Analysis of type I hypersensitivity-induced inflammatory response in children of different age groups with acute appendicitis

Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved..

OBJECTIVE: To explore the differences in type I hypersensitivity-induced inflammatory response among children of different age groups with acute appendicitis.

METHODS: We selected children diagnosed with "acute appendicitis" who underwent surgery in the Department of General Surgery of Anhui Provincial Children's Hospital from January 2022 to June 2022 and collected their basic data. We divided them into two groups according to age: the infant group (less than 3 years old) and the pediatric group (3-14 years old). The gender, age, onset time, hospital stay, preoperative white blood cells, percentage of neutrophils, C-reactive protein (CRP), and enzyme-linked immunosorbent assay (ELISA) were collected to determine the levels of immunoglobulin E (IgE), interleukin-4 (IL-4), interleukin-5 (IL-5), interleukin-6 (IL-6), and interleukin-9 (IL-9) in appendicular lavage fluid, and the differences between the two groups were compared.

RESULTS: There were 15 children in the infant group and 15 in the pediatric group. There was no significant difference between the two groups with respect to onset time and gender. The hospitalization time in the pediatric group was (5.7 ± 2.1) d, the preoperative white blood cells were (14.3 ± 3.7) × 10^9/mL, neutrophil percentage was (84.5 ± 6.3)%, and CRP was (20.0 ± 17.9) mg/mL. The hospitalization time of the infant group was (8.0 ± 3.1) d, the preoperative white blood cells were (19.0 ± 3.8) × 10^9/mL, neutrophil percentage was (77.8 ± 10.4)%, and CRP was (42.5 ± 25.0) mg/mL. The differences between the two groups were significant. There was no significant difference in IL-5 concentration between the two groups in the appendicular lavage fluid. IgE (610.74 ± 72.56) ng/mL, IL-4 (30.80 ± 12.04) ng/mL, IL-6 (118.09 ± 14.29) ng/mL, IL-9 (133.94 ± 16.00) ng/mL were found in the infant group, and IgE (495.61 ± 95.09) ng/mL, IL-4 (22.68 ± 7.05) ng/mL, IL-6 (98.22 ± 22.18) ng/mL and IL-9 (107.86 ± 27.34) ng/mL were found in the pediatric group, and the differences between the two groups were statistically significant.

CONCLUSIONS: The inflammatory response in children with acute appendicitis was associated with type I hypersensitivity-induced inflammatory responses, and the type I hypersensitivity was more intense in children in the lower age group.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:158

Enthalten in:

Molecular immunology - 158(2023) vom: 15. Juni, Seite 103-106

Sprache:

Englisch

Beteiligte Personen:

Pan, Zhu-Bin [VerfasserIn]
Zhang, Tao [VerfasserIn]
Yuan Cheng, M M [VerfasserIn]
Yu-Liang Zhou, M M [VerfasserIn]
Zhen-Qiang Zhang, M M [VerfasserIn]

Links:

Volltext

Themen:

207137-56-2
37341-29-0
9007-41-4
Appendicitis
C-Reactive Protein
Childhood
IgE
Immunoglobulin E
Immunohistochemistry
Interleukin-4
Interleukin-5
Interleukin-6
Interleukin-9
Journal Article
Pathology
Research Support, Non-U.S. Gov't
Type I hypersensitivity

Anmerkungen:

Date Completed 29.05.2023

Date Revised 30.05.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.molimm.2023.05.002

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM356852040