PMID- 37182441 OWN - NLM STAT- MEDLINE DCOM- 20230529 LR - 20230530 IS - 1872-9142 (Electronic) IS - 0161-5890 (Linking) VI - 158 DP - 2023 Jun TI - Analysis of type I hypersensitivity-induced inflammatory response in children of different age groups with acute appendicitis. PG - 103-106 LID - S0161-5890(23)00097-4 [pii] LID - 10.1016/j.molimm.2023.05.002 [doi] AB - OBJECTIVE: To explore the differences in type I hypersensitivity-induced inflammatory response among children of different age groups with acute appendicitis. METHODS: We selected children diagnosed with "acute appendicitis" who underwent surgery in the Department of General Surgery of Anhui Provincial Children's Hospital from January 2022 to June 2022 and collected their basic data. We divided them into two groups according to age: the infant group (less than 3 years old) and the pediatric group (3-14 years old). The gender, age, onset time, hospital stay, preoperative white blood cells, percentage of neutrophils, C-reactive protein (CRP), and enzyme-linked immunosorbent assay (ELISA) were collected to determine the levels of immunoglobulin E (IgE), interleukin-4 (IL-4), interleukin-5 (IL-5), interleukin-6 (IL-6), and interleukin-9 (IL-9) in appendicular lavage fluid, and the differences between the two groups were compared. RESULTS: There were 15 children in the infant group and 15 in the pediatric group. There was no significant difference between the two groups with respect to onset time and gender. The hospitalization time in the pediatric group was (5.7 +/- 2.1) d, the preoperative white blood cells were (14.3 +/- 3.7) x 10;9/mL, neutrophil percentage was (84.5 +/- 6.3)%, and CRP was (20.0 +/- 17.9) mg/mL. The hospitalization time of the infant group was (8.0 +/- 3.1) d, the preoperative white blood cells were (19.0 +/- 3.8) x 10;9/mL, neutrophil percentage was (77.8 +/- 10.4)%, and CRP was (42.5 +/- 25.0) mg/mL. The differences between the two groups were significant. There was no significant difference in IL-5 concentration between the two groups in the appendicular lavage fluid. IgE (610.74 +/- 72.56) ng/mL, IL-4 (30.80 +/- 12.04) ng/mL, IL-6 (118.09 +/- 14.29) ng/mL, IL-9 (133.94 +/- 16.00) ng/mL were found in the infant group, and IgE (495.61 +/- 95.09) ng/mL, IL-4 (22.68 +/- 7.05) ng/mL, IL-6 (98.22 +/- 22.18) ng/mL and IL-9 (107.86 +/- 27.34) ng/mL were found in the pediatric group, and the differences between the two groups were statistically significant. CONCLUSIONS: The inflammatory response in children with acute appendicitis was associated with type I hypersensitivity-induced inflammatory responses, and the type I hypersensitivity was more intense in children in the lower age group. CI - Copyright (c) 2023 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Pan, Zhu-Bin AU - Pan ZB AD - Department of General Surgery, Anhui Provincial Children's Hospital, Children's Hospital of Fudan University Anhui Hospital, Children's Hospital of Anhui Medical University, Hefei 230000, China. Electronic address: panzhubinpzb9@126.com. FAU - Zhang, Tao AU - Zhang T AD - Department of General Surgery, Anhui Provincial Children's Hospital, Children's Hospital of Fudan University Anhui Hospital, Children's Hospital of Anhui Medical University, Hefei 230000, China. FAU - Yuan Cheng, M M AU - Yuan Cheng MM AD - Department of General Surgery, Anhui Provincial Children's Hospital, Children's Hospital of Fudan University Anhui Hospital, Children's Hospital of Anhui Medical University, Hefei 230000, China. FAU - Yu-Liang Zhou, M M AU - Yu-Liang Zhou MM AD - Department of General Surgery, Anhui Provincial Children's Hospital, Children's Hospital of Fudan University Anhui Hospital, Children's Hospital of Anhui Medical University, Hefei 230000, China. FAU - Zhen-Qiang Zhang, M M AU - Zhen-Qiang Zhang MM AD - Department of General Surgery, Anhui Provincial Children's Hospital, Children's Hospital of Fudan University Anhui Hospital, Children's Hospital of Anhui Medical University, Hefei 230000, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230512 PL - England TA - Mol Immunol JT - Molecular immunology JID - 7905289 RN - 207137-56-2 (Interleukin-4) RN - 0 (Interleukin-9) RN - 0 (Interleukin-5) RN - 0 (Interleukin-6) RN - 9007-41-4 (C-Reactive Protein) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Infant MH - Humans MH - Child MH - Child, Preschool MH - Adolescent MH - Interleukin-4 MH - Interleukin-9 MH - Interleukin-5 MH - Interleukin-6 MH - *Appendicitis/surgery/diagnosis MH - C-Reactive Protein/metabolism MH - *Hypersensitivity MH - Acute Disease MH - *Hypersensitivity, Immediate MH - Immunoglobulin E OTO - NOTNLM OT - Appendicitis OT - Childhood OT - IgE OT - Immunohistochemistry OT - Pathology OT - Type I hypersensitivity COIS- Competing interests The authors declare that they have no competing interests. EDAT- 2023/05/15 00:42 MHDA- 2023/05/29 06:42 CRDT- 2023/05/14 18:08 PHST- 2023/02/23 00:00 [received] PHST- 2023/04/23 00:00 [revised] PHST- 2023/05/04 00:00 [accepted] PHST- 2023/05/29 06:42 [medline] PHST- 2023/05/15 00:42 [pubmed] PHST- 2023/05/14 18:08 [entrez] AID - S0161-5890(23)00097-4 [pii] AID - 10.1016/j.molimm.2023.05.002 [doi] PST - ppublish SO - Mol Immunol. 2023 Jun;158:103-106. doi: 10.1016/j.molimm.2023.05.002. Epub 2023 May 12.