Lahat E, Livne M, Barr J, Katz Y
Division of Pediatrics, Assaf Harofeh Medical Center, Zerifin, Israel.
Pediatr Neurol. 1997 Jul;17(1):34-6. doi: 10.1016/s0887-8994(97)00034-9.
We compared interleukin-1beta (IL-1beta) levels in peripheral blood and cerebrospinal fluid (CSF) of children with febrile seizures with those of children with febrile illnesses without seizures (control). Twenty patients were included in the study, 10 with febrile seizures and 10 with febrile illness not complicated by seizures (control). Blood and CSF were obtained after the patients' admission to the hospital. IL-1beta levels were measured by a specific radioimmunoassay method. No significant differences were observed between mean IL-1beta levels in CSF (4.15 +/- 1.5 pg/ml) and blood (2.92 +/- 2.6 pg/ml) of the patients with febrile seizures group as compared with those in CSF (3.2 +/- 3.2 pg/ml) and blood (3.44 +/- 3.16 pg/ml) in the control group. These results do not support the hypothesis that increased production of IL-1beta or increased diffusion of IL-1beta through the blood-brain barrier is involved in the pathogenesis of febrile seizures in children.
我们比较了热性惊厥儿童与无惊厥热性疾病儿童(对照组)外周血和脑脊液(CSF)中白细胞介素-1β(IL-1β)的水平。该研究纳入了20名患者,其中10名热性惊厥患者和10名无惊厥热性疾病患者(对照组)。患者入院后采集血液和脑脊液。采用特异性放射免疫测定法测量IL-1β水平。与对照组脑脊液(3.2±3.2 pg/ml)和血液(3.44±3.16 pg/ml)中的水平相比,热性惊厥组患者脑脊液(4.15±1.5 pg/ml)和血液(2.92±2.6 pg/ml)中的平均IL-1β水平未观察到显著差异。这些结果不支持IL-1β产生增加或IL-1β通过血脑屏障扩散增加参与儿童热性惊厥发病机制的假说。