[Interferon system in children with cystic fibrosis]
Insights
Patients with cystic fibrosis exhibit significantly lower interferon levels, suggesting interferon therapy could be beneficial, especially for respiratory infections.
Area of Science:
- Immunology
- Pediatrics
- Pulmonology
Context:
- Cystic fibrosis (CF) is a genetic disorder affecting multiple organs, particularly the lungs.
- Leukocyte function, specifically interferon production, is crucial for immune response.
- Pediatric patients with CF often experience recurrent respiratory infections.
Purpose:
- To investigate interferon-producing leukocyte function in children with cystic fibrosis.
- To compare interferon levels in CF patients with healthy children.
- To evaluate the potential of interferon therapy in managing CF complications.
Summary:
- This study analyzed interferon production in 32 pediatric patients with cystic fibrosis (CF) and 30 healthy children.
- Interferon levels in CF patients ranged from 0-2 U/ml, significantly lower than the normal range of 4-24 U/ml.
- Both mixed and bronchopulmonary forms of CF were assessed, with severity categorized by the Shvaxman scale.
Impact:
- Findings indicate impaired interferon production in children with cystic fibrosis.
- Results support the recommendation of interferon therapy as an adjunct treatment for CF, particularly during acute respiratory viral infections and outbreaks.
- Early intervention with interferon may improve outcomes in hospitalized CF patients when outpatient treatments fail.
Abstract:
Parameters of interferon-producing leukocyte function were studied in vitro, in 32 patients of different age (from 1 month to 14 years) with cystic fibrosis and 30 normal children. Mixed form of cystic fibrosis were detected in 20 patients, while bronchopulmonary form were found in 12 patients. According to Shvaxman scale 16 patients had 40 point (severe), 13 patient had 41-45 point (moderate) and 3 patient had 56-70 point (mild). The interferon was studied using the Soloviov-Bektemirov technique in the A. Natishvili Institute of Experimental Morphology of Georgian Academy of Sciences. Interferon level varied between 0 and 2 U/ml both during the acute phase and remission, while the normal level would be at 4-24 U/ml. Therefore, interferon therapy can be recommended as part of combined treatment, particularly at an early stage of acute respiratory viral infection, during epidemic outbreaks and in hospital where patient should only be admitted (and kept in individual cubicles) after outpatient treatment for aggravations of the disease proved ineffective.
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