Persistent high plasma levels of interleukins 18 and 4 in children with recurrent infections of the upper respiratory tract

The aim of this study was to examine whether children with recurrent infections of the upper respiratory tract might have alterations in the systemic immune response to viral infections as compared with healthy control children. We quantitated plasma levels of interferon-γ, interleukin-12, interleuk...

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Veröffentlicht in:Transplantation proceedings 2003-12, Vol.35 (8), p.2911-2915
Hauptverfasser: Volti, G.Li, Malaponte, G, Bevelacqua, V, Messina, A, Bianca, S, Mazzarino, M.C, Li Volti, S
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container_end_page 2915
container_issue 8
container_start_page 2911
container_title Transplantation proceedings
container_volume 35
creator Volti, G.Li
Malaponte, G
Bevelacqua, V
Messina, A
Bianca, S
Mazzarino, M.C
Li Volti, S
description The aim of this study was to examine whether children with recurrent infections of the upper respiratory tract might have alterations in the systemic immune response to viral infections as compared with healthy control children. We quantitated plasma levels of interferon-γ, interleukin-12, interleukin-18, interleukin-4, lymphocyte subpopulations, serum immunoglobulins, and subclasses of immunoglobulin G in 30 children under the age of 6 years with recurrent infections of the upper respiratory tract, both during the acute phase of the infection and 4 weeks later, when clinical symptoms had resolved, as well as in 20 normal controls. We found elevated levels of immunoglobulin G primarily due to increased levels of immunoglobulin G 1. Moreover, significantly higher levels of interleukin-18 and interleukin-4 were noted during the acute phase of infection among children with an increased incidence of respiratory infections as compared with the controls ( P = .022 and P = .0001, respectively), while plasma levels of interferon-γ and interleukin-12 were significantly lower ( P = .034 and P = .0001, respectively) than in controls. We suggest that an imbalance between T-cell helper type-1 and T-cell helper type-2 immune responses might be responsible for the perpetuation of recurrent infections of the upper respiratory tract.
doi_str_mv 10.1016/j.transproceed.2003.10.024
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subjects Biological and medical sciences
Child, Preschool
Female
Human viral diseases
Humans
Immunoglobulin G - blood
Immunoglobulin G - classification
Immunoglobulin Idiotypes - immunology
Immunoglobulins - blood
Infectious diseases
Interleukin-18 - blood
Interleukin-4 - blood
Lymphocyte Subsets - immunology
Male
Medical sciences
Recurrence
Reference Values
Respiratory Tract Infections - blood
Respiratory Tract Infections - immunology
Viral diseases
Viral diseases of the respiratory system and ent viral diseases
title Persistent high plasma levels of interleukins 18 and 4 in children with recurrent infections of the upper respiratory tract
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