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Serum Cytokine Responses during Acute Human Granulocytic Ehrlichiosis

机译:急性人类粒细胞埃希氏病期间的血清细胞因子反应

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Human granulocytic ehrlichiosis (HGE) is caused by obligate intracellular bacteria in the Ehrlichia phagocytophilagroup. The disease ranges from subclinical to fatal. We speculated that cell-mediated immunity would be important for recovery from and potentially in the clinical manifestations of HGE; thus, serum tumor necrosis factor alpha (TNF-α), interleukin 1β (IL-1β), gamma interferon (IFN-γ), IL-10, and IL-4 concentrations were studied. IFN-γ (1,035 ± 235 pg/ml [mean ± standard error of the mean]) and IL-10 (118 ± 46 pg/ml) concentrations were elevated in acute-phase sera versus convalescent sera and normal subjects (P?≤?0.013 and P?≤?0.018, respectively). TNF-α, IL-1β, and IL-4 levels were not elevated. Cytokine levels in severely and mildly affected patients were not different. HGE leads to induction of IFN-γ-dominated cell-mediated immunity associated with clinical manifestations, recovery from infection, or both.
机译:人粒细胞埃希氏菌病(HGE)是由吞噬埃希氏菌(Ehrlichia phagocytophila)组中的专性细胞内细菌引起的。该病范围从亚临床到致命。我们推测,细胞介导的免疫对于HGE的恢复以及在HGE的临床表现中具有重要意义。因此,研究了血清肿瘤坏死因子α(TNF-α),白介素1β(IL-1β),γ干扰素(IFN-γ),IL-10和IL-4的浓度。急性期血清与恢复期血清和正常人相比,IFN-γ(1,035±235 pg / ml [平均值±平均值的标准误差])和IL-10(118±46 pg / ml)的浓度升高( P ≤≤0.013和 P ≤≤0.018)。 TNF-α,IL-1β和IL-4水平未升高。重度和轻度患者的细胞因子水平没有差异。 HGE导致与临床表现,感染恢复或两者相关的IFN-γ主导的细胞介导的免疫反应。

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