IMMUNE RESPONS OF CYTOKINES IN DIFFERENT COURSE OF VIRAL ENCEPHALITIS IN CHILDREN

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Abstract

105 children aged 1-17 years with viral encephalitis (EF) were examined. Determined cytokines (TNF-α, IL-4, IL-10, IFN-α and IFN-γ) in serum and CSF. In acute course (n = 50) dominated (74%) Th1 type of immune response (IR) with a high average IFN-γ in the blood and CSF and IFN-γ / IL-4 = 8.3 and 11.9. With a prolonged flow (n = 25) - Th2 with indices IFN-γ / IL-4 = 0.75 and 0.79. In chronic (n = 30) - suppressive type of IR, in which the blood cytokines did not exceed the norm, and CSF were lower than in acute and prolonged course. Cytokines in acute and prolonged course of EF were higher in serum, and in chronic ~ 1.3-1.7 times higher in CSF than in blood, indicating their intrathecal synthesis in the long-term course of neu-roinfection. Types of IR and the intensity of cytokine synthesis were interrelated with the nature of the course of EF in children and the severity of infectious and cerebral symptoms.

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N V Skripchenko

Children’s Research and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of Russia, Saint Petersburg

G P Ivanova

Children’s Research and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of Russia, Saint Petersburg

E Yu Skripchenko

Children’s Research and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of Russia, Saint Petersburg

G F Zheleznikova

Children’s Research and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of Russia, Saint Petersburg

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Copyright (c) 2019 Skripchenko N.V., Ivanova G.P., Skripchenko E.Y., Zheleznikova G.F.

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