Levels of interleukin-6,interleukin-10 and T cell subsets in bronchoalveolar lavage fluid of children with refractory mycoplasma pneumonia
10.3760/cma.j.issn.1673-4912.2014.11.003
- VernacularTitle:难治性肺炎支原体肺炎患儿肺泡灌洗液中白细胞介素-6、白细胞介素-10及T细胞亚群水平研究
- Author:
Kun LIANG
;
Ling TIAN
;
Xiaolei WU
;
Guangju HUANG
;
Xiuhua DAI
;
Huiyu ZHANG
- Publication Type:Journal Article
- Keywords:
Refractory mycoplasma pneumonia;
Mycoplasma;
Lavage fluid;
interleukin-6;
intedeukin-10;
T cell subsets
- From:
Chinese Pediatric Emergency Medicine
2014;21(11):689-692
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the interleukin (IL)-6,IL-10 and T cell subsets levels in bronchoalveolar lavage fluid(BALF) of children with refractory mycoplasma pneumonia.Methods A total of 53 children with refractory mycoplasma pneumonia were selected as the observation group,30 children with bronchial foreign body in our hospital were chosen as controls during the same period.ABC-double antibody sandwich ELISA method was used to detect IL-6,IL-10 levels and the CD3 +,CD4 + and CD8 + T levels were measured by means of flow cytometry in BALF.Results The IL-6 and IL-10 levels in BALF of children in the observation group were (63.25 ± 18.61) ng/ml,(31.83 ± 8.33) ng/ml respectively,and they were significantly higher than those of the controls[(30.51 ± 1.34) ng/ml,(11.01 ± 2.91) ng/ml] (P < 0.05,respectively).The percentage of CD3 +,CD4 +,CD8 + T cells and the ratio of CD4 +/CD8 + T cells in BALF of the observation group were (48.47 ± 2.88)%,(21.16 ± 6.29)%,(23.04 ± 4.63)%,0.94 ± 0.33,respectively,and they were significantly lower than those of the controls [(64.24 ± 3.06) %,(34.34 ± 7.59) %,(26.71 ±5.29)%,1.56-±0.67] (P<0.05,respectively).Conclusion The IL-6,IL-10 levels in BALF of children with refractory mycoplasma pneumonia significantly increased,suggesting that cell-mediated immunity play an important role in the pathogenesis of refractory mycoplasma pneumonia.