PMID- 22122790 OWN - NLM STAT- MEDLINE DCOM- 20120406 LR - 20181201 IS - 1399-3038 (Electronic) IS - 0905-6157 (Linking) VI - 22 IP - 8 DP - 2011 Dec TI - Decrease in interleukin-21 in children suffering with severe atopic dermatitis. PG - 869-75 LID - 10.1111/j.1399-3038.2011.01209.x [doi] AB - BACKGROUND: Atopic dermatitis (AD) is a kind of eczema with an inflammatory, relapsing, non-contagious, and pruritic skin disorder. It is associated with the local infiltration of T helper type 2 (Th2) cells that secrete interleukin (IL)-4 and IL-5. IL-21 is a member of IL-2 family cytokine mainly expressed by activated CD4+ T lymphocytes. Until now, there is no clinical research in the expression of IL-21 in patients with AD. METHODS: We analyzed serum levels of total immunoglobulin E (IgE), allergen-specific IgE, and cytokines IL-4, IL-5, IFN-gamma, IL-17, and IL-21 in AD cases and controls. In addition, cytokine levels in the culture supernatants of peripheral blood mononuclear cells stimulated with anti-CD3 and anti-CD28 Abs, phytohemagglutin (PHA), or pokeweed mitogen (PWM) were measured. We also assessed clinical skin severity by Scoring of Atopic Dermatitis (SCORAD) index. RESULTS: Our results showed that serum total IgE in the case group was significantly higher than that of control group (365.449 +/- 52.945 and 39.243 +/- 7.605 IU/ml, respectively). Logistic regression analysis system reveals serum levels of IL-21 and IFN-gamma are significantly correlated. However, IL-21 and IL-4, IL-21 and IL-5, as well as IL-21 and IL-17 showed no correlation. CONCLUSION: A significantly decreased level of IL-21 was observed in children suffering with severe AD compared with controls, suggesting that IL-21 may play a role in AD. CI - (c) 2011 John Wiley & Sons A/S. FAU - Lin, Sheng-Chieh AU - Lin SC AD - Department of Pediatrics, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan. FAU - Chuang, Ya-Hui AU - Chuang YH FAU - Yang, Yao-Hsu AU - Yang YH FAU - Chiang, Bor-Luen AU - Chiang BL LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Pediatr Allergy Immunol JT - Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology JID - 9106718 RN - 0 (Antibodies, Monoclonal) RN - 0 (CD28 Antigens) RN - 0 (CD3 Complex) RN - 0 (Interleukins) RN - 0 (Phytohemagglutinins) RN - 0 (Pokeweed Mitogens) RN - 37341-29-0 (Immunoglobulin E) RN - 82115-62-6 (Interferon-gamma) RN - MKM3CA6LT1 (interleukin-21) SB - IM MH - Antibodies, Monoclonal/immunology/metabolism MH - CD28 Antigens/immunology MH - CD3 Complex/immunology MH - Cells, Cultured MH - Child MH - Child, Preschool MH - Dermatitis, Atopic/blood/*immunology/*physiopathology MH - Disease Progression MH - Down-Regulation MH - Female MH - Humans MH - Immunoglobulin E/blood MH - Interferon-gamma/genetics/immunology/*metabolism MH - Interleukins/genetics/immunology/*metabolism MH - Male MH - Phytohemagglutinins/immunology/metabolism MH - Pokeweed Mitogens/immunology/metabolism MH - Th2 Cells/immunology/*metabolism/pathology EDAT- 2011/11/30 06:00 MHDA- 2012/04/07 06:00 CRDT- 2011/11/30 06:00 PHST- 2011/11/30 06:00 [entrez] PHST- 2011/11/30 06:00 [pubmed] PHST- 2012/04/07 06:00 [medline] AID - 10.1111/j.1399-3038.2011.01209.x [doi] PST - ppublish SO - Pediatr Allergy Immunol. 2011 Dec;22(8):869-75. doi: 10.1111/j.1399-3038.2011.01209.x.