PMID- 19323903 OWN - NLM STAT- MEDLINE DCOM- 20090522 LR - 20090327 IS - 2542-5641 (Electronic) IS - 0366-6999 (Linking) VI - 122 IP - 5 DP - 2009 Mar 5 TI - Different plasma levels of interleukins and chemokines: comparison between children and adults with AIDS in China. PG - 530-5 AB - BACKGROUND: The immunological differences between children and adults with AIDS in China are not well documented. Th1/Th2 cytokines and chemokines are two types of immune factors intimately involved in disease progression of HIV-1 infection. This study aimed to identify changes in plasma levels of Th1/Th2 cytokines inerleukin (IL)-18, IL-16, IL-10 and chemokines regulated on activation, normal T cell expressed and secreted (RANTES), stromal cell-derived factor-1 (SDF-1) and monocyte chemoattractant protein-1 (MCP-1) in HIV-1-infected children and adults in China. METHODS: Seventy-five children with AIDS and 35 adult AIDS patients were recruited and clinical data were collected. CD4(+) T lymphocyte counts were measured by flow cytometery and plasma HIV RNA levels were measured by quantitative RT-PCR. Plasma levels of IL-18, IL-10, IL-16, RANTES, MCP-1, SDF-1alpha and SDF-1beta were quantified by enzyme-linked immunosorbent assay. The levels of beta2-microglobulin (beta2-MG) and soluble Fas (sFas) were measured to validate the level of humoral and cellular immune activation. RESULTS: The mean levels of all cytokines in pediatric and adult AIDS patients were significantly higher than in their healthy controls (P < 0.01). The mean levels of these cytokines were higher in pediatric patients than in adult patients (P < 0.05, except for SDF-1alpha and beta2-MG). Some of the cytokine levels in patients younger than 6 years old was higher than in older children and adults with AIDS (IL-10, IL-18, SDF-1alpha, MCP, RANTES and sFas, P < 0.05). Levels of IL-18, IL-10, RANTES and beta2-MG of pediatric patients increased as the levels of viral load increased (P < 0.05). CONCLUSIONS: Abnormal immune activation can be measured in Chinese pediatric and adult patients with AIDS, and is higher in children than in adult patients. The cytokines levels coincide with disease progression of AIDS, but have no direct relationship with total CD4(+) T cell count. FAU - Jin, Chang-zhong AU - Jin CZ AD - First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. FAU - Zhao, Yan AU - Zhao Y FAU - Zhang, Fu-jie AU - Zhang FJ FAU - Yao, Hang-ping AU - Yao HP FAU - Wu, Ling-jiao AU - Wu LJ FAU - Zhao, Hong-xin AU - Zhao HX FAU - Wei, Hong-shan AU - Wei HS FAU - Wu, Nan-ping AU - Wu NP LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Chin Med J (Engl) JT - Chinese medical journal JID - 7513795 RN - 0 (Chemokine CCL2) RN - 0 (Chemokine CCL5) RN - 0 (Chemokine CXCL12) RN - 0 (Chemokines) RN - 0 (Interleukin-16) RN - 0 (Interleukin-18) RN - 0 (Interleukins) RN - 0 (RNA, Viral) RN - 130068-27-8 (Interleukin-10) SB - IM MH - Acquired Immunodeficiency Syndrome/*blood/virology MH - Adult MH - Age Distribution MH - Aged MH - Chemokine CCL2/blood MH - Chemokine CCL5/blood MH - Chemokine CXCL12/blood MH - Chemokines/*blood MH - Child MH - Child, Preschool MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Flow Cytometry MH - HIV-1/genetics MH - Humans MH - Interleukin-10/blood MH - Interleukin-16/blood MH - Interleukin-18/blood MH - Interleukins/*blood MH - Male MH - Middle Aged MH - RNA, Viral/genetics MH - Reverse Transcriptase Polymerase Chain Reaction MH - Viral Load EDAT- 2009/03/28 09:00 MHDA- 2009/05/23 09:00 CRDT- 2009/03/28 09:00 PHST- 2009/03/28 09:00 [entrez] PHST- 2009/03/28 09:00 [pubmed] PHST- 2009/05/23 09:00 [medline] PST - ppublish SO - Chin Med J (Engl). 2009 Mar 5;122(5):530-5.