Evolution of cytokines/chemokines in cases with community-acquired pneumonia and distinct etiologies

Detalhes bibliográficos
Autor(a) principal: Carvalho, Eduardo C Nascimento
Data de Publicação: 2020
Outros Autores: Vasconcellos, Ângela Gomes, Clarêncio, Jorge, Andrade, Daniela, Barral, Aldina Maria Prado, Barral Netto, Manoel, Carvalho, Cristiana Maria Nascimento
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/40341
Resumo: Artigo encontra-se disponível em acesso aberto no site do Editor.
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spelling Carvalho, Eduardo C NascimentoVasconcellos, Ângela GomesClarêncio, JorgeAndrade, DanielaBarral, Aldina Maria PradoBarral Netto, ManoelCarvalho, Cristiana Maria Nascimento2020-03-16T12:33:42Z2020-03-16T12:33:42Z2020CARVALHO, Eduardo C Nascimento et al. Evolution of cytokines/chemokines in cases with community‐acquired pneumonia and distinct etiologies. Pediatric Pulmonology, v. 55, p. 169–176, 2020.8755-6863https://www.arca.fiocruz.br/handle/icict/4034110.1002/ppul.24533Artigo encontra-se disponível em acesso aberto no site do Editor.Bahia State Agency for Research Funding (FAPESB; grant no. PNX 0019/2009). AB, MB‐N, and CMN‐C are senior investigators at the Brazilian Council for Scientific and Technological Development (CNPq). ECN‐C was recipient of the CNPq fellowship (163661/2018‐9).Bahiana Foundation for Science Development. Bahiana School of Medicine and Public Health. Salvador, BA, Brazil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil.Federal University of Bahia School of Medicine. Postgraduate Program in Health Sciences. Salvador, BA, Brazil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Federal University of Bahia School of Medicine. Postgraduate Program in Health Sciences. Salvador, BA, Brazil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Federal University of Bahia School of Medicine. Postgraduate Program in Health Sciences. Salvador, BA, Brazil.Federal University of Bahia School of Medicine. Postgraduate Program in Health Sciences. Salvador, BA, Brazil / Federal University of Bahia School of Medicine. Department of Pediatrics. Salvador, BA, Brazil.To compare the systemic cytokines/chemokines levels over time during the evolution of children hospitalized with community-acquired pneumonia (CAP) with and without pneumococcal infection. Methods: Children less than 5‐years‐old hospitalized with CAP were prospectively investigated in Salvador, Brazil. Clinical data and biological samples were collected to investigate 20 etiological agents and to determine serum cytokines/chemokines levels on admission and 2 to 4 weeks later. Cases with pneumococcal infection received this diagnosis irrespective of also having other etiologies. Results: A total of 277 patients were enrolled, however, serum sample was unavailable for cytokine measurement upon admission (n = 61) or upon follow‐up visit (n = 36), etiology was undetected (n = 50) and one patient did not attend the follow‐up visit. Therefore, this study group comprised of 129 cases with established etiology. The median (interquartile range) age and sampling interval was 18 (9‐27) months and 18 (16‐21) days, respectively. Established etiology was viral (52.0%), viral‐bacterial (30.2%), and bacterial (17.8%). Pneumococcal infection was found in 31 (24.0%) patients. Overall, median interleukin‐6 (IL‐6; 10.6 [4.7‐30.6] vs 21.0 [20.2‐21.7]; P = .03), IL‐10 (3.5 [3.1‐4.5] vs 20.1 [19.8‐20.4]; P < .001), and CCL2 (19.3 [12.4‐23.2] vs 94.0 [67.2‐117.8]; P < .001) were significantly higher in convalescent serum samples, whereas median CXCL10 (83.6 [36.4‐182.9] vs 14.6 [0‐116.6]; P < .001) was lower. Acute vs convalescent levels evolution of IL‐10, CCL2, and CXCL10 did not differ among patients with or without pneumococcal infection. However, IL‐6 decreased (27.8 [12.3‐48.6] vs 20.8 [20.2‐22.6]; P = .1) in patients with pneumococcal infection and increased (9.0 [4.2‐22.6] vs 21.0 [20.2‐21.7]; P = .001) in patients without it. Conclusion: The marked increase of IL‐6 serum levels during the acute phase makes it a potential biomarker of pneumococcal infection among children with CAP.engWileyInfecção respiratória aguda,criança,Infecção do trato respiratório inferiorDoença pulmonarInfecção pneumocócicaAcute respiratory infectionChildLower respiratory tract infectionLung diseasePneumococcal infectionEvolution of cytokines/chemokines in cases with community-acquired pneumonia and distinct etiologiesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/40341/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALNascimento, C.E. Evolution....pdfNascimento, C.E. 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dc.title.pt_BR.fl_str_mv Evolution of cytokines/chemokines in cases with community-acquired pneumonia and distinct etiologies
title Evolution of cytokines/chemokines in cases with community-acquired pneumonia and distinct etiologies
spellingShingle Evolution of cytokines/chemokines in cases with community-acquired pneumonia and distinct etiologies
Carvalho, Eduardo C Nascimento
Infecção respiratória aguda,
criança,
Infecção do trato respiratório inferior
Doença pulmonar
Infecção pneumocócica
Acute respiratory infection
Child
Lower respiratory tract infection
Lung disease
Pneumococcal infection
title_short Evolution of cytokines/chemokines in cases with community-acquired pneumonia and distinct etiologies
title_full Evolution of cytokines/chemokines in cases with community-acquired pneumonia and distinct etiologies
title_fullStr Evolution of cytokines/chemokines in cases with community-acquired pneumonia and distinct etiologies
title_full_unstemmed Evolution of cytokines/chemokines in cases with community-acquired pneumonia and distinct etiologies
title_sort Evolution of cytokines/chemokines in cases with community-acquired pneumonia and distinct etiologies
author Carvalho, Eduardo C Nascimento
author_facet Carvalho, Eduardo C Nascimento
Vasconcellos, Ângela Gomes
Clarêncio, Jorge
Andrade, Daniela
Barral, Aldina Maria Prado
Barral Netto, Manoel
Carvalho, Cristiana Maria Nascimento
author_role author
author2 Vasconcellos, Ângela Gomes
Clarêncio, Jorge
Andrade, Daniela
Barral, Aldina Maria Prado
Barral Netto, Manoel
Carvalho, Cristiana Maria Nascimento
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Carvalho, Eduardo C Nascimento
Vasconcellos, Ângela Gomes
Clarêncio, Jorge
Andrade, Daniela
Barral, Aldina Maria Prado
Barral Netto, Manoel
Carvalho, Cristiana Maria Nascimento
dc.subject.other.pt_BR.fl_str_mv Infecção respiratória aguda,
criança,
Infecção do trato respiratório inferior
Doença pulmonar
Infecção pneumocócica
topic Infecção respiratória aguda,
criança,
Infecção do trato respiratório inferior
Doença pulmonar
Infecção pneumocócica
Acute respiratory infection
Child
Lower respiratory tract infection
Lung disease
Pneumococcal infection
dc.subject.en.pt_BR.fl_str_mv Acute respiratory infection
Child
Lower respiratory tract infection
Lung disease
Pneumococcal infection
description Artigo encontra-se disponível em acesso aberto no site do Editor.
publishDate 2020
dc.date.accessioned.fl_str_mv 2020-03-16T12:33:42Z
dc.date.available.fl_str_mv 2020-03-16T12:33:42Z
dc.date.issued.fl_str_mv 2020
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv CARVALHO, Eduardo C Nascimento et al. Evolution of cytokines/chemokines in cases with community‐acquired pneumonia and distinct etiologies. Pediatric Pulmonology, v. 55, p. 169–176, 2020.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/40341
dc.identifier.issn.pt_BR.fl_str_mv 8755-6863
dc.identifier.doi.none.fl_str_mv 10.1002/ppul.24533
identifier_str_mv CARVALHO, Eduardo C Nascimento et al. Evolution of cytokines/chemokines in cases with community‐acquired pneumonia and distinct etiologies. Pediatric Pulmonology, v. 55, p. 169–176, 2020.
8755-6863
10.1002/ppul.24533
url https://www.arca.fiocruz.br/handle/icict/40341
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instacron_str FIOCRUZ
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collection Repositório Institucional da FIOCRUZ (ARCA)
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