Test Id : CYTH2
T-Helper Cell Type 2 Cytokine Panel, Plasma
Useful For
Suggests clinical disorders or settings where the test may be helpful
Assessment of plasma cytokine levels to understand the etiology of allergic conditions and parasitic infections when used in conjunction with clinical information and other laboratory testing
Method Name
A short description of the method used to perform the test
Bead-Based Multiplex Immunoassay
NY State Available
Indicates the status of NY State approval and if the test is orderable for NY State clients.
Reporting Name
Lists a shorter or abbreviated version of the Published Name for a test
Aliases
Lists additional common names for a test, as an aid in searching
IL-4
IL-5
IL-10
IL-13
Interleukin 4
Interleukin 5
Interleukin 10
Interleukin 13
TH2
Specimen Type
Describes the specimen type validated for testing
Plasma EDTA
Specimen Required
Defines the optimal specimen required to perform the test and the preferred volume to complete testing
Supplies: Sarstedt Aliquot Tube, 5 mL (T914)
Collection Container/Tube: Lavender top (EDTA)
Submission Container/Tube: Plastic vial
Specimen Volume: 0.5 mL
Collection Instructions:
1. Immediately after specimen collection, place the tube on wet ice.
2. Within 2 hours of collection, centrifuge at 4 degrees C, 1500 x g for 10 minutes and aliquot plasma into a plastic vial.
3. Freeze immediately.
Additional Information:
1. Plasma for this test cannot be shared with other tests. Submit specimen for this test in its own vial.
2. This test cannot be added onto a previously collected specimen.
Specimen Minimum Volume
Defines the amount of sample necessary to provide a clinically relevant result as determined by the testing laboratory. The minimum volume is sufficient for one attempt at testing.
0.3 mL
Reject Due To
Identifies specimen types and conditions that may cause the specimen to be rejected
| Gross hemolysis | Reject |
| Gross lipemia | Reject |
| Gross icterus | Reject |
| Heat-treated specimen | Reject |
Specimen Stability Information
Provides a description of the temperatures required to transport a specimen to the performing laboratory, alternate acceptable temperatures are also included
| Specimen Type | Temperature | Time | Special Container |
|---|---|---|---|
| Plasma EDTA | Frozen | 21 days |
Useful For
Suggests clinical disorders or settings where the test may be helpful
Assessment of plasma cytokine levels to understand the etiology of allergic conditions and parasitic infections when used in conjunction with clinical information and other laboratory testing
Clinical Information
Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test
Cytokines are important mediators of cell-to-cell communication within the innate and adaptive immune systems. The expression of most cytokines is highly regulated and generally occurs in response to foreign or self-antigenic stimulation. The functions of cytokines are extremely varied, with many cytokines also displaying pleiotropic effects, depending on their cellular target. As a group, cytokines and their receptors represent a highly complex and critical regulator of a normal immune response.
Interleukin (IL)-4, IL-5 and IL-13 form a cytokine gene cluster on chromosome 5q and are coordinately regulated during Th2 cell differentiation.(1) Monitoring circulating concentrations of these cytokines can therefore aid in evaluating conditions associated with Th2 cell activation, such as allergic diseases and parasitic infection. IL-4 promotes the differentiation of naïve T cells into Th2 cells and is essential for IgE class switching, a hall mark of allergic sensitization.(2) IL-5 is a potent activator of eosinophils and a key regulator of their growth, differentiation, and survival. It is a key driver of eosinophilic asthma, and several biologic therapies targeting IL-5 have been approved for its treatment.(3) IL-13 is secreted primarily by Th2 cells and promotes B-cell maturation, IgE class switching, and modulates macrophage activity. Its central role in the pathogenesis of several atopic diseases has led to the development of targeted therapies, some of which are now approved for the management of atopic dermatitis.(4) Finally, IL-10 is a potent anti-inflammatory cytokine which acts on Th2 cells to limit immune response to pathogens, thereby preventing host tissue damage.
Reference Values
Describes reference intervals and additional information for interpretation of test results. May include intervals based on age and sex when appropriate. Intervals are Mayo-derived, unless otherwise designated. If an interpretive report is provided, the reference value field will state this.
IL-4:
<18 years: Not established
> or =18 years: <100 pg/mL
IL-5:
<18 years: Not established
> or =18 years: <20.0 pg/mL
IL-10:
<18 years: Not established
> or =18 years: <7.0 pg/mL
IL-13:
<18 years: Not established
> or =18 years: <700 pg/mL
Interpretation
Provides information to assist in interpretation of the test results
Elevated cytokine concentrations could be consistent with the presence of allergic conditions or parasitic infections.
Cautions
Discusses conditions that may cause diagnostic confusion, including improper specimen collection and handling, inappropriate test selection, and interfering substances
Results from cytokine testing should not be used to establish or exclude a specific diagnosis.
Cytokine testing should only be used in conjunction with clinical information and other laboratory testing as part of a patient's overall assessment.
Normal concentrations of cytokines do not exclude the possibility of parasitic infection or allergic condition.
Cytokine concentrations could be affected by immunomodulatory agents.
Clinical Reference
Recommendations for in-depth reading of a clinical nature
1. Cousins DJ, Lee TH, Staynov DZ. Cytokine coexpression during human Th1/Th2 cell differentiation: direct evidence for coordinated expression of Th2 cytokines. J Immunol. 2002;169(5):2498-2506
2. Junttila IS. Tuning the Cytokine Responses: An Update on Interleukin (IL)-4 and IL-13 Receptor Complexes. Front Immunol. 2018;9:888. doi:10.3389/fimmu.2018.00888
3. Jackson DJ, Wechsler ME, Brusselle G, Buhl R. Targeting the IL-5 pathway in eosinophilic asthma: A comparison of anti-IL-5 versus anti-IL-5 receptor agents. Allergy. 2024;79(11):2943-2952
4. Simpson EL, Guttman-Yassky E, Eichenfield LF, et al. Tralokinumab therapy for moderate-to-severe atopic dermatitis: Clinical outcomes with targeted IL-13 inhibition. Allergy. 2023;78(11):2875-2891
5. Hirahara K, Aoki A, Nakayama T. Pathogenic helper T cells. Allergol Int. 2021;70(2):169-173. doi:10.1016/j.alit.2021.02.001
6. Li KP, Shanmuganad S, Carroll K, Katz JD, Jordan MB, Hildeman DA. Dying to protect: cell death and the control of T-cell homeostasis. Immunol Rev. 2017;277(1):21-43. doi:10.1111/imr.12538
Method Description
Describes how the test is performed and provides a method-specific reference
Measurement of plasma cytokine levels is performed using a laboratory-developed immunoassay.(Unpublished Mayo method)
PDF Report
Indicates whether the report includes an additional document with charts, images or other enriched information
Day(s) Performed
Outlines the days the test is performed. This field reflects the day that the sample must be in the testing laboratory to begin the testing process and includes any specimen preparation and processing time before the test is performed. Some tests are listed as continuously performed, which means that assays are performed multiple times during the day.
Wednesday
Report Available
The interval of time (receipt of sample at Mayo Clinic Laboratories to results available) taking into account standard setup days and weekends. The first day is the time that it typically takes for a result to be available. The last day is the time it might take, accounting for any necessary repeated testing.
Specimen Retention Time
Outlines the length of time after testing that a specimen is kept in the laboratory before it is discarded
Performing Laboratory Location
Indicates the location of the laboratory that performs the test
Fees :
Several factors determine the fee charged to perform a test. Contact your U.S. or International Regional Manager for information about establishing a fee schedule or to learn more about resources to optimize test selection.
- Authorized users can sign in to Test Prices for detailed fee information.
- Clients without access to Test Prices can contact Customer Service 24 hours a day, seven days a week.
- Prospective clients should contact their account representative. For assistance, contact Customer Service.
Test Classification
Provides information regarding the medical device classification for laboratory test kits and reagents. Tests may be classified as cleared or approved by the US Food and Drug Administration (FDA) and used per manufacturer instructions, or as products that do not undergo full FDA review and approval, and are then labeled as an Analyte Specific Reagent (ASR) product.
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.
CPT Code Information
Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Clinic Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.
CPT codes are provided by the performing laboratory.
CPT codes are provided by the performing laboratory.
83520 x4
LOINC® Information
Provides guidance in determining the Logical Observation Identifiers Names and Codes (LOINC) values for the order and results codes of this test. LOINC values are provided by the performing laboratory.
| Test Id | Test Order Name | Order LOINC Value |
|---|---|---|
| CYTH2 | Th2 Cytokine Panel, P | 82335-1 |
| Result Id | Test Result Name |
Result LOINC Value
Applies only to results expressed in units of measure originally reported by the performing laboratory. These values do not apply to results that are converted to other units of measure.
|
|---|---|---|
| 622931 | IL-4 | 27161-9 |
| 622933 | IL-5 | 33938-2 |
| 622930 | IL-10 | 26848-2 |
| 622932 | IL-13 | 33822-8 |