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血清免疫球蛋白E水平升高:复发性感染的儿科人群中可能导致先天性免疫缺陷的潜在因素。

Elevated Immunoglobulin E Serum Levels: Possible Underlying Factors That Can Cause an Inborn Error of Immunity in the Pediatric Population with Recurrent Infections.

作者信息

Oprițescu Sînziana, Nițescu Gabriela Viorela, Cîrnațu Daniela, Trifunschi Svetlana, Munteanu Melania, Golumbeanu Mihaela, Boghițoiu Dora, Dărăban Adriana Maria, Ilie Elena Iuliana, Moroșan Elena

机构信息

Discipline of Clinical Laboratory and Food Safety, Faculty of Pharmacy, "Carol Davila" University of Medicine and Pharmacy, 6 Traian Vuia Street, 020945 Bucharest, Romania.

Discipline of Pediatrics, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.

出版信息

Antibodies (Basel). 2024 Jun 17;13(2):47. doi: 10.3390/antib13020047.

DOI:10.3390/antib13020047
PMID:38920971
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11201012/
Abstract

Elevated immunoglobulin E (IgE) levels are commonly associated with allergies. However, high IgE levels are also found in several other infectious and non-infectious disorders. Elevated IgE levels typically suggest allergies, eczema, or recurrent skin infections. Hyperimmunoglobulin E (hyper-IgE) levels typically reflect a monogenic atopic condition or inborn immune defects with an atopic phenotype. The aim of our research is to investigate and observe the clinical characteristics of children with increased IgE levels who have previously manifested infectious diseases. Furthermore, the retrospective study considers other factors, such as demographic characteristics (sex, area/environment, and age), and their effect on IgE serum levels. To answer this question, we conducted a one-year hospital-based retrospective study that included 200 hospitalized children who had at least two viral or bacterial infections in the six months preceding hospitalization. Measurements of IgE and allergen panels (respiratory and digestive) using blood samples revealed that individuals who tested positive for the body's synthesis of hyper-IgE were not observably allergic to any potential allergens despite having higher total serum IgE. According to the results, there was a strong correlation between elevated IgE serum levels and a history of infectious diseases among the patients.

摘要

免疫球蛋白E(IgE)水平升高通常与过敏相关。然而,在其他一些感染性和非感染性疾病中也发现IgE水平升高。IgE水平升高通常提示过敏、湿疹或复发性皮肤感染。高免疫球蛋白E(高IgE)水平通常反映单基因特应性疾病或具有特应性表型的先天性免疫缺陷。我们研究的目的是调查和观察既往有传染病史的IgE水平升高儿童的临床特征。此外,这项回顾性研究还考虑了其他因素,如人口统计学特征(性别、地区/环境和年龄)及其对IgE血清水平的影响。为回答这个问题,我们进行了一项为期一年的基于医院的回顾性研究,纳入了200名住院儿童,这些儿童在住院前六个月内至少有两次病毒或细菌感染。使用血液样本对IgE和过敏原检测组(呼吸道和消化道)进行检测发现,尽管血清总IgE较高,但体内高IgE合成检测呈阳性的个体对任何潜在过敏原均无明显过敏反应。根据结果,患者中IgE血清水平升高与传染病史之间存在密切相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42b0/11201012/82ad82ccc2be/antibodies-13-00047-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42b0/11201012/c721a5621d18/antibodies-13-00047-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42b0/11201012/14e6b7416f64/antibodies-13-00047-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42b0/11201012/97fb234b666e/antibodies-13-00047-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42b0/11201012/3e548d2208cb/antibodies-13-00047-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42b0/11201012/82ad82ccc2be/antibodies-13-00047-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42b0/11201012/c721a5621d18/antibodies-13-00047-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42b0/11201012/14e6b7416f64/antibodies-13-00047-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42b0/11201012/97fb234b666e/antibodies-13-00047-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42b0/11201012/3e548d2208cb/antibodies-13-00047-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42b0/11201012/82ad82ccc2be/antibodies-13-00047-g005.jpg

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A review of the genetics and epigenetics of central precocious puberty.
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