与Th1相关的细胞因子和复杂的儿科尾炎之间的关联
Matilda Elliver1, Martin Salö2,3, Bodil Roth4,5
1Department of Clinical Sciences in Lund, Lund University, Lund, Sweden. matilda.elliver@med.lu.se.
Scientific reports
|February 26, 2024
概括
患有尾炎的儿童血清中白内素-6 (IL-6) 水平升高表明尾炎并发症的风险较高. 这一发现表明,复杂的炎症反应超出了T助手1依赖途径.
科学领域:
- 儿科免疫学 儿科免疫学
- 胃肠道疾病研究研究.
背景情况:
- 尾炎的发病和诊断仍然具有挑战性.
- 之前的研究将T助手 (Th) 1与复杂尾炎的免疫反应联系起来.
研究的目的:
- 调查血清Th1相关细胞因子与儿童复杂尾炎风险之间的关联.
- 为了评估特定的细胞因子:INTERLEUKIN (IL) -1α,IL-1β,IL-2,IL-6,IL-10,IL-17A,以及瘤坏死因子β (TNF-β).
主要方法:
- 对137名被诊断患有尾炎的儿童 (15岁以下) 进行前性队列研究.
- 血清细胞因子度测量并与由组织病理学决定的尾炎严重程度相关联.
- 多变量逻辑回归调整为年龄,症状持续时间和尾炎的存在.
主要成果:
- 患有尾炎并发症的儿童的IL-6和IL-10度显著增加,TNF-β度降低.
- 经过调整后,较高的IL-6度仍然与增加复杂尾炎风险 (aOR 1.001,p=0.02) 有关.
- 没有发现IL-1α,IL-1β,IL-2,IL-10,IL-17A和TNF-β与复杂尾炎风险的显著关联.
结论:
- 复杂尾炎的全身炎症反应是多方面的.
- 这些发现表明,炎症过程不仅仅依赖于Th1.
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