INFLAMMATORY PROFILE IN CHD PEDIATRIC PATIENTS

Background and aims: Congenital heart defects (CHD) are a group of alterations that have an impact on the cardiocirculatory structure and function, which can lead to death in the first years of life or remain asymptomatic until adulthood. The CHD development is associated with multifactorial causes...

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Main Authors: RS Leal, MO Cunha, SF Oliveira, MMP Luciano, ACS Castro, IPC Tavares, RMM Imorib Gonçalves MS, JPM Neto
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:Hematology, Transfusion and Cell Therapy
Online Access:http://www.sciencedirect.com/science/article/pii/S2531137923017716
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author RS Leal
MO Cunha
SF Oliveira
MMP Luciano
ACS Castro
IPC Tavares
RMM Imorib Gonçalves MS
JPM Neto
author_facet RS Leal
MO Cunha
SF Oliveira
MMP Luciano
ACS Castro
IPC Tavares
RMM Imorib Gonçalves MS
JPM Neto
author_sort RS Leal
collection DOAJ
description Background and aims: Congenital heart defects (CHD) are a group of alterations that have an impact on the cardiocirculatory structure and function, which can lead to death in the first years of life or remain asymptomatic until adulthood. The CHD development is associated with multifactorial causes such as: genetic, epigenetic, immunological, environmental, nutritional deficiency and prenatal care. Our aim was to investigate the profile of inflammatory cytokines (IL6, IL10, IL18, and TNF-α) in pediatric patients with congenital heart disease followed at the Hospital Universitário Francisca Mendes, Manaus, Amazonas. Materials and methods: The epidemiological design was of the cross-sectional type, with samples collected in the period between 08/2022 to 02/2023 at the Hospital Universitário Francisca Mendes – HUFM. Participated in the study all patients aged < 1-year-old, diagnosed and followed up at the HUFM, after signing the free and informed consent form (ICF) from the mother of the minor's legal guardian. Results: A collection of 110 children aged between 1 week and 6 months was carried out. All those who underwent cardiac surgery had elevated serum complications of cytokines IL6, IL8, IL10, and TNF-α before and after surgery, when compared to patients who did not require surgery. Discussion: The inflammatory syndrome seen in CC is usually described as innate factors, which can determine the magnitude of its systemic inflammatory state and the individual inflammatory response to stressors. Faced with the lack of data in the literature regarding the prevalence of these CCs both in the state of Amazonas and in the city of Manaus, studies that seek to contribute with epidemiological data in this population are extremely necessary, since the late diagnosis of CC contributes to the high risk of morbidity and mortality from carrier patients Conclusion: According to our preliminary data, we believe that the continuation of this work will contribute with relevant information regarding cardiovascular diseases, bringing direct benefits to both the patient and the medical staff. In addition, the characterization of genetic alterations and the profile of inflammatory cytokines in patients with CHD can contribute to the discovery of new risk factors, better understanding of the genesis of cardiovascular problems and who knows how to elucidate the presence or absence of certain genetic variants with its biochemical, hematological and inflammatory impact
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spelling doaj.art-405c530b6f5c40039f93f69f089623a82023-10-20T06:47:17ZengElsevierHematology, Transfusion and Cell Therapy2531-13792023-10-0145S886INFLAMMATORY PROFILE IN CHD PEDIATRIC PATIENTSRS Leal0MO Cunha1SF Oliveira2MMP Luciano3ACS Castro4IPC Tavares5RMM Imorib Gonçalves MS6JPM Neto7Pós-graduação em Farmácia, Universidade Federal da Bahia (PPGFAR/UFBA), Salvador, BA, BrazilPós-graduação em Ciências Farmacêuticas, Universidade Federal do Amazonas (PPGCF/UFAM), Manaus, AM, BrazilPós-graduação em Ciências Farmacêuticas, Universidade Federal do Amazonas (PPGCF/UFAM), Manaus, AM, BrazilPós-graduação em Ciências Farmacêuticas, Universidade Federal do Amazonas (PPGCF/UFAM), Manaus, AM, BrazilPós-graduação em Imunologia Básica e Aplicada, Universidade Federal do Amazonas (PPGIBA/UFAM), Manaus, AM, BrazilPós-graduação em Imunologia Básica e Aplicada, Universidade Federal do Amazonas (PPGIBA/UFAM), Manaus, AM, BrazilInstituto Oswaldo Cruz Salvador (CPqGM), Salvador, BA, BrazilPós-graduação em Ciências Farmacêuticas, Universidade Federal do Amazonas (PPGCF/UFAM), Manaus, AM, Brazil; Pós-graduação em Imunologia Básica e Aplicada, Universidade Federal do Amazonas (PPGIBA/UFAM), Manaus, AM, Brazil; Pós-graduação em Ciências Aplicadas à Hematologia, Universidade Estadual do Amazonas (PPGH-UEA/HEMOAM), Manaus, AM, BrazilBackground and aims: Congenital heart defects (CHD) are a group of alterations that have an impact on the cardiocirculatory structure and function, which can lead to death in the first years of life or remain asymptomatic until adulthood. The CHD development is associated with multifactorial causes such as: genetic, epigenetic, immunological, environmental, nutritional deficiency and prenatal care. Our aim was to investigate the profile of inflammatory cytokines (IL6, IL10, IL18, and TNF-α) in pediatric patients with congenital heart disease followed at the Hospital Universitário Francisca Mendes, Manaus, Amazonas. Materials and methods: The epidemiological design was of the cross-sectional type, with samples collected in the period between 08/2022 to 02/2023 at the Hospital Universitário Francisca Mendes – HUFM. Participated in the study all patients aged < 1-year-old, diagnosed and followed up at the HUFM, after signing the free and informed consent form (ICF) from the mother of the minor's legal guardian. Results: A collection of 110 children aged between 1 week and 6 months was carried out. All those who underwent cardiac surgery had elevated serum complications of cytokines IL6, IL8, IL10, and TNF-α before and after surgery, when compared to patients who did not require surgery. Discussion: The inflammatory syndrome seen in CC is usually described as innate factors, which can determine the magnitude of its systemic inflammatory state and the individual inflammatory response to stressors. Faced with the lack of data in the literature regarding the prevalence of these CCs both in the state of Amazonas and in the city of Manaus, studies that seek to contribute with epidemiological data in this population are extremely necessary, since the late diagnosis of CC contributes to the high risk of morbidity and mortality from carrier patients Conclusion: According to our preliminary data, we believe that the continuation of this work will contribute with relevant information regarding cardiovascular diseases, bringing direct benefits to both the patient and the medical staff. In addition, the characterization of genetic alterations and the profile of inflammatory cytokines in patients with CHD can contribute to the discovery of new risk factors, better understanding of the genesis of cardiovascular problems and who knows how to elucidate the presence or absence of certain genetic variants with its biochemical, hematological and inflammatory impacthttp://www.sciencedirect.com/science/article/pii/S2531137923017716
spellingShingle RS Leal
MO Cunha
SF Oliveira
MMP Luciano
ACS Castro
IPC Tavares
RMM Imorib Gonçalves MS
JPM Neto
INFLAMMATORY PROFILE IN CHD PEDIATRIC PATIENTS
Hematology, Transfusion and Cell Therapy
title INFLAMMATORY PROFILE IN CHD PEDIATRIC PATIENTS
title_full INFLAMMATORY PROFILE IN CHD PEDIATRIC PATIENTS
title_fullStr INFLAMMATORY PROFILE IN CHD PEDIATRIC PATIENTS
title_full_unstemmed INFLAMMATORY PROFILE IN CHD PEDIATRIC PATIENTS
title_short INFLAMMATORY PROFILE IN CHD PEDIATRIC PATIENTS
title_sort inflammatory profile in chd pediatric patients
url http://www.sciencedirect.com/science/article/pii/S2531137923017716
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AT mocunha inflammatoryprofileinchdpediatricpatients
AT sfoliveira inflammatoryprofileinchdpediatricpatients
AT mmpluciano inflammatoryprofileinchdpediatricpatients
AT acscastro inflammatoryprofileinchdpediatricpatients
AT ipctavares inflammatoryprofileinchdpediatricpatients
AT rmmimoribgoncalvesms inflammatoryprofileinchdpediatricpatients
AT jpmneto inflammatoryprofileinchdpediatricpatients