[Changes in lymphocyte subsets in infants with common lower respiratory tract infectious diseases]

Li-Ting Jia1, Jing Li, Xiao-Xin Yue

  • 1Department of Clinical Laboratory Medicine, Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. jialt@163.com.

Insights

Infants with lower respiratory tract infections show altered immune cell counts, indicating disturbed cellular immunity and heightened humoral immunity. These immune changes correlate with the specific infection type and its severity.

Area of Science:

  • Immunology
  • Pediatrics
  • Infectious Diseases

Context:

  • Lower respiratory tract infections are common in infants.
  • Understanding immune system alterations is crucial for managing these diseases.
  • Lymphocyte subset analysis provides insights into immune status.

Purpose:

  • To investigate changes in lymphocyte subsets in infants diagnosed with bronchitis, bronchopneumonia, and bronchiolitis.
  • To determine the clinical significance of these immune alterations.
  • To correlate immune changes with disease type and severity.

Summary:

  • Infants with bronchitis had lower T cells and CD3+CD8+ T cells.
  • Bronchopneumonia was associated with reduced T cells, increased T helper (Th) cells, and a higher CD4/CD8 ratio; severe cases showed more pronounced T cell reduction and B cell increase.
  • Bronchiolitis showed elevated Th cells, a higher CD4/CD8 ratio, and decreased CD3+CD8+ T cells. All disease groups exhibited increased B cells and decreased natural killer cells compared to controls.

Impact:

  • Reveals a pattern of suppressed cellular immunity and enhanced humoral immunity in infant respiratory infections.
  • Suggests that lymphocyte subset profiles can serve as indicators of disease type and severity.
  • Provides a basis for exploring targeted immunomodulatory therapies for pediatric respiratory infections.
Abstract

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