A META-ANALYSIS OF THE RESEARCH OF THE CONCENTRATION OF IL-17 IN PERIPHERAL BLOOD OF PATIENTS WITH INFLUENZA A (H1N1) pdm09

Cover Page


Cite item

Full Text

Abstract

Interleukin‑17 (IL‑17) is one of the inflammatory cytokines, which enhances including the effects of other pro‑inflammatory cytokines. In order to increase the statistical power and increase the reliability of the results according to various researchers, including as a result of its own research, conducted a meta‑analysis (a quantitative systematic review) study of IL‑17 in peripheral blood of patients with influenza A (H1N1) pdm09. Question: to determine with a high level of confidence, whether IL‑17, a marker of prognosis of influenza A (H1N1) pdm09. Searches were carried out research work on this subject in a variety of electronic databases (Medline, EMBASE, the Cochrane Controlled Trials Register, and others.), in dissertations, journals, thematic reviews, conference proceedings and other sources. 3 scientific papers were selected that met the criteria for inclusion / non‑inclusion in the study (characteristic of scientific papers, diagnostic criteria, age of patients, comparable groups of patients, the presence of self‑control, comparable research methodology, statistical criterion and the total number of independent studies). Selected studies have shown sufficient uniformity (homogeneity) comparison groups. This meta‑analysis of scientific papers showed that the determination of serum IL‑17, patients with severe influenza A (H1N1) pdm09 allows a high probability of predicting a favorable outcome. At the same time, the frequent unfavorable outcome of the disease (with a probability of 90% or more) indicates the absence in the serum of patients with influenza A (H1N1) pdm09 IL‑17 (below the threshold of sensitivity of diagnostic test kits). Thus, the results of a meta‑analysis of IL‑17 level in the blood can be used in clinical medical practice for quite simple and convenient prognosis marker of influenza A (H1N1) pdm09.

About the authors

M. V. Shipilov

“Clinical Hospital № 1”, Smolensk

Author for correspondence.
Email: mshipilov@rambler.ru

PhD (Medicine), head of the infectious department № 2

214006, Smolensk, Frunze Street 40 Russian Federation

A. V. Tutelian

Federal Budget Institution of Science “Central Research Institute of Epidemiology” of The Federal Service on Customers’ Rights Protection and Human Well-being Surveillance

Email: fake@neicon.ru

Corresponding member of the Academy of Sciences of Russia, MD (Medicine), head of laboratory associated infections health care 

Moscow Russian Federation

References

  1. Симбирцев А.С. Цитокины – новая система регуляции защитных реакций организма. Цитокины и воспаление 2002, 1, 9–17.
  2. McKinstry K.K., Strutt T.M., Buck A., Curtis J.D., Dibble J.P., Huston G., Tighe M., Hamada H., Sell S., Dutton R.W., Swain S.L. IL-10 deficiency unleashes an influenza-specific Th17 response and enhances survival against high-dose challenge. J. Immunol. 2009, 182 (12), 7353–7363.
  3. Шипилов М.В., Иванов В.В. Th17-ответ организма при острых респираторных вирусных инфекциях различного генеза. Цитокины и воспаление 2012, 11 (1), 109–113.
  4. Bermejo-Martin J.F., Ortiz de Lejarazu R., Pumarola T., Rello J., Almansa R., Ramírez P., Martin-Loeches I., Varillas D., Gallegos M.C., Serón C., Micheloud D., Gomez J.M., Tenorio-Abreu A., Ramos M.J., Molina M.L., Huidobro S., Sanchez E., Gordón M., Fernández V., Del Castillo A., Marcos M.A., Villanueva B., López C.J., Rodríguez-Domínguez M., Galan J.C., Cantón R., Lietor A., Rojo S., Eiros J.M., Hinojosa C., Gonzalez I., Torner N., Banner D., Leon A., Cuesta P., Rowe T., Kelvin D.J. Th1 and Th17 hypercytokinemia as early host response signature in severe pandemic influenza. Crit. Care, 2009, 13 (6), 201.
  5. Hagau N., Slavcovici A., Gonganau D.N., Oltean S., Dirzu D.S., Brezoszki E.S., Maxim M., Ciuce C., Mlesnite M., Gavrus R.L., Laslo C., Hagau R., Petrescu M., Studnicska D.M. Clinical aspects and cytokine response in severe H1N1 influenza A virus infection. Crit. Care 2010, 14 (6), 203.
  6. Шипилов М.В., Иванов В.В. Определение концентрации интерлейкина-17 у больных острыми респираторными вирусными инфекциями. Дальневосточный журнал инфекционной патологии 2011, 18, 56–60.
  7. Almansa R., Socias L., Ramirez P., Martin-Loeches I., Vallés J., Loza A., Rello J., Kelvin D.J., León C., Blanco J., Andaluz D., Micheloud D., Maraví E., de Lejarazu R.O., Bermejo-Martin J.F. Imbalanced pro- and anti-Th17 responses (IL-17/granulocyte colonystimulating factor) predict fatal outcome in 2009 pandemic influenza. Critical Care 2011, 15, 448.
  8. Петров В.И. Базисные принципы и методология доказательной медицины. Вестник ВолгГМУ 2011, 38 (2), 3–8.
  9. Guyatt G., Rennie D., Meade M., Cook D. Users’ guide to the medical literature: A manual for evidence-based clinical practice, 2nd ed. New York, McGraw-Hill, 2008, 803.
  10. To K.K.W., Hung I.F.N., Li I.W.S., Lee K.-L., Koo C.-K., Yan W.-W., Liu R., Ho K.-Y., Chu K.-H., Watt C.-L., Luk W.-K., Lai K.-Y., Chow F.-L., Mok T., Buckley T., Chan J.F.W., Wong S.S.Y., Zheng B., Chen H., Lau C.C.Y., Tse H., Cheng V.C.C., Chan K.-H., Yuen K.-Y. Delayed clearance of viral load and marked cytokine activation in severe cases of pandemic H1N1 2009 influenza virus infection. Clinical Infectious Diseases 2010, 50 (6), 850–859.
  11. Вентцель Е.С. Теория вероятностей. Высшая школа, Москва 1999, 576.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2018 Shipilov M.V., Tutelian A.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № 77 - 11525 от 04.01.2002.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies