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Published on: September 1, 2013
[Lactoferrin and its role in the pathogenesis of tick-borne encephalitis]
Insights
Lactoferrin (LF) levels are significantly elevated in tick-borne encephalitis (TBE) patients, especially in cerebrospinal fluid. Increased LF indicates central nervous system inflammation severity and can monitor treatment effectiveness.
Area of Science:
- Neuroscience
- Immunology
- Biochemistry
Background:
- Tick-borne encephalitis (TBE) is a serious central nervous system (CNS) infection.
- Assessing CNS inflammation severity and treatment efficacy in TBE requires reliable biomarkers.
- Lactoferrin (LF) is an iron-binding protein with immunomodulatory functions.
Purpose of the Study:
- To investigate lactoferrin (LF) levels in the cerebrospinal fluid (liquor) and blood serum of TBE patients.
- To evaluate the correlation between LF concentration and TBE severity, including meningeal and focal types.
- To determine if LF can serve as an objective indicator of CNS inflammation and therapeutic response.
Main Methods:
- Immune-enzyme analysis was used to quantify LF concentrations.
- LF levels were measured in cerebrospinal fluid and serum samples from TBE patients.
- Control groups included patients with osteochondrosis and healthy donors.
Main Results:
- LF concentrations in TBE patients were 1.5-3 times higher than normal in serum.
- Cerebrospinal fluid LF levels were over 20 times higher at disease onset, decreasing to 6-fold higher after 7 days.
- A direct correlation was observed between LF levels and the form and severity of TBE.
Conclusions:
- Elevated LF levels in cerebrospinal fluid are a significant indicator of CNS inflammation in TBE.
- LF concentration can serve as an objective marker for assessing TBE severity and activity.
- LF levels may be a useful criterion for monitoring the effectiveness of TBE therapy.
Abstract:
The content of lactoferrin (LF) was studied in the liquor and blood of patients with tick-borne encephalitis (TBE) of the meningeal and focal types; additionally, the information density of the discussed parameter was assessed for evaluating the severity and degree of the inflammation process in the central nervous system (CNS). The LF level was determined in liquor of 37 samples obtained from TBE patients (main group) and of 10 persons with osteochondrosis (controls); it was also determined in the serum taken from 21 TBE patients and from 40 healthy donors by using the immune-enzyme analysis. The LF concentration in TBE patients was found to exceed the normal value by 1.5-3 times during the whole observation period. As for the liquor, it was high, by the onset of the disease, by more than 20 times, however, after the 7th day it was higher 6-fold. A direct dependence of a concentration of the studied protein on a form and severity of the disease was established. The LF level in the liquor of TBE patients alongside with clinical signs can be an objective indicator of a severity and activity of the inflammation process in the CNS; it can also be a criteria of how much the conducted therapy effective is.
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