Zajkowska Joanna, Grygorczuk Sambor, Pryszmont Justyna Maria, Kondrusik Maciej, Pancewicz Sławomir, Swierzbińska Renata, Hermanowska-Szpakowicz Teresa, Klibingat Marcin
Akademia Medyczna w Białymstoku, Klinika Chorób Zakaźych i Neuroinfekcji.
Pol Merkur Lekarski. 2006 Jul;21(121):29-34.
The aim of the study was to evaluate concentrations of interleukin 6 (IL-6) and interleukin (IL-10) in serum and cerebrospinal fluid (csf) of patients with tick-borne encephalitis (tbe) and purulent meningitis before and after 4 weeks of treatment.
Group I consisted of 23 patients with tbe and group II - 16 patients with bacterial meningitis. Group III (control) consisted of 10 healthy men.
In patients with tbe and purulent meningitis concentrations of IL-6 and IL-10 in serum and csf were initially increased and tended to remain increased after 4 weeks of treatment. It suggests significant role of IL-6 and IL-10 in inflammatory process within cns. Higher concentrations of IL-6 than IL-10 in csf than in serum suggests their local synthesis within cns and tendency to the limitation of the inflammatory response to the intratecal compartment. Concentrations of both IL-6 and IL-10 in csf and serum remained sgnificantly higher in patints with purulent meningits than in tbe, both before and after treatment. This observation may be helpful in diagnosing the ethiology of meningitis and meningoencephalitis and monitoring the course of the disease.
本研究的目的是评估蜱传脑炎(TBE)和化脓性脑膜炎患者治疗4周前后血清和脑脊液(CSF)中白细胞介素6(IL-6)和白细胞介素(IL-10)的浓度。
第一组由23例TBE患者组成,第二组由16例细菌性脑膜炎患者组成。第三组(对照组)由10名健康男性组成。
TBE和化脓性脑膜炎患者血清和CSF中IL-6和IL-10的浓度最初升高,治疗4周后仍有升高趋势。这表明IL-6和IL-10在中枢神经系统的炎症过程中起重要作用。CSF中IL-6的浓度高于血清中IL-10的浓度,表明它们在中枢神经系统内局部合成,并倾向于将炎症反应局限于鞘内间隙。化脓性脑膜炎患者治疗前后CSF和血清中IL-6和IL-10的浓度均显著高于TBE患者。这一观察结果可能有助于诊断脑膜炎和脑膜脑炎的病因并监测疾病进程。