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Correlation between febrile seizures and cytokines in children: a retrospective study
Dong Yu1, Jia-Ni Hu1, Yan-Fei Chen1
1Department of Pediatrics, Shaoxing People's Hospital, The First Affiliated Hospital, Shaoxing University, Shaoxing, China.
Insights
Elevated levels of Interleukin-2 (IL-2) and Interleukin-6 (IL-6) are linked to febrile seizures (FS) in children with respiratory infections. Cytokine profiles offer insights into FS risk and recurrence.
Area of Science:
- Pediatric Neurology
- Immunology
- Infectious Diseases
Background:
- Febrile seizures (FS) are common in children, often following respiratory tract infections.
- The role of specific immune responses, particularly cytokine profiles, in FS pathogenesis requires further elucidation.
Purpose of the Study:
- To investigate the correlation between serum cytokine levels and the occurrence of febrile seizures in children with respiratory tract infections.
- To identify potential biomarkers for FS risk and recurrence.
Main Methods:
- A case-control study involving 209 children with FS and 108 controls with respiratory infections but no FS.
- Comparison of serum levels of various cytokines, including IL-2, IL-6, IL-10, and IFN-γ, between the FS and control groups.
- Analysis of the association between cytokine levels and clinical factors such as age, seizure history, and seizure frequency.
Main Results:
- Children with FS exhibited significantly higher levels of Interleukin-2 (IL-2) and Interleukin-6 (IL-6) compared to controls.
- Younger age correlated with increased IL-10 and Interferon-gamma (IFN-γ) levels.
- Elevated serum IFN-γ (>21.60 pg/mL) may indicate a higher risk of seizure recurrence.
Conclusions:
- IL-2 and IL-6 are elevated in children experiencing febrile seizures associated with respiratory infections.
- Cytokine levels are influenced by patient age, seizure frequency, and prior seizure history.
- IFN-γ levels show potential as a predictive marker for seizure recurrence in pediatric FS.
Objectives:
To analyze the correlation between cytokine levels and the occurrence of febrile seizures (FS) following respiratory tract infections in children.
Methods:
A total of 209 children with febrile seizures (FS) secondary to respiratory tract infections, treated at the Department of Pediatric Internal Medicine, Shaoxing People's Hospital, between January 2023 and March 2024, were enrolled as the FS group. During the same period, 108 children with respiratory tract infections but without FS were selected as the control group. The association between FS and the immune response was analyzed by comparing cytokine levels between the two groups.
Results:
Interleukin-2 (IL-2) and IL-6 levels were higher in the FS group than in the control group (children with respiratory tract infections but without FS) (P < 0.05). Younger age was associated with higher levels of IL-10 and IFN-γ (P < 0.05). IL-2 levels were highest during the early stage of seizures (P < 0.05). A greater number of seizure episodes was associated with lower levels of IFN-γ (P < 0.05). IL-6 levels were lower in children with FS who had a history of seizures than in those without such a history (P < 0.05). A serum IFN-γ level exceeding 21.60 pg/mL may serve as a reference index for identifying children at high risk of seizure recurrence.
Conclusion:
IL-2 and IL-6 levels are elevated in children with FS. Furthermore, age, seizure frequency, and a history of prior seizures may influence cytokine levels in these patients.
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