PMID- 18282763 OWN - NLM STAT- MEDLINE DCOM- 20080415 LR - 20211020 IS - 1096-0023 (Electronic) IS - 1043-4666 (Print) IS - 1043-4666 (Linking) VI - 41 IP - 3 DP - 2008 Mar TI - Elevated serum levels of IL-1ra in children with Plasmodium falciparum malaria are associated with increased severity of disease. PG - 204-8 LID - 10.1016/j.cyto.2007.12.008 [doi] AB - Animal models suggest that cytokines and chemokines play a role in cerebral malaria (CM) pathogenesis, but levels of a number of cytokines and chemokines thought to be important in the pathogenesis of other infectious diseases are not well characterized in children with CM. Serum levels of granulocyte-colony stimulating factor (G-CSF), interleukin-1 receptor antagonist (IL-1ra), interleukin-8 (IL-8) and monocyte chemoattractant protein-1 (MCP-1) were measured in 77 children with CM, 70 children with uncomplicated malaria (UM) and 63 healthy community children (CC) in Uganda. Children with CM had elevated serum levels of IL-1ra and IL-8 as compared to children with UM (median levels in pg/ml, 11,891 vs. 6510, P=0.05, and 63 vs. 41, P=0.01, respectively). Children with CM who died (n=4) had higher serum levels than survivors of IL-1ra (median levels in pg/ml, 65,757 vs. 10,355, P=0.02), G-CSF (709 vs. 117, P=0.02), and MCP-1 (1275 vs. 216, P=0.03) but not IL-8 (76 vs. 62, P=NS). Elevated IL-1ra levels are associated with increased disease severity in children with malaria, and very elevated levels of IL-1ra, G-CSF and MCP-1 are seen in children who die of CM. FAU - John, Chandy C AU - John CC AD - Global Pediatrics Program and Division of Pediatric Infectious Diseases, Department of Pediatrics, University of Minnesota Medical School, 420 Delaware Street, SE, 850 Mayo, MMC-296, Minneapolis, MN 55455, USA. ccj@umn.edu FAU - Park, Gregory S AU - Park GS FAU - Sam-Agudu, Nadia AU - Sam-Agudu N FAU - Opoka, Robert O AU - Opoka RO FAU - Boivin, Michael J AU - Boivin MJ LA - eng GR - R21 TW006794/TW/FIC NIH HHS/United States GR - R21 TW006794-01/TW/FIC NIH HHS/United States GR - (R21 TW-006794/TW/FIC NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20080220 PL - England TA - Cytokine JT - Cytokine JID - 9005353 RN - 0 (Chemokines) RN - 0 (Cytokines) RN - 0 (Interleukin 1 Receptor Antagonist Protein) SB - IM MH - Chemokines/blood MH - Child MH - Child, Preschool MH - Cytokines/blood MH - Female MH - Humans MH - Interleukin 1 Receptor Antagonist Protein/*blood/physiology MH - Malaria, Cerebral/*diagnosis/immunology/*mortality MH - Malaria, Falciparum/*diagnosis/immunology/*mortality MH - Male MH - Severity of Illness Index MH - Uganda PMC - PMC2323512 MID - NIHMS43597 EDAT- 2008/02/20 09:00 MHDA- 2008/04/16 09:00 PMCR- 2009/03/01 CRDT- 2008/02/20 09:00 PHST- 2007/08/10 00:00 [received] PHST- 2007/12/11 00:00 [revised] PHST- 2007/12/14 00:00 [accepted] PHST- 2008/02/20 09:00 [pubmed] PHST- 2008/04/16 09:00 [medline] PHST- 2008/02/20 09:00 [entrez] PHST- 2009/03/01 00:00 [pmc-release] AID - S1043-4666(07)00531-5 [pii] AID - 10.1016/j.cyto.2007.12.008 [doi] PST - ppublish SO - Cytokine. 2008 Mar;41(3):204-8. doi: 10.1016/j.cyto.2007.12.008. Epub 2008 Feb 20.