PMID- 18835573 OWN - NLM STAT- MEDLINE DCOM- 20090311 LR - 20151119 IS - 0198-8859 (Print) IS - 0198-8859 (Linking) VI - 69 IP - 12 DP - 2008 Dec TI - Mycoplasma pneumoniae infection in a pediatric population: analysis of soluble immune markers as risk factors for asthma. PG - 851-5 LID - 10.1016/j.humimm.2008.09.003 [doi] AB - Epidemiologic and clinical evidence suggests that respiratory tract infection with Mycoplasma pneumoniae maybe implicated in the initiation and exacerbation of asthma. This study examines the incidence and frequency of M. pneumoniae infection in children and evaluates the serum cytokine profile and total immunoglobulin E (IgE) levels in a subgroup of patients with clinical presentation of either upper respiratory tract infections (URTI) or lower respiratory tract infections (LRTI). A total of 6986 serum samples were tested for specific IgM anti-M. pneumoniae, and a 4-year cyclical incidence of M. pneumoniae infection was confirmed; however; the peak age of highest incidence in the most recent epidemic fell to 3-4 years. A high incidence was also observed in the 6-7-year age group. Children presenting with LRTI, when compared with those patients presenting with URTI, had significantly higher serum levels of the proinflammatory cytokines, interleukin (IL)-1alpha, IL-6, the T-helper (Th)2-type cytokines, and IL-4 and IL-10. The Th1-type cytokines, IL-2 and IL-12, were within the normal range, whereas interferon-gamma levels were slightly raised. Total serum immunoglobulin E levels were significantly higher in the LRTI group (p < 0.02). Our findings support the emerging evidence that respiratory tract infection with Mycoplasma pneumoniae results in an increased proinflammatory and Th2-type cytokine response that may precede the initiation and exacerbation of asthma. FAU - Hassan, Jaythoon AU - Hassan J AD - National Virus Reference Laboratory, School of Medicine and Medical Sciences, University College Dublin, Dublin, Ireland. jaythoon.hassan@ucd.ie FAU - Irwin, Fiona AU - Irwin F FAU - Dooley, Seamus AU - Dooley S FAU - Connell, Jeff AU - Connell J LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20081007 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (Biomarkers) RN - 0 (Cytokines) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Asthma/etiology/prevention & control MH - Biomarkers/*blood MH - Child MH - Child, Preschool MH - Cytokines/blood MH - Female MH - Humans MH - Immunoglobulin E/blood MH - Incidence MH - Infant MH - Infant, Newborn MH - Ireland MH - Male MH - Mycoplasma pneumoniae/*immunology MH - Pneumonia, Mycoplasma/blood/complications/epidemiology/*immunology MH - Prevalence MH - Risk Factors MH - Th1 Cells/*immunology/metabolism MH - Th2 Cells/*immunology/metabolism EDAT- 2008/10/07 09:00 MHDA- 2009/03/12 09:00 CRDT- 2008/10/07 09:00 PHST- 2008/06/10 00:00 [received] PHST- 2008/08/26 00:00 [revised] PHST- 2008/09/04 00:00 [accepted] PHST- 2008/10/07 09:00 [pubmed] PHST- 2009/03/12 09:00 [medline] PHST- 2008/10/07 09:00 [entrez] AID - S0198-8859(08)00473-4 [pii] AID - 10.1016/j.humimm.2008.09.003 [doi] PST - ppublish SO - Hum Immunol. 2008 Dec;69(12):851-5. doi: 10.1016/j.humimm.2008.09.003. Epub 2008 Oct 7.