Brucellosis Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
Department of Pathology, School of medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
J Clin Lab Anal. 2020 Jul;34(7):e23267. doi: 10.1002/jcla.23267. Epub 2020 Feb 26.
Evaluation of cytokines such as interleukin-4 (IL-4) can be an important tool in examining immune responses to brucellosis. Also, determining the response rate to treatment is necessary for controlling and eradicating of disease. The review of previous studies reveals contradictory results that require further research in this regard. The aim of this study was to compare the serum level of IL-4 in patients with brucellosis and healthy controls.
In this descriptive-analytical study for comparison of two groups, a total of 165 participants, including 83 patients with brucellosis and 82 non-infected people, were evaluated after matching of sex and age in Hamadan (northwest of Iran) in 2017 and the serum level of IL-4 was compared by ELISA method. The collected data were analyzed by SPSS software version 21 at 95% significant level.
Mean of age in the case and control groups were 50.25 ± 16.01 and 43.26 ± 15.6 years, respectively. The serum levels of IL-4 in the case and control groups were 1.42 ± 0.51 pg/mL and 1.31 ± 1.02 pg/mL, respectively. Based on the non-parametric Mann-Whitney test, the IL-4 level was significantly higher in the case group, compared with the control (P < .001), but no statistically significant relationship was found between serum levels of IL-4 with age, sex, and serologic titers of Wright and 2ME.
In patients with brucellosis, the level of IL-4 increases independently of the duration and severity of the disease, which indicates the role of this cytokine of immune system in this infectious disease.
评估细胞因子(如白细胞介素-4(IL-4))可以成为检查布鲁氏菌病免疫反应的重要工具。此外,确定治疗反应率对于控制和消除疾病是必要的。对以往研究的回顾显示出需要在这方面进行进一步研究的矛盾结果。本研究的目的是比较布鲁氏菌病患者和健康对照者的血清 IL-4 水平。
在这项比较两组的描述性分析研究中,共有 165 名参与者,包括 2017 年在伊朗西北部哈马丹的 83 名布鲁氏菌病患者和 82 名非感染者,在性别和年龄匹配后进行评估,并通过 ELISA 方法比较血清中 IL-4 的水平。收集的数据采用 SPSS 软件版本 21 在 95%显著水平下进行分析。
病例组和对照组的平均年龄分别为 50.25±16.01 岁和 43.26±15.6 岁。病例组和对照组的 IL-4 血清水平分别为 1.42±0.51pg/mL 和 1.31±1.02pg/mL。基于非参数 Mann-Whitney 检验,病例组的 IL-4 水平明显高于对照组(P<0.001),但血清 IL-4 水平与年龄、性别以及 Wright 和 2ME 的血清滴度之间无统计学显著关系。
在布鲁氏菌病患者中,IL-4 水平独立于疾病的持续时间和严重程度而增加,这表明该细胞因子在这种感染性疾病中免疫系统的作用。