IL10 and chronic obstructive pulmonary disease: In this line, it has been shown that ghrelin treatment decreases production of the pro-inflammatory cytokines IL-1, IL-6, and tumour necrosis factor (TNF)-α [47], as well as neutrophil density in sputum from COPD patients [48], and increases levels of anti-inflammatory cytokines, such as IL-10 [10].