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[Th1/Th2 balance in acute lymphoblastic leukemia in children]
Włodzimierz Luczyński1, Anna Stasiak-Barmuta, Maryna Krawczuk-Rybak
1Klinika Onkologii Dzieciecej, Samodzielny Publiczny Dzieciecy, Szpital Kliniczny Akademii Medycznej w Białymstoku. vlodek@amb.edu.pl
Insights
Pediatric acute lymphoblastic leukemia (ALL) shows a Th1/Th2 imbalance, with increased Th1 and Th2 cells during treatment. Infections exacerbate Th1 responses in children with ALL.
Area of Science:
- Immunology
- Pediatric Oncology
Context:
- T helper cell subpopulations (Th1, Th2) are crucial for immune regulation.
- Acute lymphoblastic leukemia (ALL) in children is a significant hematologic malignancy.
- Understanding immune profiles in ALL is vital for treatment and prognosis.
Purpose:
- To evaluate the Th1/Th2 cytokine balance in pediatric ALL patients.
- To assess immune changes at diagnosis, during remission induction, and in the presence of infections.
Summary:
- Flow cytometry measured T lymphocytes producing IFN-gamma (Th1) and IL-4 (Th2).
- Elevated Th1 and Th2 percentages were observed in pediatric ALL patients compared to controls.
- Infections led to increased Th1 cells without altering Th2 levels.
Impact:
- Findings suggest a Th1/Th2 imbalance with Th2 predominance in pediatric ALL.
- This immune dysregulation may influence disease progression and infection susceptibility.
- Results highlight the need for targeted immunomodulatory strategies in pediatric ALL.
Abstract:
Analysis of T lymphocytes cytokine profiles allows to differ subpopulations: Th1, Th2, Th3, Tr1. Aim of the study was to assess Th1/Th2 balance in acute lymphoblastic leukemia in children at diagnosis and during/after remission induction, especially during infections. Percentages of lymphocytes T producing IFN-gamma and IL-4 were assessed by flow cytometry. We noted the rise of lymphocytes T helper producing IFN-gamma (Th1) and percentage of lymphocytes T producing IL-4 at the beginning and during remission induction was higher than in control group. During fever/infection we observed the rise of lymphocytes Th1, and no change in Th2 percentage. Summarizing we suggest Th1/Th2 imbalance and Th2 predominance in acute lymphoblastic leukemia in children.
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