Concentration of fecal β-defensin-2 in children with cystic fibrosis: how the inneral intestinal immune response?

Cystic fibrosis is a disease caused by mutations in a gene encoding CFTR-protein (Cystic Fibrosis Transmembrane conductance Regulator), located in the apical membrane of epithelial cells of the respiratory tract, intestines and pancreas. Defensins serve as important components of the innate human im...

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Main Authors: A. T. Kamilova, D. I. Akhmedova, Z. E. Umarnazarova, D. A. Abdullaeva, S. I. Geller
Format: Article
Language:Russian
Published: Ltd. “The National Academy of Pediatric Science and Innovation” 2022-01-01
Series:Rossijskij Vestnik Perinatologii i Pediatrii
Subjects:
Online Access:https://www.ped-perinatology.ru/jour/article/view/1532
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author A. T. Kamilova
D. I. Akhmedova
Z. E. Umarnazarova
D. A. Abdullaeva
S. I. Geller
author_facet A. T. Kamilova
D. I. Akhmedova
Z. E. Umarnazarova
D. A. Abdullaeva
S. I. Geller
author_sort A. T. Kamilova
collection DOAJ
description Cystic fibrosis is a disease caused by mutations in a gene encoding CFTR-protein (Cystic Fibrosis Transmembrane conductance Regulator), located in the apical membrane of epithelial cells of the respiratory tract, intestines and pancreas. Defensins serve as important components of the innate human immune system, they play a key role in providing the first line of defense of a macroorganism against infection; they have high antimicrobial, antiviral, cytotoxic activity.Objective. To determine the values of fecal β-defensin-2 in children with cystic fibrosis and to reveal the dependence of its level on the exocrine function of the pancreas and the severity of the patient’s condition.Characteristics of children and research methods. The study included 57 children with cystic fibrosis, the average age was 20.93 ± 2.9 months. Cystic fibrosis was diagnosed on the basis of an increase in immunoreactive trypsin, sweat chlorides by Cook’s method (>60 meq / l). To assess the exocrine function of the pancreas the scientists determined the activity of fecal elastase. They evaluated the levels of fecal β-defensin-2 and calprotectin using a quantitative enzyme immunoassay.Results. The levels of fecal β-defensin-2 were increased (108.2 ± 11.3 ng / ml) in all children under examination. The researchers found no correlation between the levels of fecal β-defensin-2 and fecal elastase. The level of fecal calprotectin was significantly higher in the group of children with cystic fibrosis as compared to the control group. There was a significant correlation between the levels of fecal calprotectin and fecal β-defensin-2 (r=0.57; p <0.05), however, no correlations were found between the levels of fecal β-defensin-2 and fecal elastase. The group of children with a severe course of the disease demonstrated an increase in the level of fecal β-defensin-2, fecal calprotectin significantly more frequent.Conclusion. Children with cystic fibrosis demonstrated a significant increase in the concentration of β-defensin-2 as compared to the control group, which confirms the activation of the innate immune system of the intestinal mucosa. The researchers traced the relationship between high levels of fecal β-defensin-2 and the severity of the disease. The levels of fecal β-defensin-2 directly correlated with the concentration of fecal calprotectin and there was no correlation between the severity of pancreatic insufficiency and the concentration of fecal β-defensin-2.
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spelling doaj.art-1d3af68d5c194156afc3300e203177b82023-03-13T09:12:52ZrusLtd. “The National Academy of Pediatric Science and Innovation”Rossijskij Vestnik Perinatologii i Pediatrii1027-40652500-22282022-01-01666717610.21508/1027-4065-2021-66-6-71-761135Concentration of fecal β-defensin-2 in children with cystic fibrosis: how the inneral intestinal immune response?A. T. Kamilova0D. I. Akhmedova1Z. E. Umarnazarova2D. A. Abdullaeva3S. I. Geller4Республиканский специализированный научно-практический медицинский центр педиатрии Минздрава Республики УзбекистанРеспубликанский специализированный научно-практический медицинский центр педиатрии Минздрава Республики Узбекистан; Ташкентский медицинский педиатрический институтРеспубликанский специализированный научно-практический медицинский центр педиатрии Минздрава Республики УзбекистанРеспубликанский специализированный научно-практический медицинский центр педиатрии Минздрава Республики УзбекистанРеспубликанский специализированный научно-практический медицинский центр педиатрии Минздрава Республики УзбекистанCystic fibrosis is a disease caused by mutations in a gene encoding CFTR-protein (Cystic Fibrosis Transmembrane conductance Regulator), located in the apical membrane of epithelial cells of the respiratory tract, intestines and pancreas. Defensins serve as important components of the innate human immune system, they play a key role in providing the first line of defense of a macroorganism against infection; they have high antimicrobial, antiviral, cytotoxic activity.Objective. To determine the values of fecal β-defensin-2 in children with cystic fibrosis and to reveal the dependence of its level on the exocrine function of the pancreas and the severity of the patient’s condition.Characteristics of children and research methods. The study included 57 children with cystic fibrosis, the average age was 20.93 ± 2.9 months. Cystic fibrosis was diagnosed on the basis of an increase in immunoreactive trypsin, sweat chlorides by Cook’s method (>60 meq / l). To assess the exocrine function of the pancreas the scientists determined the activity of fecal elastase. They evaluated the levels of fecal β-defensin-2 and calprotectin using a quantitative enzyme immunoassay.Results. The levels of fecal β-defensin-2 were increased (108.2 ± 11.3 ng / ml) in all children under examination. The researchers found no correlation between the levels of fecal β-defensin-2 and fecal elastase. The level of fecal calprotectin was significantly higher in the group of children with cystic fibrosis as compared to the control group. There was a significant correlation between the levels of fecal calprotectin and fecal β-defensin-2 (r=0.57; p <0.05), however, no correlations were found between the levels of fecal β-defensin-2 and fecal elastase. The group of children with a severe course of the disease demonstrated an increase in the level of fecal β-defensin-2, fecal calprotectin significantly more frequent.Conclusion. Children with cystic fibrosis demonstrated a significant increase in the concentration of β-defensin-2 as compared to the control group, which confirms the activation of the innate immune system of the intestinal mucosa. The researchers traced the relationship between high levels of fecal β-defensin-2 and the severity of the disease. The levels of fecal β-defensin-2 directly correlated with the concentration of fecal calprotectin and there was no correlation between the severity of pancreatic insufficiency and the concentration of fecal β-defensin-2.https://www.ped-perinatology.ru/jour/article/view/1532детимуковисцидозфекальный β-дефензин-2фекальный кальпротектинфекальная эластаза
spellingShingle A. T. Kamilova
D. I. Akhmedova
Z. E. Umarnazarova
D. A. Abdullaeva
S. I. Geller
Concentration of fecal β-defensin-2 in children with cystic fibrosis: how the inneral intestinal immune response?
Rossijskij Vestnik Perinatologii i Pediatrii
дети
муковисцидоз
фекальный β-дефензин-2
фекальный кальпротектин
фекальная эластаза
title Concentration of fecal β-defensin-2 in children with cystic fibrosis: how the inneral intestinal immune response?
title_full Concentration of fecal β-defensin-2 in children with cystic fibrosis: how the inneral intestinal immune response?
title_fullStr Concentration of fecal β-defensin-2 in children with cystic fibrosis: how the inneral intestinal immune response?
title_full_unstemmed Concentration of fecal β-defensin-2 in children with cystic fibrosis: how the inneral intestinal immune response?
title_short Concentration of fecal β-defensin-2 in children with cystic fibrosis: how the inneral intestinal immune response?
title_sort concentration of fecal β defensin 2 in children with cystic fibrosis how the inneral intestinal immune response
topic дети
муковисцидоз
фекальный β-дефензин-2
фекальный кальпротектин
фекальная эластаза
url https://www.ped-perinatology.ru/jour/article/view/1532
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AT daabdullaeva concentrationoffecalbdefensin2inchildrenwithcysticfibrosishowtheinneralintestinalimmuneresponse
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