Cytokine Expression of Lung Bacterial Infection in Newly Diagnosed Adult Hematological Malignancies

Adult patients with hematological malignancies are frequently accompanied by bacterial infections in the lungs when they are first diagnosed. Sputum culture, procalcitonin (PCT), C-reactive protein (CRP), body temperature, and other routinely used assays are not always reliable. Cytokines are freque...

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Autores principales: Zengzheng Li, Zefeng Yang, Peng Hu, Xin Guan, Lihua Zhang, Jinping Zhang, Tonghua Yang, Chaoran Zhang, Renbin Zhao
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:4671a241c3f1467894a08559b6f2e80d2021-12-02T09:45:27ZCytokine Expression of Lung Bacterial Infection in Newly Diagnosed Adult Hematological Malignancies1664-322410.3389/fimmu.2021.748585https://doaj.org/article/4671a241c3f1467894a08559b6f2e80d2021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fimmu.2021.748585/fullhttps://doaj.org/toc/1664-3224Adult patients with hematological malignancies are frequently accompanied by bacterial infections in the lungs when they are first diagnosed. Sputum culture, procalcitonin (PCT), C-reactive protein (CRP), body temperature, and other routinely used assays are not always reliable. Cytokines are frequently abnormally produced in adult hematological malignancies associated with a lung infection, it is uncertain if cytokines can predict lung bacterial infections in individuals with hematological malignancies. Therefore, we reviewed 541 adult patients newly diagnosed with hematological malignancies, of which 254 patients had lung bacterial infections and 287 patients had no other clearly diagnosed infections. To explore the predictive value of cytokines for pulmonary bacterial infection in adult patients with hematological malignancies. Our results show that IL-4, IL-6, IL-8, IL-10, IL-12P70, IL-1β, IL-2, IFN-γ, TNF-α, TNF-β and IL-17A are in the lungs The expression level of bacterially infected individuals was higher than that of patients without any infections (P<0.05). Furthermore, we found that 88.89% (200/225) of patients with IL-6 ≥34.12 pg/ml had a bacterial infection in their lungs. With the level of IL-8 ≥16.35 pg/ml, 71.67% (210/293) of patients were infected. While 66.10% (193/292) of patients had lung bacterial infections with the level of IL-10 ≥5.62 pg/ml. When IL-6, IL-8, and IL-10 were both greater than or equal to their Cutoff-value, 98.52% (133/135) of patients had lung bacterial infection. Significantly better than PCT ≥0.11 ng/ml [63.83% (150/235)], body temperature ≥38.5°C [71.24% (62/87)], CRP ≥9.3 mg/L [53.59% (112/209)] the proportion of lung infection. In general. IL-6, IL-8 and IL-10 are abnormally elevated in patients with lung bacterial infections in adult hematological malignancies. Then, the abnormal increase of IL-6, IL-8 and IL-10 should pay close attention to the possible lung bacterial infection in patients.Zengzheng LiZengzheng LiZengzheng LiZefeng YangZefeng YangZefeng YangPeng HuPeng HuPeng HuXin GuanXin GuanXin GuanLihua ZhangLihua ZhangLihua ZhangJinping ZhangJinping ZhangJinping ZhangTonghua YangTonghua YangTonghua YangTonghua YangChaoran ZhangChaoran ZhangChaoran ZhangRenbin ZhaoRenbin ZhaoRenbin ZhaoFrontiers Media S.A.articleIL-6IL-8IL-10hematological malignancylung infectionbacterialImmunologic diseases. AllergyRC581-607ENFrontiers in Immunology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic IL-6
IL-8
IL-10
hematological malignancy
lung infection
bacterial
Immunologic diseases. Allergy
RC581-607
spellingShingle IL-6
IL-8
IL-10
hematological malignancy
lung infection
bacterial
Immunologic diseases. Allergy
RC581-607
Zengzheng Li
Zengzheng Li
Zengzheng Li
Zefeng Yang
Zefeng Yang
Zefeng Yang
Peng Hu
Peng Hu
Peng Hu
Xin Guan
Xin Guan
Xin Guan
Lihua Zhang
Lihua Zhang
Lihua Zhang
Jinping Zhang
Jinping Zhang
Jinping Zhang
Tonghua Yang
Tonghua Yang
Tonghua Yang
Tonghua Yang
Chaoran Zhang
Chaoran Zhang
Chaoran Zhang
Renbin Zhao
Renbin Zhao
Renbin Zhao
Cytokine Expression of Lung Bacterial Infection in Newly Diagnosed Adult Hematological Malignancies
description Adult patients with hematological malignancies are frequently accompanied by bacterial infections in the lungs when they are first diagnosed. Sputum culture, procalcitonin (PCT), C-reactive protein (CRP), body temperature, and other routinely used assays are not always reliable. Cytokines are frequently abnormally produced in adult hematological malignancies associated with a lung infection, it is uncertain if cytokines can predict lung bacterial infections in individuals with hematological malignancies. Therefore, we reviewed 541 adult patients newly diagnosed with hematological malignancies, of which 254 patients had lung bacterial infections and 287 patients had no other clearly diagnosed infections. To explore the predictive value of cytokines for pulmonary bacterial infection in adult patients with hematological malignancies. Our results show that IL-4, IL-6, IL-8, IL-10, IL-12P70, IL-1β, IL-2, IFN-γ, TNF-α, TNF-β and IL-17A are in the lungs The expression level of bacterially infected individuals was higher than that of patients without any infections (P<0.05). Furthermore, we found that 88.89% (200/225) of patients with IL-6 ≥34.12 pg/ml had a bacterial infection in their lungs. With the level of IL-8 ≥16.35 pg/ml, 71.67% (210/293) of patients were infected. While 66.10% (193/292) of patients had lung bacterial infections with the level of IL-10 ≥5.62 pg/ml. When IL-6, IL-8, and IL-10 were both greater than or equal to their Cutoff-value, 98.52% (133/135) of patients had lung bacterial infection. Significantly better than PCT ≥0.11 ng/ml [63.83% (150/235)], body temperature ≥38.5°C [71.24% (62/87)], CRP ≥9.3 mg/L [53.59% (112/209)] the proportion of lung infection. In general. IL-6, IL-8 and IL-10 are abnormally elevated in patients with lung bacterial infections in adult hematological malignancies. Then, the abnormal increase of IL-6, IL-8 and IL-10 should pay close attention to the possible lung bacterial infection in patients.
format article
author Zengzheng Li
Zengzheng Li
Zengzheng Li
Zefeng Yang
Zefeng Yang
Zefeng Yang
Peng Hu
Peng Hu
Peng Hu
Xin Guan
Xin Guan
Xin Guan
Lihua Zhang
Lihua Zhang
Lihua Zhang
Jinping Zhang
Jinping Zhang
Jinping Zhang
Tonghua Yang
Tonghua Yang
Tonghua Yang
Tonghua Yang
Chaoran Zhang
Chaoran Zhang
Chaoran Zhang
Renbin Zhao
Renbin Zhao
Renbin Zhao
author_facet Zengzheng Li
Zengzheng Li
Zengzheng Li
Zefeng Yang
Zefeng Yang
Zefeng Yang
Peng Hu
Peng Hu
Peng Hu
Xin Guan
Xin Guan
Xin Guan
Lihua Zhang
Lihua Zhang
Lihua Zhang
Jinping Zhang
Jinping Zhang
Jinping Zhang
Tonghua Yang
Tonghua Yang
Tonghua Yang
Tonghua Yang
Chaoran Zhang
Chaoran Zhang
Chaoran Zhang
Renbin Zhao
Renbin Zhao
Renbin Zhao
author_sort Zengzheng Li
title Cytokine Expression of Lung Bacterial Infection in Newly Diagnosed Adult Hematological Malignancies
title_short Cytokine Expression of Lung Bacterial Infection in Newly Diagnosed Adult Hematological Malignancies
title_full Cytokine Expression of Lung Bacterial Infection in Newly Diagnosed Adult Hematological Malignancies
title_fullStr Cytokine Expression of Lung Bacterial Infection in Newly Diagnosed Adult Hematological Malignancies
title_full_unstemmed Cytokine Expression of Lung Bacterial Infection in Newly Diagnosed Adult Hematological Malignancies
title_sort cytokine expression of lung bacterial infection in newly diagnosed adult hematological malignancies
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/4671a241c3f1467894a08559b6f2e80d
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