T-Helper Cytokine Profiles in Patients with Kawasaki Disease.
10.4070/kcj.2015.45.6.516
- Author:
Sang Bum LEE
1
;
Young Hyun KIM
;
Myung Chul HYUN
;
Yeo Hyang KIM
;
Hee Sun KIM
;
Young Hwan LEE
Author Information
1. Department of Pediatrics, Kyungbook National University School of Medicine, Daegu, Korea.
- Publication Type:Original Article
- Keywords:
Mucocutaneous lymph node syndrome;
Cytokine;
Th1-Th2 cytokine balance
- MeSH:
Coronary Vessels;
Cytokines;
Diagnosis;
Female;
Humans;
Immunoglobulins;
Immunoglobulins, Intravenous;
Interferon-gamma;
Interleukin-10;
Interleukin-4;
Interleukins;
Mucocutaneous Lymph Node Syndrome*;
Plasma;
Prospective Studies;
Systemic Vasculitis;
T-Lymphocytes, Helper-Inducer;
Th1-Th2 Balance;
Th2 Cells
- From:Korean Circulation Journal
2015;45(6):516-521
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND AND OBJECTIVES: Kawasaki disease is an acute systemic vasculitis of which pathogenesis suspected is caused by immune dysregulation. The goal of this study is to evaluate the activation pattern of T helper cell type 1 (Th1) and T helper cell type 2 (Th2) in patients with Kawasaki disease. SUBJECTS AND METHODS: Prospective study of 60 patients (male 36, female 24) with diagnosis of Kawasaki disease were enrolled. One hundred and eighty blood samples from these patients were collected according to the different clinical stages {before initial intravenous immunoglobulin (IVIG), 5 days after initial IVIG, 2 months after initial IVIG}. The plasma level of Th1 cytokines; interferon-gamma (IFN-gamma) & interleukin (IL)-2 and Th2 cytokines; IL-4 & IL-10 were measured by enzyme-liked immunosorbent assay. RESULTS: In all patients, the plasma level of Th1 cytokines (IFN-gamma, IL-2) and Th2 cytokines (IL-4 and IL-10) were markedly elevated during the acute stage of Kawasaki disease. Since then, the plasma level of all these cytokines decreased significantly along with the process of clinical stages. Regardless of the existence of coronary artery lesion or no response to initial IVIG treatment, there were no significant differences between them. CONCLUSION: These data suggest that both Th1 and Th2 cells may be activated simultaneously during the acute stage of Kawasaki disease. Further studies are therefore required to establish the difference of activation pattern of T helper cells between Kawasaki disease and other inflammatory diseases.
