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Measuring Granulocyte and Monocyte Phagocytosis and Oxidative Burst Activity in Human Blood
Published on: September 12, 2016
Dysfunction of peripheral blood granulocyte oxidative metabolism in children with recurrent upper respiratory tract
Małgorzata Kowalska1, Halina Kowalska, Lidia Zawadzka-Głos
1Department of Laboratory Diagnostics and Clinical Immunology of Developmental Age, Warsaw University School of Medicine, Poland. wasik@litewska.edu.pl
Insights
Recurrent respiratory infections and tonsillar hypertrophy in children are linked to altered granulocyte function. Impaired oxidative metabolism in these immune cells suggests a potential role in infection susceptibility.
Area of Science:
- Immunology
- Pediatrics
- Infectious Diseases
Background:
- Granulocytes are crucial for fighting bacterial infections.
- Granulocyte dysfunction can lead to or result from infections.
- Recurrent upper respiratory tract infections and tonsillar hypertrophy are common in children.
Purpose of the Study:
- To investigate the oxidative metabolism of peripheral blood granulocytes in children with recurrent upper respiratory tract infections and/or tonsillar hypertrophy.
- To assess the relationship between granulocyte function and these conditions.
Main Methods:
- Studied 50 children (aged 1-10 years) divided into four groups: healthy controls, idiopathic tonsillar hypertrophy, upper respiratory tract infections, and combined conditions.
- Assessed granulocyte oxidative metabolism via n-formyl-methionyl-leucyl-phenylalanine (nFMLP)-induced chemiluminescence.
Main Results:
- Altered granulocyte activity (both increased and depressed) was observed in all patient groups, unlike controls.
- 30% of patients with idiopathic tonsillar hypertrophy showed altered granulocyte function.
- 75% to 90% of children with recurrent infections exhibited abnormal chemiluminescence.
Conclusions:
- A potential link exists between recurrent upper respiratory tract infections, tonsillar hypertrophy, and impaired peripheral blood granulocyte chemiluminescence.
- This suggests granulocyte dysfunction may play a role in the pathogenesis of these conditions in children.
Abstract:
Granulocytes play a key role in the defence against bacterial infections. Their dysfunction may both predispose to and result from infections. The oxidative metabolism of peripheral blood granulocytes was studied in 50 children aged from 1 to 10 years, with recurrent upper respiratory tract infections and/or tonsillar hypertrophy. Four groups of patients were recruited: 15 healthy controls, seven patients with idiopathic tonsillar hypertrophy, 12 patients with upper respiratory tract infections and 16 patients with upper respiratory tract infections with concurrent tonsillar hypertrophy. The ability of granulocytes to produce reactive oxygen species was assessed by nFMLP-induced chemiluminescence. Both increased and depressed granulocyte activity was observed in all studied groups, with the exception of controls. Altered granulocyte function was observed in 30% of patients in the idiopathic tonsillar hypertrophy group. In children with recurrent infections abnormal chemiluminescence results were found in from 75% to nearly 90% of patients. This preliminary study demonstrates the possible relationship between recurrent upper respiratory tract infections, tonsillar hypertrophy and impaired peripheral blood granulocyte chemiluminescence.
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