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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Autores principales: 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
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Publicado: Public Library of Science (PLoS) 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle 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
description <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
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