Serum inflammatory cytokine levels correlate with hand-foot-mouth disease severity: a nested serial case-control study
Hand-food-mouth disease (HFMD) cases can be fatal. These cases develop rapidly, and it is important to predict the severity of HFMD from mild to fatal and to identify risk factors for mild HFMD. The objective of this study was to correlate the levels of serum inflammatory cytokines with HFMD severit...
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creator | Duan, Guangcai Yang, Haiyan Shi, Lubin Sun, Wumei Sui, Meili Zhang, Rongguang Wang, Xinhong Wang, Fang Zhang, Weidong Xi, Yuanlin Fan, Qingtang |
description | Hand-food-mouth disease (HFMD) cases can be fatal. These cases develop rapidly, and it is important to predict the severity of HFMD from mild to fatal and to identify risk factors for mild HFMD. The objective of this study was to correlate the levels of serum inflammatory cytokines with HFMD severity.
This study was designed as a nested serial case-control study. The data collected included general information, clinical symptoms and signs, laboratory findings and serum cytokine levels.
The levels of IL-4, IL-6, IL-10, TNF-α and IFN-γ in patients with severe HFMD were significantly higher than in mild patients during the 2nd to 5th day after disease onset. The levels of IL-4, IL-6, IL-10 and IFN-γ increased from the 2nd day to the 4th day and later decreased. The levels of TNF-α were high on the first two days and subsequently decreased. The changes of IL-10, TNF-α and IFN-γ in the controls were similar for all cases. The levels of IL-4, IL-6 and IL-17 in the controls were not significantly different with the progression of HFMD.
Our findings indicate that the IL-4, IL-6, IL-10, TNF-α and IFN-γ levels correlate with HFMD severity. |
doi_str_mv | 10.1371/journal.pone.0112676 |
format | Article |
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This study was designed as a nested serial case-control study. The data collected included general information, clinical symptoms and signs, laboratory findings and serum cytokine levels.
The levels of IL-4, IL-6, IL-10, TNF-α and IFN-γ in patients with severe HFMD were significantly higher than in mild patients during the 2nd to 5th day after disease onset. The levels of IL-4, IL-6, IL-10 and IFN-γ increased from the 2nd day to the 4th day and later decreased. The levels of TNF-α were high on the first two days and subsequently decreased. The changes of IL-10, TNF-α and IFN-γ in the controls were similar for all cases. The levels of IL-4, IL-6 and IL-17 in the controls were not significantly different with the progression of HFMD.
Our findings indicate that the IL-4, IL-6, IL-10, TNF-α and IFN-γ levels correlate with HFMD severity.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0112676</identifier><identifier>PMID: 25391156</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Antigens ; Biology and Life Sciences ; Biomarkers - blood ; Case-Control Studies ; Child, Preschool ; Children & youth ; Correlation analysis ; Coxsackievirus infections ; Cytokines ; Cytokines - blood ; Disease control ; Edema ; Encephalitis ; Epidemiology ; Female ; Hand, Foot and Mouth Disease - blood ; Hand, Foot and Mouth Disease - diagnosis ; Hospitals ; Humans ; Infant ; Inflammation ; Interferon ; Interleukin 10 ; Interleukin 17 ; Interleukin 4 ; Interleukin 6 ; Laboratories ; Male ; Medical research ; Medicine and health sciences ; Meningitis ; Nervous system ; Patients ; Prognosis ; Public health ; Risk analysis ; Risk factors ; Severity of Illness Index ; Tumor necrosis factor ; Tumor necrosis factor-TNF ; Tumor necrosis factor-α ; γ-Interferon</subject><ispartof>PloS one, 2014-11, Vol.9 (11), p.e112676-e112676</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Duan et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Duan et al 2014 Duan et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-6e4ad3b27983796538d6f4b6cfa1ac96e5b0fe9db67558d7e0803acfe6b5cf3f3</citedby><cites>FETCH-LOGICAL-c692t-6e4ad3b27983796538d6f4b6cfa1ac96e5b0fe9db67558d7e0803acfe6b5cf3f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4229228/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4229228/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25391156$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Ng, Lisa F. P.</contributor><creatorcontrib>Duan, Guangcai</creatorcontrib><creatorcontrib>Yang, Haiyan</creatorcontrib><creatorcontrib>Shi, Lubin</creatorcontrib><creatorcontrib>Sun, Wumei</creatorcontrib><creatorcontrib>Sui, Meili</creatorcontrib><creatorcontrib>Zhang, Rongguang</creatorcontrib><creatorcontrib>Wang, Xinhong</creatorcontrib><creatorcontrib>Wang, Fang</creatorcontrib><creatorcontrib>Zhang, Weidong</creatorcontrib><creatorcontrib>Xi, Yuanlin</creatorcontrib><creatorcontrib>Fan, Qingtang</creatorcontrib><title>Serum inflammatory cytokine levels correlate with hand-foot-mouth disease severity: a nested serial case-control study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Hand-food-mouth disease (HFMD) cases can be fatal. These cases develop rapidly, and it is important to predict the severity of HFMD from mild to fatal and to identify risk factors for mild HFMD. The objective of this study was to correlate the levels of serum inflammatory cytokines with HFMD severity.
This study was designed as a nested serial case-control study. The data collected included general information, clinical symptoms and signs, laboratory findings and serum cytokine levels.
The levels of IL-4, IL-6, IL-10, TNF-α and IFN-γ in patients with severe HFMD were significantly higher than in mild patients during the 2nd to 5th day after disease onset. The levels of IL-4, IL-6, IL-10 and IFN-γ increased from the 2nd day to the 4th day and later decreased. The levels of TNF-α were high on the first two days and subsequently decreased. The changes of IL-10, TNF-α and IFN-γ in the controls were similar for all cases. The levels of IL-4, IL-6 and IL-17 in the controls were not significantly different with the progression of HFMD.
Our findings indicate that the IL-4, IL-6, IL-10, TNF-α and IFN-γ levels correlate with HFMD severity.</description><subject>Antigens</subject><subject>Biology and Life Sciences</subject><subject>Biomarkers - blood</subject><subject>Case-Control Studies</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>Correlation analysis</subject><subject>Coxsackievirus infections</subject><subject>Cytokines</subject><subject>Cytokines - blood</subject><subject>Disease control</subject><subject>Edema</subject><subject>Encephalitis</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Hand, Foot and Mouth Disease - blood</subject><subject>Hand, Foot and Mouth Disease - diagnosis</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Inflammation</subject><subject>Interferon</subject><subject>Interleukin 10</subject><subject>Interleukin 17</subject><subject>Interleukin 4</subject><subject>Interleukin 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inflammatory cytokine levels correlate with hand-foot-mouth disease severity: a nested serial case-control study</title><author>Duan, Guangcai ; Yang, Haiyan ; Shi, Lubin ; Sun, Wumei ; Sui, Meili ; Zhang, Rongguang ; Wang, Xinhong ; Wang, Fang ; Zhang, Weidong ; Xi, Yuanlin ; Fan, Qingtang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-6e4ad3b27983796538d6f4b6cfa1ac96e5b0fe9db67558d7e0803acfe6b5cf3f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Antigens</topic><topic>Biology and Life Sciences</topic><topic>Biomarkers - blood</topic><topic>Case-Control Studies</topic><topic>Child, Preschool</topic><topic>Children & youth</topic><topic>Correlation analysis</topic><topic>Coxsackievirus infections</topic><topic>Cytokines</topic><topic>Cytokines - blood</topic><topic>Disease control</topic><topic>Edema</topic><topic>Encephalitis</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Hand, Foot and Mouth Disease - blood</topic><topic>Hand, Foot and Mouth Disease - diagnosis</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant</topic><topic>Inflammation</topic><topic>Interferon</topic><topic>Interleukin 10</topic><topic>Interleukin 17</topic><topic>Interleukin 4</topic><topic>Interleukin 6</topic><topic>Laboratories</topic><topic>Male</topic><topic>Medical research</topic><topic>Medicine and health sciences</topic><topic>Meningitis</topic><topic>Nervous system</topic><topic>Patients</topic><topic>Prognosis</topic><topic>Public health</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Severity of Illness Index</topic><topic>Tumor necrosis factor</topic><topic>Tumor necrosis factor-TNF</topic><topic>Tumor necrosis 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P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serum inflammatory cytokine levels correlate with hand-foot-mouth disease severity: a nested serial case-control study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-11-12</date><risdate>2014</risdate><volume>9</volume><issue>11</issue><spage>e112676</spage><epage>e112676</epage><pages>e112676-e112676</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Hand-food-mouth disease (HFMD) cases can be fatal. These cases develop rapidly, and it is important to predict the severity of HFMD from mild to fatal and to identify risk factors for mild HFMD. The objective of this study was to correlate the levels of serum inflammatory cytokines with HFMD severity.
This study was designed as a nested serial case-control study. The data collected included general information, clinical symptoms and signs, laboratory findings and serum cytokine levels.
The levels of IL-4, IL-6, IL-10, TNF-α and IFN-γ in patients with severe HFMD were significantly higher than in mild patients during the 2nd to 5th day after disease onset. The levels of IL-4, IL-6, IL-10 and IFN-γ increased from the 2nd day to the 4th day and later decreased. The levels of TNF-α were high on the first two days and subsequently decreased. The changes of IL-10, TNF-α and IFN-γ in the controls were similar for all cases. The levels of IL-4, IL-6 and IL-17 in the controls were not significantly different with the progression of HFMD.
Our findings indicate that the IL-4, IL-6, IL-10, TNF-α and IFN-γ levels correlate with HFMD severity.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25391156</pmid><doi>10.1371/journal.pone.0112676</doi><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
subjects | Antigens Biology and Life Sciences Biomarkers - blood Case-Control Studies Child, Preschool Children & youth Correlation analysis Coxsackievirus infections Cytokines Cytokines - blood Disease control Edema Encephalitis Epidemiology Female Hand, Foot and Mouth Disease - blood Hand, Foot and Mouth Disease - diagnosis Hospitals Humans Infant Inflammation Interferon Interleukin 10 Interleukin 17 Interleukin 4 Interleukin 6 Laboratories Male Medical research Medicine and health sciences Meningitis Nervous system Patients Prognosis Public health Risk analysis Risk factors Severity of Illness Index Tumor necrosis factor Tumor necrosis factor-TNF Tumor necrosis factor-α γ-Interferon |
title | Serum inflammatory cytokine levels correlate with hand-foot-mouth disease severity: a nested serial case-control study |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T14%3A34%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Serum%20inflammatory%20cytokine%20levels%20correlate%20with%20hand-foot-mouth%20disease%20severity:%20a%20nested%20serial%20case-control%20study&rft.jtitle=PloS%20one&rft.au=Duan,%20Guangcai&rft.date=2014-11-12&rft.volume=9&rft.issue=11&rft.spage=e112676&rft.epage=e112676&rft.pages=e112676-e112676&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0112676&rft_dat=%3Cgale_plos_%3EA418552766%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1623314278&rft_id=info:pmid/25391156&rft_galeid=A418552766&rft_doaj_id=oai_doaj_org_article_9d27d22feba04285a695cafa02669004&rfr_iscdi=true |