Age-related changes in intracellular cytokine expression in healthy children

Verena Wiegering1, Matthias Eyrich, Christian Wunder

  • 1Department of Pediatrics, Pediatric Hematology, Oncology and Stem Cell Transplantation program, University Children's Hospital Wuerzburg, Germany. Wiegering_V@klinik.uni-wuerzburg.de

Insights

This study reveals how cytokine production in children changes with age and sex. Key findings show shifts in Interleukin-2 (IL-2), Interferon-gamma (IFN-γ), and Tumor Necrosis Factor-alpha (TNF-α) levels, impacting immune maturation understanding.

Area of Science:

  • Immunology
  • Pediatric Health
  • Cellular Biology

Background:

  • Cytokine production is crucial for immune responses.
  • Understanding normal cytokine profiles in children is essential for diagnosing immune disorders.
  • Previous research has not comprehensively detailed age- and sex-dependent cytokine expression in pediatric populations.

Purpose of the Study:

  • To establish normative values for intracellular cytokine expression in healthy children aged 0-18 years.
  • To investigate the impact of age and sex on cytokine profiles in pediatric lymphocytes.
  • To provide a baseline for interpreting cytokine data in pediatric pathological conditions.

Main Methods:

  • Flow cytometry was used to analyze intracellular cytokine production in 117 healthy children's lymphocytes.
  • Samples were stimulated in vitro with PMA, ionomycin, and brefeldin for 24 hours.
  • Intracellular anti-cytokine antibodies and surface antibodies were used for staining.

Main Results:

  • Interleukin-2 (IL-2) expression decreased with age, while Interferon-gamma (IFN-γ) and Tumor Necrosis Factor-alpha (TNF-α) increased.
  • Interleukin-4 (IL-4), Ki67, and Transforming Growth Factor-beta (TGF-β) levels remained stable across age groups.
  • Cytokines were primarily produced by memory T-cells.
  • Sex-based differences were observed: younger boys (<6 years) showed higher IL-2 production, and older girls (>12 years) exhibited greater IFN-γ production compared to boys.

Conclusions:

  • Cytokine production in healthy children undergoes significant age- and sex-dependent maturation.
  • These findings provide critical reference ranges for pediatric immune assessment.
  • This study enhances the interpretation of cytokine profiles in children with various health conditions.

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