Cytokine profile in Egyptian children and adolescents with COVID‐19 pneumonia: A multicenter study

Faculty Medicine Year: 2021
Type of Publication: ZU Hosted Pages:
Authors:
Journal: pediateric pulmonology international Volume:
Keywords : Cytokine profile , Egyptian children , adolescents with COVID‐19    
Abstract:
Background: To date, the cytokine profile in children and adolescent with novel coronavirus disease 2019 (COVID‐19) has not been reported. Objectives: We investigated serum levels of a panel of key cytokines in children and adolescent with COVID‐19 pneumonia with a primary focus on “cytokine storm” cytokines such as interleukin (IL)‐1β, IL‐6, IL‐17, IL‐2, IL‐4, IL‐10, interferon (IFN‐γ), tumor necrosis factor (TNF)‐α, and two chemokines interferon‐inducible protein‐10 (IP‐10) and IL‐8. We also studied whether these cytokines could be potential markers for illness severity in COVID‐19 pneumonia. Methods: Ninety‐two symptomatic patients aged less than 18 years with confirmed COVID‐19 pneumonia and 100 well‐matched healthy controls were included in this multi‐center study. For all patients, the presence of severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) in respiratory fluid specimens was detected by real‐time reverse‐transcriptase polymerase chain reaction. We measured serum concentrations of studied cytokines by using flow cytometry.Results: Patients with COVID‐19 had significantly higher median IL‐1β, IL‐6, IL‐8, IL‐10, IL‐17, TNF‐α, and IP‐10 serum levels than did control children (all p < 0.01). Patients with severe COVID‐19 pneumonia had significantly higher median IL‐1β, IL‐6, and IP‐10 serum levels as compared with those with moderate COVID‐19 pneumonia; all p < 0.01. ROC analysis revealed that three of the studied markers (IL‐6, IL‐1β, and IP‐10) could predict severe COVID‐19 pneumonia cases with the largest AUC for IL‐6 of 0.893 (95% confidence interval: 0.84–0.98; p < 0.01). Conclusion: Our study shows that pediatric patients with COVID‐19 pneumonia have markedly elevated serum IL‐1β, IL‐6, IL‐8, IL‐10, IL‐17, TNF‐α, and IP‐10 levels at the initial phase of the illness indicating a cytokine storm following SARS‐CoV‐2 infection. Moreover, serum IL‐6, IL‐1β, and IP‐10 concentrations were independent predictors for severe COVID‐19 pneumonia.
   
     
 
       

Author Related Publications

  • Rania Ahmed Foad, "polymorphisms of DNA repair genes OGG1 and XPD in age related catract in egyptions", molecular vision, 2014 More
  • Rania Ahmed Foad, "Association of interleukin-17A gene polymorphisms and susceptibility to systemic lupus erythematosus in Egyptian children and adolescents: a multi-centre study", international, 2020 More
  • Rania Ahmed Foad, "The impact of catalase and glutathione peroxidase-1 genetic polymorphisms on their enzyme activities among Egyptian patients with keratoconus", international, 2020 More
  • Rania Ahmed Foad, "Synthesis and Antitumor Activity of Doxycycline Polymeric Nanoparticles: Effect on Tumor Apoptosis in Solid Ehrlich Carcinoma", international, 2020 More
  • Rania Ahmed Foad, "Association of Plasminogen Activator Inhibitor 1 (PAI-1) 4G/5G Polymorphism and Susceptibility to SLE in Egyptian Children and Adolescents: A Multicenter Study", Dove press, 2020 More

Department Related Publications

  • Amal Alsayed Sehata Morssi, "20. معدلات تدفق الدم بالنسيج الضام للمبيض باستخدام الدوبلر ذو الطاقة ثلاثى الابعاد وعامل النمو للخلايا المبطنة للاوعية الدموية في متلازمة تكيس المبيض عقب تثقيب المبيض بمنظار البطن ", لايوجد, 1900 More
  • Diab Ahmed Radwan, "ارتباط عامل نمو العصب و الانترلوكين -4 و-5 في حدوث الربو الشعبى و دورهم فى تنشيط خلايا الاوزينوفيل", لايوجد, 1900 More
  • Diab Ahmed Radwan, "تاثير ثيوسلفات الصوديوم و الميلاتونين علي الاثار السميه لعقار السيزبلاتين على الاذن و الكلى و خطوره الاكسده فى الجرزان البيضاء البالغه", لايوجد, 1900 More
  • Sami Hassan Ibrahim, "دور فيروس الالتهاب الكبدي س في حدوث مرض الرثيان المفصلي.", لايوجد, 1900 More
  • Sami Hassan Ibrahim, "اهميه قياس عامل نمو خلايا بطانه الاوعيه الدمويه في مصل دم مرضي سرطان الكبد", لايوجد, 1900 More
Tweet