PMID- 24977240 OWN - NLM STAT- MEDLINE DCOM- 20150604 LR - 20211021 IS - 1537-744X (Electronic) IS - 2356-6140 (Print) IS - 1537-744X (Linking) VI - 2014 DP - 2014 TI - Mycoplasma pneumoniae infection in children is a risk factor for developing allergic diseases. PG - 986527 LID - 10.1155/2014/986527 [doi] LID - 986527 AB - Mycoplasma pneumoniae (MP) infection is the dominant cause of pneumonia in children. We sought to determine the relationship between MP infection and secondary allergic disease and to clarify the associated mechanisms of inflammatory response. A prospective study was performed among 1330 patients diagnosed with pneumonia to investigate the patient immune status by determining the correlation between MP infection, immunoglobulin E (IgE) levels, and a spectrum of associated serum cytokines. Serum IgE, IL-4, IL-6, and IL-10 levels for MPP patients in the acute phase were obviously higher than those in the recovery phase (P < 0.01). MPP patients with allergic conditions had increased serum IgE levels and increased IL-4/INF- gamma ratio, and IgE and Eosinophil Cationic Protein were further elevated in patients who eventually developed secondary asthma changes. Patients with severe pneumonia and high clinical pulmonary infection scores presented higher levels of IL-4 and IL-5 in serum than those with low scores (P < 0.01). The proportion of CD4+ and CD8+ T cells that secreted IL-4 was significantly increased in MPP patients with elevated IgE. Our data demonstrate a significant correlation between MP infection and IgE levels, which is associated with a Th1/Th2 cytokine imbalance. FAU - Ye, Qing AU - Ye Q AD - Clinical Laboratory, The Children's Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China. FAU - Xu, Xiao-Jun AU - Xu XJ AD - The Department of Hematology/Oncology, The Children's Hospital of Zhejiang University School of Medicine, Hangzhou 310003, China. FAU - Shao, Wen-Xia AU - Shao WX AD - Clinical Laboratory, Hangzhou First People's Hospital, Hangzhou 310003, China. FAU - Pan, Yan-Xiang AU - Pan YX AD - Clinical Laboratory, The Children's Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China. FAU - Chen, Xue-Jun AU - Chen XJ AD - Clinical Laboratory, The Children's Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China. LA - eng PT - Journal Article DEP - 20140407 PL - United States TA - ScientificWorldJournal JT - TheScientificWorldJournal JID - 101131163 RN - 0 (Biomarkers) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Biomarkers/blood MH - Child MH - Child, Preschool MH - China/epidemiology MH - Comorbidity MH - Female MH - Humans MH - Hypersensitivity/*blood/diagnosis/*epidemiology MH - Immunoglobulin E/*blood MH - Infant MH - Infant, Newborn MH - Male MH - Pneumonia, Mycoplasma/*blood/diagnosis/*epidemiology MH - Prevalence MH - Risk Factors PMC - PMC3996910 EDAT- 2014/07/01 06:00 MHDA- 2015/06/05 06:00 PMCR- 2014/04/07 CRDT- 2014/07/01 06:00 PHST- 2014/01/07 00:00 [received] PHST- 2014/02/16 00:00 [accepted] PHST- 2014/07/01 06:00 [entrez] PHST- 2014/07/01 06:00 [pubmed] PHST- 2015/06/05 06:00 [medline] PHST- 2014/04/07 00:00 [pmc-release] AID - 10.1155/2014/986527 [doi] PST - ppublish SO - ScientificWorldJournal. 2014;2014:986527. doi: 10.1155/2014/986527. Epub 2014 Apr 7.