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围生期感染早产儿促炎和抗炎细胞因子水平。

The levels of pro- and anti-inflammatory cytokines in premature infants with perinatal infections.

机构信息

Department of Childhood Diseases No. 1 with Neonatology, West Kazakhstan Marat Ospanov Medical University, 68 Maresyev Str., 030000, Aktobe, Republic of Kazakhstan.

Department of Normal and Topographic Anatomy with Operative Surgery, West Kazakhstan Marat Ospanov Medical University, 68 Maresyev Str., 030000, Aktobe, Republic of Kazakhstan.

出版信息

Mol Cell Biochem. 2022 Feb;477(2):621-625. doi: 10.1007/s11010-021-04314-y. Epub 2021 Dec 3.

Abstract

Intrauterine infections are an urgent problem of modern neonatology. One of the causes of intrauterine infective foetal lesions is physiological immunosuppression. The purpose of this study is to investigate the cytokine status in newborns infected with perinatal infections, depending on their body weight. The study examined 145 newborns. Taking into account their body weight, they were divided into 2 groups: main and secondary. The study was conducted in the immunological laboratory of the Medical Centre of Marat Ospanov West Kazakhstan Medical University in the city of Aktobe, with the determination of the level of IgM and IgG to the herpes simplex virus (HSV) types 1, 2, cytomegalovirus (CMV), and chlamydia using the MULTISKANASCENT analyser with the "Chemo" T system. The main results of this study are the predominance of the anti-inflammatory component in both normal weight and underweight infants, which is evidence of the Th-cell-mediated immune response prevalence. The applied value of this study lies in the possibility of applying its results in practice to obtain effective methods to counteract the occurrence and development of intrauterine infections.

摘要

宫内感染是现代新生儿学的一个紧迫问题。导致宫内感染性胎儿病变的原因之一是生理性免疫抑制。本研究的目的是根据新生儿的体重,研究围产期感染新生儿细胞因子的状态。研究检查了 145 名新生儿。根据他们的体重,将他们分为主要组和次要组。该研究在阿克托比市的哈萨克斯坦西部医学大学的 Marat Ospanov 医学中心的免疫实验室进行,使用 MULTISKANASCENT 分析仪和“Chemo”T 系统,测定单纯疱疹病毒(HSV)1、2 型、巨细胞病毒(CMV)和衣原体的 IgM 和 IgG 水平。本研究的主要结果是,无论正常体重还是体重不足的婴儿,抗炎成分均占优势,这表明 Th 细胞介导的免疫反应普遍存在。本研究的应用价值在于可以在实践中应用其结果,以获得有效方法来对抗宫内感染的发生和发展。

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