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血清脂联素、瘦素和白细胞介素6水平作为热性惊厥患儿的脂肪细胞因子:脂肪组织在热性惊厥中的作用。

Serum adiponectin, leptin, and interleukin 6 levels as adipocytokines in children with febrile seizures: The role of adipose tissue in febrile seizures.

作者信息

Güven A S, Icagasioglu F D, Duksal F, Sancakdar E, Alaygut D, Uysal E B, Akkar I, Oflaz M B, Kaya A

机构信息

Division of Pediatric Neurology, Department of Pediatrics, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey

Division of Pediatric Neurology, Department of Pediatrics, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey.

出版信息

Hum Exp Toxicol. 2015 Sep;34(9):878-83. doi: 10.1177/0960327114561662. Epub 2014 Dec 9.

Abstract

Proinflammatory and anti-inflammatory cytokines have an important role in the pathogenesis of febrile seizures (FS). Adipocytokines like interleukin 6 (IL-6), leptin, and adiponectin released from adipose tissue play a role in inflammation. This study aimed to assess the probable role of adipose tissue in children with FS. We measured serum IL-6, leptin, and adiponectin levels and evaluated clinical and laboratory findings in children with FS (n = 32) and compared the results with the values of children of the same age with febrile illness without seizures (febrile control, FC; n = 26) and healthy control group (HC; n = 29). The serum levels of white blood cells, C-reactive protein, IL-6, leptin, and adiponectin were found to be significantly higher, while serum hemoglobin (Hb) levels were found to be significantly lower in FS and FC groups than in the HC group (p < 0.001). When we compared the FS with the FC group, the serum Hb levels were significantly lower in the FS group than those in the FC group (p = 0.001). There was no significant difference between the FS and FC group with regard to the serum levels of these adipocytokines (p > 0.05). Our data showed that elevated levels of these adipocytokines as acute phase reactants in FS and FC groups did not contribute to the development of FS.

摘要

促炎细胞因子和抗炎细胞因子在热性惊厥(FS)的发病机制中起重要作用。脂肪组织释放的细胞因子如白细胞介素6(IL-6)、瘦素和脂联素在炎症中发挥作用。本研究旨在评估脂肪组织在FS患儿中的可能作用。我们测量了FS患儿(n = 32)的血清IL-6、瘦素和脂联素水平,并评估了其临床和实验室检查结果,同时将结果与同龄热性疾病但无惊厥的患儿(热性对照,FC;n = 26)及健康对照组(HC;n = 29)的值进行比较。结果发现,FS组和FC组的白细胞、C反应蛋白、IL-6、瘦素和脂联素的血清水平显著高于HC组,而血清血红蛋白(Hb)水平显著低于HC组(p < 0.001)。当我们将FS组与FC组进行比较时,FS组的血清Hb水平显著低于FC组(p = 0.001)。FS组和FC组在这些脂肪细胞因子的血清水平方面无显著差异(p > 0.05)。我们的数据表明,在FS组和FC组中,作为急性期反应物的这些脂肪细胞因子水平升高对FS的发生没有影响。

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