“…It has been reported that IL-18 can be produced by multiple cell types, such as dendritic cells, keratinocytes, intestinal epithelial cells, Kupffer cells, activated monocytes/macrophages, adrenal cortex cells, articular chondrocytes, osteoblast and synovioblast (Okamura et al, 1995b;Kim et al, 2009;Sekiyama et al, 2006). Additionally, IL-18 is a pleiotropic factor and has various biological roles beyond that of inducing IFNγ, such as enhancing natural killer cell cytotoxicity, up-regulating intercellular adhesion molecules, and augmenting the production of GM-CSF, and stimulating the proliferation of activated T cells and the differentiation of T helper type 1 cells (Okamura et al, 1995b;Ushio et al, 1996;Raué et al, 2013).…”