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Assays for the Specific Growth Rate and Cell-binding Ability of Rotavirus
Published on: January 28, 2019
Cytokines as mediators for or effectors against rotavirus disease in children
B Jiang1, L Snipes-Magaldi, P Dennehy
1Division of Viral and Rickettsial Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. bjiang@cdc.gov
Insights
This study shows that specific cytokine levels in children with rotavirus infection correlate with disease severity and symptoms. Understanding these host responses could guide future rotavirus prevention and treatment strategies.
Area of Science:
- Immunology
- Pediatrics
- Virology
Background:
- Rotavirus is a leading cause of severe gastroenteritis in young children.
- The precise mechanisms of rotavirus pathogenesis and host immunity remain incompletely understood.
- Cytokine profiles offer potential insights into disease progression and host defense.
Purpose of the Study:
- To investigate the host cytokine response during acute rotavirus infection in children.
- To correlate specific cytokine levels with clinical manifestations of rotavirus gastroenteritis.
- To explore the role of cytokines in rotavirus pathogenesis and immunity.
Main Methods:
- Paired serum samples were collected from 30 children diagnosed with rotavirus diarrhea.
- Levels of nine key cytokines (IL-1β, IL-2, IL-4, IL-6, IL-8, IL-10, IL-12, IFN-γ, TNF-α) were quantified using a Luminex Flowmetrix system.
- Statistical analyses were performed to compare cytokine levels between patients and controls, and to assess associations with clinical symptoms.
Main Results:
- Elevated levels of seven cytokines were observed in children with acute rotavirus infection compared to controls.
- Significantly higher levels of interleukin-6 (IL-6), interleukin-10 (IL-10), and gamma interferon (IFN-γ) were detected in patients.
- Specific cytokines correlated with clinical outcomes: IL-6 with fever, tumor necrosis factor alpha (TNF-α) with diarrhea frequency, IL-2 with stool output, and IFN-γ with vomiting.
Conclusions:
- Cytokine responses during rotavirus infection are linked to clinical outcomes in children.
- Certain cytokines may play crucial roles in the pathogenesis and protective immunity against rotavirus.
- These findings suggest potential targets for novel rotavirus prevention and treatment strategies.
Abstract:
Rotavirus is the most common cause of severe gastroenteritis in young children, but the pathogenesis and immunity of this disease are not completely understood. To examine the host response to acute infection, we collected paired serum specimens from 30 children with rotavirus diarrhea and measured the levels of nine cytokines (interleukin-1beta [IL-1beta], IL-2, IL-4, IL-6, IL-8, IL-10, IL-12, gamma interferon [IFN-gamma], and tumor necrosis factor alpha [TNF-alpha]) using a microsphere-based Luminex Flowmetrix system. Patients with acute rotavirus infection had elevated median levels of seven cytokines in serum, and of these, the levels of three (IL-6, IL-10, and IFN-gamma) were significantly (P < 0.05) higher than those in serum from control children without diarrhea. Patients with fever had significantly (P < 0.05) higher levels of IL-6 in serum than control children, and those with fever and more episodes of diarrhea had significantly (P < 0.05) higher levels of TNF-alpha than those without fever and with fewer episodes of diarrhea. We further demonstrated a negative association (P < 0.05) between the levels of IL-2 and the number of stools on the day on which the first blood sample was collected. Finally, patients with vomiting had significantly (P < 0.05) lower levels of IFN-gamma than those without vomiting. Our pilot study provides evidence that the types and magnitudes of cytokine responses to rotavirus infection in children influence or reflect the clinical outcome of disease. These findings suggest that certain cytokines may play an important role in the pathogenesis of and the protection against rotavirus disease in children and, consequently, may provide directions and insights that could prove critical to the prevention or treatment of this important disease.
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