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中耳积液患儿血清白细胞介素-17水平与血清活性氧水平的相关性

Correlation between Serum Interleukin-17 level and Serum Reactive Oxygen Species levels among Children experiencing Otitis Media with Effusion.

作者信息

Abdelhafeez Marwa, Mohamed Noura Mostafa

机构信息

Department of Otorhinolaryngology, Faculty of Medicine, Minia University, Minia, Egypt.

Department of Biochemistry, Faculty of Medicine, Zagazig University, Egypt.

出版信息

Int Arch Otorhinolaryngol. 2021 Feb 19;25(4):e570-e574. doi: 10.1055/s-0040-1718961. eCollection 2021 Oct.

Abstract

The detection of inflammatory mediators in the serum of children with have otitis media with effusion (OME) and their correspondence with clinical considerations may enable the use of a modern nonsurgical curative treatment for OME.  To determine the relation between interleukin-17 (IL-17) serum level and reactive oxygen species (ROS) serum levels in children suffering from OME and to disclose if any variation occurs in the level of IL-17 Will affect the ROS and antioxidant equilibrium in the serum, which indicates the entire body's reaction to OME.  The present study was a case-control study. A total of 24 children experienced OME, and 24 healthy controls were recruited. All participants in the study were subjected to a systematic clinical investigation including otoscopic, audiometric, and tympanometric examination. Also, venous blood samples were collected from all children to determine the levels of IL-17 and ROS.  The mean ± standard deviation (SD) age ranges of the patients and the control group were 6.8 ± 2.7 and 6.2 ± 3.4 years, respectively. A stylistically significant difference in the levels of serum nitric oxide (NO), catalase (CT), myeloperoxidase (MPO), and malondialdehyde (MDA) (  < 0.05) was detected between OME and control patients. No significant difference was found in serum levels of superoxide dismutase (SOD) and glutathione peroxidase (GPX) between OME and control patients. The serum levels of MDA, NO, and MPO positively correlated with the serum levels of IL-17 in OME patients.  In the present study, there is a reasonable role of the IL-17 pathway in OME pathogenesis through an increase in ROS levels.

摘要

检测分泌性中耳炎(OME)患儿血清中的炎症介质及其与临床因素的相关性,可能有助于采用现代非手术疗法治疗OME。

为了确定OME患儿血清白细胞介素-17(IL-17)水平与活性氧(ROS)血清水平之间的关系,并揭示IL-17水平的任何变化是否会影响血清中的ROS和抗氧化平衡,这表明了机体对OME的反应。

本研究为病例对照研究。共纳入24例患OME的儿童,并招募了24名健康对照。研究中的所有参与者均接受了系统的临床检查,包括耳镜检查、听力测定和鼓室图检查。此外,采集了所有儿童的静脉血样,以测定IL-17和ROS的水平。

患者组和对照组的平均年龄±标准差(SD)范围分别为6.8±2.7岁和6.2±3.4岁。检测发现,OME患者与对照患者之间血清一氧化氮(NO)、过氧化氢酶(CT)、髓过氧化物酶(MPO)和丙二醛(MDA)水平存在统计学显著差异(P<0.05)。OME患者与对照患者之间血清超氧化物歧化酶(SOD)和谷胱甘肽过氧化物酶(GPX)水平无显著差异。OME患者血清MDA、NO和MPO水平与IL-17血清水平呈正相关。

在本研究中,IL-17途径通过增加ROS水平在OME发病机制中发挥了合理作用。

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