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[Cytokine profile in young children with acute stenotic laryngotracheitis]
Ольга І Гладченко1, Павло В Токарєв2, Олександр Б Надрага2
1ЛЬВІВСЬКИЙ НАЦІОНАЛЬНИЙ МЕДИЧНИЙ УНІВЕРСИТЕТ ІМЕНІ ДАНИЛА ГАЛИЦЬКОГО, вул. Героїв Майдану 14 кв.4 м. Львів, Україна, Tel: +380967775377 hladchenko.olya@gmail.com.
Insights
Cytokine imbalances are key in croup pathogenesis for children. Recurrent croup shows a different cytokine correlation compared to initial cases, suggesting distinct inflammatory responses.
Area of Science:
- Pediatric Infectious Diseases
- Immunology
- Respiratory Medicine
Background:
- Acute stenotic laryngotracheitis (croup) is a severe complication of respiratory infections in children.
- The precise role of cytokine levels in croup symptoms, severity, and outcomes remains unclear.
Purpose of the Study:
- To investigate the cytokine profiles in young children diagnosed with acute stenotic laryngotracheitis (croup).
Main Methods:
- Observed 112 children (12-36 months) with croup.
- Analyzed serum cytokine levels (IL-1, IL-4, IL-6, IL-10, IL-17) and respiratory viruses.
- Assessed croup severity using the Chan scale.
Main Results:
- An imbalance between pro-inflammatory (IL-1, IL-6) and anti-inflammatory (IL-4, IL-10, IL-17) cytokines was observed in croup pathogenesis.
- Children with croup exhibited significantly higher cytokine levels than those with acute laryngitis.
- Recurrent croup cases lacked a significant correlation between inflammatory and anti-inflammatory cytokine concentrations.
Conclusions:
- Elevated cytokine levels are characteristic of croup in children compared to acute laryngitis.
- An imbalance in cytokine profiles is implicated in the pathogenesis of recurrent croup.
Introduction:
One of the most severe complications of acute respiratory infections in young children is acute stenotic laryngotracheitis (croup). The relationship between cytokine blood levels and symptoms of croup, croup severity, disease sequel, despite numerous studies is still unclear.
Aim:
Cytokine profile in young children with acute stenotic laryngotracheitis investigation.
Material And Methods:
112 children aged 12 min. - 36 mon. with acute stenotic laryngotracheitis which were treated at the Lviv Regional Infectious Diseases Hospital were kept under observation. Croup symptoms, levels of interleukins (IL1, IL4, IL6, IL10, IL17) in serum, DNA and RNA viruses in respiratory nasal mucus were studied; Chan croup severity was used.
Results:
In the pathogenesis of croup has an important role the imbalance between inflammatory (IL1, IL6) and anti-inflammatory (IL4, IL10, IL17) cytokines, which does not reduce the intensity of inflammatory reactions and its lead to local swelling, muscle spasm, excessive production of mucus in the place of viral replication. The levels of inflammatory and anti-inflammatory cytokines in the blood serum of children with croup were significantly higher than in patients with acute laryngitis. In patients with recurrent croup, unlike patients with the first case of croup does we don't see a significant correlation between the concentrations of inflammatory and anti-inflammatory cytokine levels Conclusions: The significantly higher levels of cytokines in children with croup compared with the group of patients with acute laryngitis were found, imbalance between anti-inflammatory (IL1, IL6) cytokine levels and inflammatory (IL4, IL10, IL17) cytokine levels in children who developed recurrent croup.
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