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Assays for the Specific Growth Rate and Cell-binding Ability of Rotavirus
Published on: January 28, 2019
Changes in humoral immunity, myocardial damage, trace elements, and inflammatory factor levels in children with
Peihui Liu1, Rong Zou2, Jie Zhao3
1Department of Pediatrics, Affiliated Shenzhen Maternity & Child Healthcare Hospital, Southern Medical University Shenzhen City, Guangdong Province, China.
Insights
Children with rotavirus enteritis show decreased humoral immunity and trace elements, along with increased myocardial damage and inflammation, especially with severe dehydration. Early assessment is key for treatment.
Area of Science:
- Pediatric Gastroenterology
- Immunology
- Biochemistry
Background:
- Rotavirus enteritis is a common cause of gastroenteritis in children.
- Dehydration is a frequent complication of rotavirus enteritis.
- The impact of rotavirus enteritis on humoral immunity, myocardial function, and inflammatory markers requires further investigation.
Purpose of the Study:
- To investigate changes in humoral immunity, myocardial damage, trace elements, and inflammatory factors in children with rotavirus enteritis.
- To assess the correlation between the severity of dehydration and these physiological markers.
Main Methods:
- Retrospective analysis of 100 children with rotavirus enteritis (categorized by dehydration severity) and 100 controls.
- Measurement of serum immunoglobulin levels, cardiac enzyme profiles (LDH, α-HBDH, CK, CK-MB), trace elements (zinc, magnesium, calcium), and inflammatory cytokines (IL-6, IL-8, TNF-α).
- Comparison of marker levels between case and control groups, and among dehydration severity groups.
Main Results:
- Children with rotavirus enteritis had lower immunoglobulin, zinc, magnesium, and calcium levels, and higher LDH, α-HBDH, CK, CK-MB, IL-6, IL-8, and TNF-α levels compared to controls.
- Increasing dehydration severity correlated with lower immunoglobulin and trace element levels.
- More severe dehydration was associated with elevated cardiac enzyme and inflammatory marker levels.
Conclusions:
- Severe dehydration in children with rotavirus enteritis is linked to compromised humoral immunity, depleted trace elements, exacerbated myocardial damage, and heightened inflammatory responses.
- These findings highlight the systemic impact of rotavirus enteritis and underscore the importance of monitoring these markers for effective clinical management.
Objective:
To investigate the changes and significance of humoral immunity, myocardial damage, trace elements and inflammatory factors levels in children with rotavirus enteritis.
Methods:
One hundred children with rotavirus enteritis admitted to our hospital from January 2019 to December 2020 were retrospectively selected as the case group, and they were divided into a no dehydration group (33 cases), mild dehydration group (41 cases), and moderate dehydration group (26 cases). Another 100 children with rotavirus-negative enteritis during the same period were selected as the control group. Serum immunoglobulin, cardiac enzyme profile, trace elements, and interleukin-6 (IL-6) levels were compared between the two groups, and among the case groups for different degrees of dehydration.
Results:
Serum immunoglobulin A (IgA), immunoglobulin G (IgG), immunoglobulin M (IgM), zinc, magnesium, and calcium in the case group were lower than in controls (P<0.05). Serum lactate dehydrogenase (LDH), α-hydroxybutyrate dehydrogenase (α-HBDH), creatine kinase (CK), and creatine kinase isoenzyme (CK-MB) in the case group were higher than in controls (P<0.05). Serum IL-6, interleukin-8 (IL-8), tumor necrosis factor-α (TNF-α) were also higher in cases than controls (P<0.05). Serum IgA, IgG, IgM, zinc, magnesium, and calcium in children with rotavirus enteritis with mild dehydration were lower than those without dehydration, but higher than those with moderate dehydration (P<0.05). Serum LDH, α-HBDH, CK, and CK-MB in children with rotavirus enteritis with mild dehydration were higher than those without dehydration, but lower than those with moderate dehydration (P<0.05). Serum IL-6, IL-8, and TNF-α in children with rotavirus enteritis with mild dehydration were higher than those without dehydration, but lower than those with moderate dehydration (P<0.05).
Conclusion:
Children with rotavirus enteritis with more severe dehydration exhibited lower levels of humoral immunity and trace elements and greater myocardial damage and inflammatory response. Early detection can accurately assess the condition and provide a reference for clinical treatment.
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