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[Intercellular adhesion molecules sICAM-1, sICAM-2, sICAM-3 and IFNgamma in neuroborreliosis and tick-borne
Małgorzata Pietruczuk1, Adam Pietruczuk, Sławomir Pancewicz
1Oddział Internistyczno-Kardiologiczny SP ZOZ w Sokółce.
Objective:
The aim of this study was to evaluate the serum and CSF concentration of soluble intercellular adhesion molecules sICAM-1, sICAM-2, sICAM-3 and proinflammatory cytokine IFNgamma in patients with tick-borne encephalitis (TBE) and neuroborreliosis.
Methods:
The study group consisted of 40: 20 with TBE meningitis and 20 with Lyme meningitis. The serum and CSF levels of adhesion molecules and IFNgamma were determined by ELISA assay twice: before and after treatment.
Results:
Before treatment the concentrations of adhesion molecules and IFNgamma in serum as well as in CSF were significantly higher in both studied groups than in control group (with the exception of the serum level of sICAM-2 in TBE group). After the treatment, the serum parameters in TBE group decreased to the control level. CSF levels were also reduced, but still remained higher than in the control group. In patients with neuroborreliosis serum concentration of sICAM-1 and sICAM-2 did not change as compared with its level before treatment but other studied parameters in serum and CSF decreased significantly.
Conclusions:
The results of our study confirm the participation of intercellular adhesion molecules in the pathogenesis of viral (TBE) and bacterial (neuroborreliosis) neuroinfections.
Insights
Soluble intercellular adhesion molecules and IFNgamma are elevated in tick-borne encephalitis (TBE) and Lyme meningitis. These markers suggest their role in the pathogenesis of these neuroinfections.
Area of Science:
- Neuroimmunology
- Infectious Diseases
Background:
- Tick-borne encephalitis (TBE) and Lyme neuroborreliosis are significant neuroinfections.
- Intercellular adhesion molecules (ICAMs) and cytokines are implicated in inflammatory responses.
Purpose of the Study:
- To evaluate serum and CSF levels of soluble ICAM-1, ICAM-2, ICAM-3, and IFNgamma in TBE and neuroborreliosis patients.
- To assess changes in these markers before and after treatment.
Main Methods:
- Study included 40 patients: 20 with TBE meningitis and 20 with Lyme meningitis.
- Serum and CSF levels of ICAMs and IFNgamma were measured using ELISA.
- Measurements were taken pre- and post-treatment.
Main Results:
- Pre-treatment, ICAMs and IFNgamma were significantly higher in both groups compared to controls (except sICAM-2 in TBE serum).
- Post-treatment, TBE serum markers normalized, while CSF levels decreased but remained elevated.
- Neuroborreliosis patients showed decreased serum and CSF markers post-treatment, with stable sICAM-1 and sICAM-2 serum levels.
Conclusions:
- The findings confirm the involvement of intercellular adhesion molecules in the pathogenesis of TBE and neuroborreliosis.
- These molecules play a role in the inflammatory processes of viral and bacterial neuroinfections.
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