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

Mediators of Inflammation
|February 13, 2003
PubMed

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.
Abstract

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