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Pro-inflammatory cytokines in Turkish children with protein-energy malnutrition
Haluk Dülger1, Mehmet Arik, M Ramazan Sekeroğlu
1Department of Biochemistry, School of Medicine, University of Yüzüncü Yil, Tip Fakültesi, Biyokimya Anabilim Dali, Maras Caddesi, 65300 Van, Turkey. halukdulger@yahoo.com
Insights
Children with protein-energy malnutrition (PEM) show increased inflammatory responses. Interleukin-6 levels were higher in malnourished children, indicating immune system changes associated with PEM.
Area of Science:
- Pediatric Nutrition
- Immunology
- Biochemistry
Background:
- Protein-energy malnutrition (PEM) stems from nutritional deficiencies, impacting children's immune systems and increasing infection susceptibility.
- Cytokine alterations in the immune system are potential indicators of PEM-related disorders.
Purpose of the Study:
- To quantify pro-inflammatory cytokine concentrations in children diagnosed with PEM.
- To investigate the correlation between cytokine levels and the clinical manifestations of PEM.
Main Methods:
- Serum levels of total protein, albumin, tumor necrosis factor-alpha (TNF-α), and interleukin-6 (IL-6) were analyzed.
- A cohort of 25 children with PEM (15 with kwashiorkor, 10 with marasmus) was compared against 18 healthy controls.
Main Results:
- Kwashiorkor patients exhibited significantly lower serum total protein and albumin compared to marasmus patients and controls (p < 0.05).
- Interleukin-6 (IL-6) levels were significantly elevated in both marasmus and kwashiorkor groups relative to controls (p < 0.05), with no significant difference between the PEM subtypes.
- Tumor necrosis factor-alpha (TNF-α) levels did not differ significantly across the groups (p > 0.05).
Conclusions:
- The study observed an elevated inflammatory response in children suffering from malnutrition.
- Increased IL-6 levels suggest a heightened inflammatory state associated with PEM in pediatric populations.
Background:
Protein-energy malnutrition (PEM) results from food insufficiency as well as from poor social and economic conditions. Development of PEM is due to insufficient nutrition. Children with PEM lose their resistance to infections because of a disordered immune system. It has been reported that the changes occurring in mediators referred to as cytokines in the immune system may be indicators of the disorders associated with PEM.
Aims:
To determine the concentrations of pro-inflammatory cytokines in children with PEM, and to find out whether there was an association with the clinical presentation of PEM.
Methods:
The levels of serum total protein, albumin, tumour necrosis factor-alpha, and interleukin-6 were measured in 25 patients with PEM and in 18 healthy children as a control group. PEM was divided into two groups as kwashiorkor and marasmus. The kwashiorkor group consisted of 15 children and the marasmus group consisted of 10 children.
Results:
Levels of serum total protein and albumin of the kwashiorkor group were significantly lower than both the marasmus group and controls (p < 0.05). In view of tumour necrosis factor-alpha levels, there was no difference between groups (p > 0.05). While levels of interleukin-6 in both the marasmus group and the kwashiorkor group were significantly higher compared with controls (p < 0.05), there was no significant difference between the groups of marasmus and kwashiorkor (p > 0.05).
Conclusions:
It was observed that the inflammatory response had increased in children with malnutrition.
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