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[Level of selected antibacterial tear proteins in children with diabetes type 1]
Agnieszka Moll1, Krystyna Wyka, Wojciech Młynarski
1Z Kliniki Okulistyki Dzieciecej Katedry Pediatrii Zabiegowej Uniwersytetu Medycznego w Łodzi. agnieszkamoll@wp.pl
Insights
Children with long-term type 1 diabetes show lower lysozyme levels in tears, impacting antibacterial immunity. Lactoferrin levels remained unchanged, suggesting specific changes in tear proteins affect infection risk.
Area of Science:
- Ophthalmology
- Immunology
- Pediatrics
Background:
- Type 1 diabetes impairs antibacterial immunity, increasing infection susceptibility.
- Local ocular infections are a concern in diabetic patients.
Purpose of the Study:
- To assess non-specific antibacterial immunity in children with type 1 diabetes.
- To measure lactoferrin and lysozyme concentrations in tears of diabetic children.
Main Methods:
- Tear samples collected from children aged 10-18 years.
- Groups included healthy children, new-onset diabetes, and long-term diabetes.
- Lactoferrin and lysozyme levels measured using ELISA.
Main Results:
- Lactoferrin levels showed no significant difference across groups.
- Lysozyme concentration was significantly lower in children with decade-long diabetes.
- A mild correlation between lactoferrin and lysozyme was observed.
Conclusions:
- Type 1 diabetes in children alters tear protein concentrations.
- These changes in lactoferrin and lysozyme may affect ocular antibacterial defenses.
Purpose:
Antibacterial immunity in diabetes is impaired, which increases the risk of general and local infections. The aim of the study was to evaluate non-specific local antibacterial immunity based on lactoferrin and lysozyme concentration in tears in children with diabetes type 1.
Material And Methods:
Children at the age of 10-18 years old were studied. Group 1. consisted of children without diabetes, group 2. included patients with new onset of diabetes and group 3. consisted of children with decade-long diabetes. Among all patients tears were collected from inferior coniunctival fornix with hematocrit glass capillaries in purpose to measure lactoferrin and lysozyme concentration. ELISA method was used in laboratory testing.
Results:
Level of lactoferrin did not differ significantly among all groups. Concentration of lysozyme was statistically lower in group with decade-long diabetes (group 3.) compared to patients without diabetes. Mild correlation between lactoferrin and lysozyme levels was seen in individual patients in whole group of probands together.
Conclusions:
Diabetes type 1 in children is associated with significant changes in concentration of tear proteins, which contribute to antibacterial immunity.
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