龙海晨
(2024-02-09 19:34):
#paper Ahmed Mostafa G, Mohamed Ibrahim H, Al Sayed Shehab A, Mohamed Magdy S, AboAbdoun Soliman N, Fathy El-Sherif D. Up-regulated serum levels of interleukin (IL)-17A and IL-22 in Egyptian pediatric patients with COVID-19 and MIS-C: Relation to the disease outcome. Cytokine. 2022 Jun;154:155870. doi: 10.1016/j.cyto.2022.155870. Epub 2022 Apr 4. PMID: 35398721; PMCID: PMC8977483.这是一篇研究新冠感染儿童血清中各种细胞因子与新冠严重程度的文章。检测患者40名(其中 18 名患者患有 COVID-19,22 名患者患有多系统炎症综合征“MIS-C”)年龄从两个月到16周岁,48名健康儿童作为对照组。COVID-19 和 MIS-C 患者的血清 IL-17A 和 IL-22 水平显着高于健康对照儿童。患者的血清 IL-17A 和 IL-22 水平均升高。90% 的患者发现 CRP 和血清铁蛋白水平升高。IL-17和IL-22都被认为是组织信号细胞因子,有利于肺、皮肤和胃肠道等上皮屏障器官的保护和再生。IL-17 和 IL-22 在宿主抵御微生物以及急性和慢性炎症性疾病的发展中发挥着重要作用。但康复的患者与死亡的患者生前留存的血清中对比 IL-17A、IL-22 没有显著差异, IL-17A、IL-22 的升高与否不能作为预后指标。
Up-regulated serum levels of interleukin (IL)-17A and IL-22 in Egyptian pediatric patients with COVID-19 and MIS-C: Relation to the disease outcome
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Abstract:
Both IL-17A and IL-22 share cellular sources and signaling pathways. They have synergistic action on epithelial cells to stimulate their production of antimicrobial peptides which are protective against infections. However, both interleukins may contribute to ARDS pathology if their production is not controlled. This study aimed to investigate serum levels of IL-17A and IL-22 in relation to the disease outcome in patients with SARS-CoV-2. Serum IL-17A and IL-22 were measured by ELISA in 40 patients with SARS-CoV-2, aged between 2 months and 16 years, (18 had COVID-19 and 22 had multisystem inflammatory syndrome in children "MIS-C") in comparison to 48 age- and sex-matched healthy control children. Patients with COVID-19 and MIS-C had significantly higher serum IL-17A and IL-22 levels than healthy control children (P < 0.001). Increased serum IL-17A and IL-22 levels were found in all patients. Elevated CRP and serum ferritin levels were found in 90% of these patients. Lymphopenia, neutrophilia, neutropenia, thrombocytopenia and elevated ALT, LDH and D-dimer were found in 45%, 42.5 %, 2.5%, 30%, 32.5%, 82.5%, and 65%, respectively of these patients. There were non-significant differences between patients who recovered and those who died or had a residual illness in serum levels of IL-17A, IL-22 and the routine inflammatory markers of COVID-19. In conclusions, serum IL-17A and IL-22 levels were up-regulated in all patients with COVID-19 and MIS-C. Levels of serum IL-17A, IL-22 and the routine inflammatory markers of COVID-19 were not correlated with the disease outcome. Our conclusions are limited by the sample size.
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