Profiling of inflammatory cytokines in patients with caustic gastrointestinal tract injury
<h4>Introduction</h4> Study of inflammatory cytokines in patients with caustic gastrointestinal tract injury is sketchy. This study investigated the cytokine profiling of patients with caustic substance ingestion, and analyzed the differences between patients with severe and mild injury....
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oai:doaj.org-article:14cc81f94bf1423595b326e5954349262021-11-25T06:19:42ZProfiling of inflammatory cytokines in patients with caustic gastrointestinal tract injury1932-6203https://doaj.org/article/14cc81f94bf1423595b326e5954349262021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8601450/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4> Study of inflammatory cytokines in patients with caustic gastrointestinal tract injury is sketchy. This study investigated the cytokine profiling of patients with caustic substance ingestion, and analyzed the differences between patients with severe and mild injury. <h4>Methods</h4> This prospective, cross-sectional study enrolled 22 patients admitted to Chang Gung Memorial Hospital between March and October 2018. All patients underwent esophagogastroduodenoscopy in 24 hours. Patients were categorized into two subgroups, as mild (<2b, n = 11) or severe (≥2b, n = 11) group. <h4>Results</h4> The neutrophil count was higher in severe than mild group (P = 0.032). Patients in mild and severe groups exhibited significantly higher circulating inflammatory cytokines than healthy control, including interleukin (IL)-2, IL-5, IL-8, IL-9, IL-12, IL-13, interferon-gamma inducible protein-10, macrophage inflammatory protein-1 beta, regulated upon activation, normal T cell expressed and presumably secreted and tumor necrosis factor-alpha. Furthermore, the levels of IL-2 and tumor necrosis factor-alpha were significantly higher in patients with severe group than mild group. Although there was no difference in cumulative survival between both groups (P = 0.147), the severe group received more operations (P = 0.035) and suffered more gastrointestinal complications (P = 0.035) than mild group. <h4>Conclusion</h4> Caustic substance ingestion produces mucosal damages and leads to excessive neutrophils and inflammatory cytokines in peripheral blood.Hao-Tsai ChengChen-June SeakChien-Cheng ChengTsung-Hsing ChenChang-Mu SungShih-Ching KangYu-Jhou ChenChip-Jin NgChao-Wei LeeShu-Wei HuangHsin-Chih HuangTzung-Hai YenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021) |
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Medicine R Science Q Hao-Tsai Cheng Chen-June Seak Chien-Cheng Cheng Tsung-Hsing Chen Chang-Mu Sung Shih-Ching Kang Yu-Jhou Chen Chip-Jin Ng Chao-Wei Lee Shu-Wei Huang Hsin-Chih Huang Tzung-Hai Yen Profiling of inflammatory cytokines in patients with caustic gastrointestinal tract injury |
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<h4>Introduction</h4> Study of inflammatory cytokines in patients with caustic gastrointestinal tract injury is sketchy. This study investigated the cytokine profiling of patients with caustic substance ingestion, and analyzed the differences between patients with severe and mild injury. <h4>Methods</h4> This prospective, cross-sectional study enrolled 22 patients admitted to Chang Gung Memorial Hospital between March and October 2018. All patients underwent esophagogastroduodenoscopy in 24 hours. Patients were categorized into two subgroups, as mild (<2b, n = 11) or severe (≥2b, n = 11) group. <h4>Results</h4> The neutrophil count was higher in severe than mild group (P = 0.032). Patients in mild and severe groups exhibited significantly higher circulating inflammatory cytokines than healthy control, including interleukin (IL)-2, IL-5, IL-8, IL-9, IL-12, IL-13, interferon-gamma inducible protein-10, macrophage inflammatory protein-1 beta, regulated upon activation, normal T cell expressed and presumably secreted and tumor necrosis factor-alpha. Furthermore, the levels of IL-2 and tumor necrosis factor-alpha were significantly higher in patients with severe group than mild group. Although there was no difference in cumulative survival between both groups (P = 0.147), the severe group received more operations (P = 0.035) and suffered more gastrointestinal complications (P = 0.035) than mild group. <h4>Conclusion</h4> Caustic substance ingestion produces mucosal damages and leads to excessive neutrophils and inflammatory cytokines in peripheral blood. |
format |
article |
author |
Hao-Tsai Cheng Chen-June Seak Chien-Cheng Cheng Tsung-Hsing Chen Chang-Mu Sung Shih-Ching Kang Yu-Jhou Chen Chip-Jin Ng Chao-Wei Lee Shu-Wei Huang Hsin-Chih Huang Tzung-Hai Yen |
author_facet |
Hao-Tsai Cheng Chen-June Seak Chien-Cheng Cheng Tsung-Hsing Chen Chang-Mu Sung Shih-Ching Kang Yu-Jhou Chen Chip-Jin Ng Chao-Wei Lee Shu-Wei Huang Hsin-Chih Huang Tzung-Hai Yen |
author_sort |
Hao-Tsai Cheng |
title |
Profiling of inflammatory cytokines in patients with caustic gastrointestinal tract injury |
title_short |
Profiling of inflammatory cytokines in patients with caustic gastrointestinal tract injury |
title_full |
Profiling of inflammatory cytokines in patients with caustic gastrointestinal tract injury |
title_fullStr |
Profiling of inflammatory cytokines in patients with caustic gastrointestinal tract injury |
title_full_unstemmed |
Profiling of inflammatory cytokines in patients with caustic gastrointestinal tract injury |
title_sort |
profiling of inflammatory cytokines in patients with caustic gastrointestinal tract injury |
publisher |
Public Library of Science (PLoS) |
publishDate |
2021 |
url |
https://doaj.org/article/14cc81f94bf1423595b326e595434926 |
work_keys_str_mv |
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