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Antigen-Capture Enzyme-Linked Immunosorbent Assay for Specific Detection of Mycoplasma pneumoniae
Published on: February 24, 2023
Soluble B7-H3 elevations in hospitalized children with Mycoplasma pneumoniae pneumonia
Zheng-Rong Chen1, Guang-Bo Zhang, Yu-Qing Wang
1Department of Respiratory Disease, Children's Hospital Affiliated to Soochow University, Suzhou 215003, China.
Insights
Soluble B7-H3 (sB7-H3) levels are elevated in children with Mycoplasma pneumoniae pneumonia and correlate with disease severity. sB7-H3 may play a role in the immune response to this infection.
Area of Science:
- Immunology
- Pediatric Infectious Diseases
Background:
- Mycoplasma pneumoniae pneumonia is a common respiratory infection in children.
- The role of soluble B7-H3 (sB7-H3) in the immunopathogenesis of M. pneumoniae pneumonia is not well understood.
Purpose of the Study:
- To investigate the associations between sB7-H3 levels and cytokines, clinical characteristics, and laboratory findings in children with M. pneumoniae pneumonia.
Main Methods:
- Enzyme-linked immunosorbent assay (ELISA) was used to measure sB7-H3 and cytokine levels (TNF-α, IFN-γ, IL-4, IL-10).
- Clinical data including symptom duration, neutrophil percentage, and C-reactive protein levels were collected.
- Thirty-two children diagnosed with M. pneumoniae pneumonia were enrolled.
Main Results:
- sB7-H3 levels were significantly higher in patients with M. pneumoniae pneumonia compared to controls.
- sB7-H3 levels correlated positively with TNF-α, symptom duration, neutrophil percentage, and C-reactive protein.
- sB7-H3 levels decreased after treatment.
Conclusions:
- sB7-H3 may be involved in the immune response during M. pneumoniae pneumonia.
- Elevated sB7-H3 is associated with increased TNF-α and neutrophil activation.
- sB7-H3 could serve as a potential biomarker for M. pneumoniae pneumonia severity.
Abstract:
The purpose of this study is to explore the associations between soluble B7-H3 (sB7-H3) and cytokines, clinical characteristics and laboratory findings. Thirty-two children with Mycoplasma pneumoniae pneumonia diagnosed by both positive serology and PCR were admitted to Children's Hospital affiliated to Soochow University. These children were enrolled and evaluated from May 2012 through September 2012. Soluble B7-H3 level and cytokines (tumor necrosis factor-α (TNF-α), interferon-γ, interleukin (IL)-4, IL-10) were determined by enzyme-linked immunosorbent assay technique. Meanwhile, clinical parameters including laboratory findings were obtained. Soluble B7-H3 level was significantly increased in patients with M. pneumoniae pneumonia compared with the levels of sB7-H3 in control subjects (4.94 ± 2.69 vs. 3.42 ± 1.48, ng/mL; P = 0.032). Furthermore, level of sB7-H3 was correlated with TNF-α level in plasma in patients with M. pneumoniae pneumonia (rp = 0.667; P < 0.001) as well as level of sB7-H3 in M. pneumoniae pneumonia subjects was also correlated with duration of symptoms (rp = 0.607; P < 0.001), percentage of neutrophil cells (rp = 0.657; P < 0.001), and C-reactive protein level (rs = 0.445; P = 0.011). Level of sB7-H3 was decreased after treatment (6.08 ± 3.07 vs. 3.55 ± 1.58, ng/mL; P = 0.019). Soluble B7-H3 maybe plays an important role in immunopathogenesis of M. pneumoniae pneumonia, especially for increasing TNF-α concentration and activation neutrophils.
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