PMID- 21426632 OWN - NLM STAT- MEDLINE DCOM- 20110609 LR - 20110323 IS - 1008-8830 (Print) IS - 1008-8830 (Linking) VI - 13 IP - 3 DP - 2011 Mar TI - [Th1/Th2 immune response in bronchoalveolar lavage fluid in children with severe Mycoplasma pneumoniae pneumonia]. PG - 188-90 AB - OBJECTIVE: To study the status of Th1/Th2 immune response and the value of the detection of cytokines in bronchoalveolar lavage fluids (BALF) by examining the levels of IFN-gamma and IL-4 in BALF and serum in children with severe Mycoplasma pneumonia (MPP). METHODS: The levels of IFN-gamma and IL-4 in BALF and serum were measured using ELISA in 25 children with severe MPP, 25 children with mild MPP and 25 children with foreign body in bronchus. RESULTS: The levels of IL-4 and IFN-gamma and the IL-4/IFN-gamma ratio in BALF in children with severe MPP were significantly higher than those in children with foreign body in bronchus (P<0.01 or P<0.05). The serum levels of IL-4 and the IL-4/IFN-gamma ratio in children with severe MPP were significantly higher than those in children with foreign body in bronchus (P<0.01) or with mild MPP (P<0.05). The levels of IL-4 and the IL-4/IFN-gamma ratio in BALF were significantly higher than in serum (P<0.05). CONCLUSIONS: The data suggest that the imbalance of Th1/Th2 exists in children with severe MPP and it seems to represent a predominant Th2-like cytokine response. The detection of cytokines in BALF appears to be more sensitive than in serum and may be of value in the diagnosis and therapy of MPP. FAU - Kang, Yan-Meng AU - Kang YM AD - Department of Respiratory Medicine, Qilu Children's Hospital, Shandong University, Jinan 250022, China. FAU - Ding, Ming-Jie AU - Ding MJ FAU - Han, Yu-Ling AU - Han YL FAU - Wang, Shi-Fu AU - Wang SF FAU - Ma, Xiang AU - Ma X FAU - Li, Hua AU - Li H LA - chi PT - English Abstract PT - Journal Article PL - China TA - Zhongguo Dang Dai Er Ke Za Zhi JT - Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics JID - 100909956 RN - 207137-56-2 (Interleukin-4) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Adolescent MH - Bronchoalveolar Lavage Fluid/*immunology MH - Child MH - Child, Preschool MH - Female MH - Humans MH - Interferon-gamma/blood MH - Interleukin-4/blood MH - Male MH - Pneumonia, Mycoplasma/*immunology MH - Th1 Cells/*immunology MH - Th2 Cells/*immunology EDAT- 2011/03/24 06:00 MHDA- 2011/06/10 06:00 CRDT- 2011/03/24 06:00 PHST- 2011/03/24 06:00 [entrez] PHST- 2011/03/24 06:00 [pubmed] PHST- 2011/06/10 06:00 [medline] AID - 1008-8830(2011)03-0188-03 [pii] PST - ppublish SO - Zhongguo Dang Dai Er Ke Za Zhi. 2011 Mar;13(3):188-90.