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囊性纤维化对儿科患者免疫谱的影响。

The impact of cystic fibrosis on the immunologic profile of pediatric patients.

机构信息

Department of Food and Nutrition, School of Food Engineering, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil.

出版信息

J Pediatr (Rio J). 2013 Jan-Feb;89(1):40-7. doi: 10.1016/j.jped.2013.02.007.

DOI:10.1016/j.jped.2013.02.007
PMID:23544809
Abstract

OBJECTIVE

To compare the immunologic state of 44 pediatric patients with cystic fibrosis (CF) with a control group consisting of 16 healthy individuals.

METHODS

CF patients aged 3 to 12 years with moderate to good clinical score were selected for the study. Erythrocytic glutathione, production of reactive oxygen species, cytokines (TNF-a, IFN-g, IL-8, IL-6, IL-10) in peripheral blood mononuclear cells cultures under spontaneous and BCG- or PHA-stimulated conditions, serum concentrations of TGF-b2, IgA, IgG, IgM, IgE, and salivary IgA were evaluated.

RESULTS

The spontaneous production of TNF-a, IL-6, and IL-10, the PHA-stimulated production of IL-6, and the serum TGF-b2, IgA, and IgG were increased in samples from CF patients. Healthy subjects had a higher production of TNF-a in response to BCG.

CONCLUSION

Although CF patients appeared clinically stable, the results of their peripheral blood examinations demonstrated an impact on the immune system.

摘要

目的

比较 44 例囊性纤维化(CF)儿科患者与由 16 名健康个体组成的对照组的免疫状态。

方法

选择年龄在 3 至 12 岁、临床评分中等到良好的 CF 患者进行研究。评估外周血单个核细胞培养中红细胞谷胱甘肽、活性氧产生、细胞因子(TNF-a、IFN-g、IL-8、IL-6、IL-10)在自发和 BCG 或 PHA 刺激条件下的产生情况、血清 TGF-b2、IgA、IgG、IgM、IgE 和唾液 IgA 的浓度。

结果

CF 患者的 TNF-a、IL-6 和 IL-10 的自发产生、PHA 刺激的 IL-6 产生以及血清 TGF-b2、IgA 和 IgG 增加。健康受试者对 BCG 的 TNF-a 产生更高。

结论

尽管 CF 患者在临床上似乎稳定,但他们外周血检查的结果表明对免疫系统有影响。

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