“…No effect was noted for TNF-a, 38 however, some studies have shown a dose-dependent reduction in TNF-a by IVIg, which is most pronounced for Fc fragments. 29,30 IVIg selectively increases gene transcription and secretion of IL-1 receptor antagonist (IL-1Ra) and IL-8. 39 Assessment of intracellular cytokine production by mitogenstimulated PBMCs in the presence of IVIg showed no change in IL-2, IL-10, TNF-a and IFN-g, and a reduction in IL-3, IL-4, IL-5, TNF-b and granulocyte±macrophage colony-stimulating factor producing cells.…”