PMID- 31389507 OWN - NLM STAT- MEDLINE DCOM- 20190812 LR - 20190812 IS - 1806-9282 (Electronic) IS - 0104-4230 (Linking) VI - 65 IP - 7 DP - 2019 Aug 5 TI - Relationship of T lymphocytes, cytokines, immunoglobulin E and nitric oxide with otitis media with effusion in children and their clinical significances. PG - 971-976 LID - S0104-42302019000700971 [pii] LID - 10.1590/1806-9282.65.7.971 [doi] AB - OBJECTIVE: To investigate the relations of T lymphocytes, cytokines, immunoglobulin E, and nitric oxide with otitis media with effusion (OME) in children and their clinical significances. METHODS: Fifty children with OME treated in our hospital were enrolled in the study (observation group). Fifty healthy children were selected as control. The percentages of CD4+ and CD8+ T lymphocyte and CD4+/CD8+ ratio in peripheral blood, and the levels of cytokine (IL)-2, IL-4, IL-6, immunoglobulin E (IgE) and nitric oxide (NO) in peripheral blood and middle ear effusion (MEE) in both groups were detected. The correlations of these indexes with OME were analyzed. RESULTS: The percentage of peripheral blood CD4+ and CD8+ levels, CD4+/CD8 ratio, IgE, and NO levels in the observation group were significantly higher than those in the control group (P < 0.01). In the observation group, the IL-2 and IL-6 levels, and IgE and NO levels in the MEE were significantly higher than those in peripheral blood (P < 0.01). In addition, in the observation group, the MEE IL-2 and IL-6 levels were positively correlated with peripheral blood CD4+/CD8+ ratio, respectively r = 0.366, P = 0.009; r = 0.334, P = 0.018. CONCLUSIONS: The levels of peripheral blood CD4+ and CD8+ lymphocytes and MEE IL-2, IL-6, IgE, and NO levels are increased in children with OME. These indexes have provided significant clues for the diagnosis of OME in children. FAU - Fan, Wenyan AU - Fan W AUID- ORCID: 0000-0002-7918-3756 AD - Department of Otolaryngology Head and Neck Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai 200062, China. FAU - Li, Xiaoyan AU - Li X AUID- ORCID: 0000-0002-3292-019X AD - Department of Otolaryngology Head and Neck Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai 200062, China. FAU - Xu, Hongming AU - Xu H AUID- ORCID: 0000-0002-4683-1059 AD - Department of Otolaryngology Head and Neck Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai 200062, China. FAU - Zhao, Limin AU - Zhao L AUID- ORCID: 0000-0001-5623-8817 AD - Department of Otolaryngology Head and Neck Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai 200062, China. FAU - Zhao, Jiali AU - Zhao J AUID- ORCID: 0000-0003-2736-1108 AD - Department of Otolaryngology Head and Neck Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai 200062, China. FAU - Li, Wanpeng AU - Li W AUID- ORCID: 0000-0002-9746-1887 AD - Department of Otolaryngology Head and Neck Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai 200062, China. LA - eng PT - Journal Article DEP - 20190805 PL - Brazil TA - Rev Assoc Med Bras (1992) JT - Revista da Associacao Medica Brasileira (1992) JID - 9308586 RN - 0 (Cytokines) RN - 31C4KY9ESH (Nitric Oxide) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - *CD4-Positive T-Lymphocytes MH - *CD8-Positive T-Lymphocytes MH - Case-Control Studies MH - Child MH - Child, Preschool MH - Cytokines/*blood MH - Female MH - Flow Cytometry MH - Humans MH - Immunoglobulin E/*blood MH - Lymphocyte Count MH - Male MH - Nitric Oxide/*blood MH - Otitis Media with Effusion/*blood MH - Reference Values MH - Tympanic Membrane/metabolism EDAT- 2019/08/08 06:00 MHDA- 2019/08/14 06:00 CRDT- 2019/08/08 06:00 PHST- 2019/04/04 00:00 [received] PHST- 2019/04/19 00:00 [accepted] PHST- 2019/08/08 06:00 [entrez] PHST- 2019/08/08 06:00 [pubmed] PHST- 2019/08/14 06:00 [medline] AID - S0104-42302019000700971 [pii] AID - 10.1590/1806-9282.65.7.971 [doi] PST - epublish SO - Rev Assoc Med Bras (1992). 2019 Aug 5;65(7):971-976. doi: 10.1590/1806-9282.65.7.971.