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Neutralising autoantibodies against IL-10 were initially detected in 2 patients with very early-onset inflammatory bowel disease and subsequently in 3.5% of patients with severe inflammatory bowel disease.

Neutralizing autoantibodies against IL-10 define a rare but clinically very relevant subset of patients with inflammatory bowel disease. An association of the autoantibodoes with the HLA subtype DRB1*01:03 was identified. HLA DRB1*01:03 is the strongest HLA risk factor for ulcerative colitis and Crohn's disease. 

We developed several assays to measure the presence of anti-IL10 autoantibodoes. Those measure the binding of autoantibodies to IL-10 as well as the ability of autoantibodies to block surface area on IL10 (competitive Elisa) as well as functional neutralisation of IL10 signalling in a IL-10-STAT3-reporter assay. 

 

Griffin, et al. NEJM 2026

Gharahdaghi et al. NEJM 2026

 

Protocols *Gharahdaghi et al. NEJM 2026

 

IL10 ELISA Assay Protocol If you use the antibody test please cite 

1. Plate Coating

o Coat the ELISA plate according to the manufacturer's protocol the night

before the experiment.

o Seal the plate securely (e.g., plate sealer) and store it in the refrigerator

(4°C). Ensure the plate is kept free from contamination during storage.

2. Reagent Preparation

o On the day of the experiment, equilibrate all buHers, assay diluent, and

reagents to room temperature (18-25°C) before starting the assay.

o Ensure all reagents have been prepared and are free of particulates.

3. Sample Preparation

o Defrost all serum sample aliquots and ensure a minimum volume of 15 µL

per sample is available for the assay.

o Mix serum samples gently by pipetting to ensure homogeneity. Avoid too

many repeated freeze-thaw cycles as this may degrade the sample

quality.

o

4. Preparation of Anti-IL-10 and Recombinant IL-10

o Anti-IL-10 Antibody (Clone JES3-19F1, 100 µg/mL): Defrost the aliquot.

o Recombinant Human IL-10 (400 ng/mL): Defrost the aliquot and label it

similarly for freeze-thaw tracking.

*Note: for all samples, IL10 and anti-IL10 aliquot, mark the vial with a dot for each

freeze-thaw cycle to track usage.

5. Preparation of Standards

o All standards and cut-oH standards must be prepared in triplicate.

o IL-10 Standard Preparation:

§ Prepare a 500 pg/mL stock: 7.5 µL of 400 ng/mL stock + 5992.5 µL

assay diluent.

§ From the 500 pg/mL stock, prepare subsequent dilutions:

§ 250 pg/mL for standard and as the reference for the all

other wells: Mix 3 mls of 500 pg/mL + 3 mls assay diluent

(depending upon the number of samples). (this reference

should be validated in every new set up)

§ Take 120 ul from 250 pg/ml stock to perform 1:1 serial

dilutions to achieve 125, 62.5, 31.2, and 15.6 pg/mL

standards.

§ For the cut-oH point standard, prepare 77 pg/mL by mixing

77 µL of 500 pg/mL stock + 423 µL assay diluent.

o Anti-IL-10 Standard Preparation:

o Prepare a 625 ng/mL stock: 1 µL of 100 µg/mL + 159 µL assay diluent.

o Perform 1:1 serial dilutions with assay diluent to create 312 ng/mL and

156 ng/mL stocks.§ Follow the table below for final concentrations in the plate:

Final Anti-IL-10

Conc. (ng/mL)

Assay Diluent

(µL)

Recombinant

IL-10 (µL)

Anti-IL-10 Stock (µL)

62.5 

44 

55 

11 (from 625 ng/mL)

31.25 

44 

55 

11 (from 312 ng/mL)

15.6 

44 

55 

11 (from 156 ng/mL)

 

6. Sample and Standard Preparation in V-Bottom Plate

o Use a 96-well V-bottom plate to prepare samples and standards for

transfer to the coated plate.

o For IL-10 standards, add 120 µL of each concentration (prepared in

triplicate) into the V-bottom plate.

o For serum samples:

- Add 55 µL of 250 pg/mL IL-10 to each well.

- Add 11 µL of each serum sample to its corresponding well.

- Top up each well with 44 µL assay diluent using a multi-channel pipette.

- Incubate the plate at room temperature for 1 hour for preincubation.

7. Plate Blocking for Non-Specific Binding

o Wash the coated plate using the company’s recommended washing

buHer.

o Add 100 µL of assay diluent to each well to block non-specific binding.

o Incubate the plate on a shaker for 1 hour at room temperature.

8. Sample and Standard Transfer

o After blocking, wash the coated plate as per the company’s instructions.

o Transfer the prepared standards and serum samples from the V-bottom

plate to the coated plate.

9. Follow Manufacturer's Protocol

o Follow the manufacturer’s instructions for the remaining steps, including

incubation times, washing steps, and reagent additions.