Cytokine levels and profiles in children related to sickle cell disease and asthma status

Atopic asthma in patients with sickle cell disease (SCD) is associated with an increased risk of acute chest syndrome (ACS). Cytokine-mediated inflammation might explain this association. Studies of cytokine profiles in patients with SCD have yielded conflicting data, but the possible influence of a...

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Veröffentlicht in:Journal of interferon & cytokine research 2012-01, Vol.32 (1), p.1-5
Hauptverfasser: Knight-Madden, Jennifer, Vergani, Diego, Patey, Richard, Sylvester, Karl, Hussain, Munther J, Forrester, Terrence, Greenough, Anne
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container_issue 1
container_start_page 1
container_title Journal of interferon & cytokine research
container_volume 32
creator Knight-Madden, Jennifer
Vergani, Diego
Patey, Richard
Sylvester, Karl
Hussain, Munther J
Forrester, Terrence
Greenough, Anne
description Atopic asthma in patients with sickle cell disease (SCD) is associated with an increased risk of acute chest syndrome (ACS). Cytokine-mediated inflammation might explain this association. Studies of cytokine profiles in patients with SCD have yielded conflicting data, but the possible influence of asthma status has not been examined. Our aim was to test the hypothesis that cytokine levels and profiles in SCD children reflected their asthma status. Samples from 155 Jamaican children (80 had SCD) and 64 British children (53 had SCD) who had their asthma status documented were analyzed for the presence and levels of interleukin 4 (IL-4) and interferon (IFN)-γ; they were also classified by their T helper cell (Th) cytokine profile. Jamaican children with SCD, when compared with Jamaican controls, were more likely to be diagnosed with asthma (P=0.001), more likely to be IL-4 positive (P
doi_str_mv 10.1089/jir.2011.0030
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Cytokine-mediated inflammation might explain this association. Studies of cytokine profiles in patients with SCD have yielded conflicting data, but the possible influence of asthma status has not been examined. Our aim was to test the hypothesis that cytokine levels and profiles in SCD children reflected their asthma status. Samples from 155 Jamaican children (80 had SCD) and 64 British children (53 had SCD) who had their asthma status documented were analyzed for the presence and levels of interleukin 4 (IL-4) and interferon (IFN)-γ; they were also classified by their T helper cell (Th) cytokine profile. Jamaican children with SCD, when compared with Jamaican controls, were more likely to be diagnosed with asthma (P=0.001), more likely to be IL-4 positive (P&lt;0.001), and more likely to be classified as having a Th-2 pattern (&lt;0.001). In contrast, British children with SCD, when compared with the British controls, were less likely to have been diagnosed with asthma (P=0.04) and less likely to be classified as having a Th-2 pattern (P=0.006). Regression analysis demonstrated that amongst Jamaican children, SCD status, but not asthma status, ACS history, or gender, was predictive of IL-4 positivity and Th-2 status (P&lt;0.001). In British children, none of those variables were significant predictors of IL-4 positivity or Th status. Cytokine profiles differed between Jamaican and British children. 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subjects Anemia, Sickle Cell - blood
Anemia, Sickle Cell - complications
Anemia, Sickle Cell - immunology
Asthma - blood
Asthma - complications
Asthma - immunology
Child
Child, Preschool
Cytokines - blood
Cytokines - immunology
Humans
Th2 Cells - immunology
title Cytokine levels and profiles in children related to sickle cell disease and asthma status
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