can set off the immune system and cause even harmless viral infections to progress and become dangerous. Scientists have observed this phenomenon for different viruses [R, R, R, R, R].

A study of 40 people linked selenium deficiency with flu infection and pneumonia. In a clinical trial on 75 children with lower respiratory diseases caused by the respiratory syncytial virus (RSV), selenium supplementation promoted a faster recovery [R, R].

It’s fairly easy to meet your daily selenium requirements (50 mcg/day) through diet by eating more fish, seeds, and Brazil nuts [R].

Selenium can reduce IL-8 and other inflammatory cytokines. Getting enough selenium from Brazil nuts, fish, and seeds will help boost your immunity and prevent viral infections.

Supplements

Astragalus

Polysaccharides are active compounds in astragalus, responsible for its antiviral and anti-inflammatory effects. They can reduce inflammatory cytokines like TNF-α, IL-6, and IL-8 [R, R, R, R].

According to animal and cell studies, astragalus may inhibit different respiratory viruses, which affect the sinuses, throat, airways, or lungs [R, R, R, R].

Astragalus may help improve lung function, primarily by reducing airway inflammation and protecting against tissue damage [R, R].

In a meta-analysis of 9 trials and 660 patients with chronic lung disease (COPD), an herbal mixture with astragalus was able to reduce the symptoms and improve lung function. The evidence for other respiratory conditions is inconclusive [R].

Astragalus can reduce IL8-mediated inflammation, help prevent respiratory infections, and improve lung function in COPD patients.

Echinacea

In mice infected with the influenza virus, echinacea extract reduced IL-8 and IL-10 levels in the lungs. Another echinacea extract (Echinaforce) reversed the production of IL-8 and different cytokines caused by infection with multiple viruses [R, R].

People take echinacea to promote overall immune function and reduce inflammation. A study of 282 patients pointed out that echinacea is most effective at the beginning of a cold [R, R].

According to most studies, echinacea extracts may also help prevent colds, shorten their duration, and reduce painkiller use [R, R].

A meta-analysis found that echinacea reduces the risk of recurrent respiratory tract infections and their complications [R].

Echinacea may lower airway inflammation, partly by inhibiting IL-8. It supports the immune response to microbes and may help with different respiratory infections.

Curcumin

Curcumin supplementation lowered IL-8 (and other inflammatory markers) in multiple trials on people with different inflammatory conditions [R, R, R, R, R].

In mice with acute lung injury caused by severe bacterial infections, curcumin (either injected, as a nose spray, or directly delivered into the lungs) prevented its progression to ARDS by reducing lung inflammation, swelling, and damage [R, R, R, R, R].

A recent study in mice suggested that curcumin protects from ARDS in part by promoting the development of anti-inflammatory Tregs [R]. 

Curcumin also reduced lung damage and inflammation caused by air pollution, different chemicals, diabetes, and lung transplantation in animal studies [R, R, R, R, R, R, R, R].

Curcumin may lower lung inflammation by blocking IL-8 and potentially help prevent acute lung failure.

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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