Cerebrospinal Fluid Levels of Neopterin in Child Patients with Neurological Diseases-In Correlation with IFN-γ or TNF-α

Cerebrospinal fluid (CSF) neopterin levels were measured in child patients with neurological diseases. CSF neopterin levels on admission were significantly higher in patients with bacterial meningitis than in those with aseptic meningitis or in those with non-pleocytotic CSF. CSF neopterin levels in...

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Main Authors: Kawakami Yasuhiko, Fukunaga Yoshitaka, Kuwabara Kentaro, Fujita Takehisa, Fujino Osamu, Hashimoto Kiyoshi
Format: Article
Language:English
Published: De Gruyter 1999-02-01
Series:Pteridines
Subjects:
Online Access:https://doi.org/10.1515/pteridines.1999.10.1.27
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author Kawakami Yasuhiko
Fukunaga Yoshitaka
Kuwabara Kentaro
Fujita Takehisa
Fujino Osamu
Hashimoto Kiyoshi
author_facet Kawakami Yasuhiko
Fukunaga Yoshitaka
Kuwabara Kentaro
Fujita Takehisa
Fujino Osamu
Hashimoto Kiyoshi
author_sort Kawakami Yasuhiko
collection DOAJ
description Cerebrospinal fluid (CSF) neopterin levels were measured in child patients with neurological diseases. CSF neopterin levels on admission were significantly higher in patients with bacterial meningitis than in those with aseptic meningitis or in those with non-pleocytotic CSF. CSF neopterin levels in patients with bacterial meningitis one day after admission were higher than those on admission and were markedly elevated with high levels of CSF IFN-γ and TNF-α. CSF neopterin levels in patients with bacterial meningitis one day after admission were related to the period of positive serum C-reactive protein. In patients with non-pleocytotic CSF, CSF neopterin and CSF IFN-y levels were higher in patients with febrile convulsion (FC) than in those with pyrexia only or convulsion (including epilepsy) only. These results suggest that elevation of CSF neopterin in bacterial meningitis results from monocytes/ macrophages costimulated with IFN-γ and TNF-α and that immunological activation in the central nervous system is one of the mechanisms of onset with FC.
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spelling doaj.art-6191a9cf377b49a39bbc257f3d008b722022-12-21T19:12:39ZengDe GruyterPteridines0933-48072195-47201999-02-01101273110.1515/pteridines.1999.10.1.27Cerebrospinal Fluid Levels of Neopterin in Child Patients with Neurological Diseases-In Correlation with IFN-γ or TNF-αKawakami Yasuhiko0Fukunaga Yoshitaka1Kuwabara Kentaro2Fujita Takehisa3Fujino Osamu4Hashimoto Kiyoshi5Nippon Medical School Second Hospital, Department of Pediatrics, 1-396, Kosugi, Nakahara-ku, Kawasaki city, Kanagawa 211-8533, JapanNippon Medical School Main Hospital, Department of Pediatrics, 1-1-5, Sendagi, Bunkyo-ku, Tokyo 113-8603, JapanNippon Medical School Second Hospital, Department of Pediatrics, 1-396, Kosugi, Nakahara-ku, Kawasaki city, Kanagawa 211-8533, JapanNippon Medical School Second Hospital, Department of Pediatrics, 1-396, Kosugi, Nakahara-ku, Kawasaki city, Kanagawa 211-8533, JapanNippon Medical School Second Hospital, Department of Pediatrics, 1-396, Kosugi, Nakahara-ku, Kawasaki city, Kanagawa 211-8533, JapanNippon Medical School Second Hospital, Department of Pediatrics, 1-396, Kosugi, Nakahara-ku, Kawasaki city, Kanagawa 211-8533, JapanCerebrospinal fluid (CSF) neopterin levels were measured in child patients with neurological diseases. CSF neopterin levels on admission were significantly higher in patients with bacterial meningitis than in those with aseptic meningitis or in those with non-pleocytotic CSF. CSF neopterin levels in patients with bacterial meningitis one day after admission were higher than those on admission and were markedly elevated with high levels of CSF IFN-γ and TNF-α. CSF neopterin levels in patients with bacterial meningitis one day after admission were related to the period of positive serum C-reactive protein. In patients with non-pleocytotic CSF, CSF neopterin and CSF IFN-y levels were higher in patients with febrile convulsion (FC) than in those with pyrexia only or convulsion (including epilepsy) only. These results suggest that elevation of CSF neopterin in bacterial meningitis results from monocytes/ macrophages costimulated with IFN-γ and TNF-α and that immunological activation in the central nervous system is one of the mechanisms of onset with FC.https://doi.org/10.1515/pteridines.1999.10.1.27neopterincerebrospinal fluid (csf)bacterial meningitisnon-pheocytotic csffebrile convulsion (fc)
spellingShingle Kawakami Yasuhiko
Fukunaga Yoshitaka
Kuwabara Kentaro
Fujita Takehisa
Fujino Osamu
Hashimoto Kiyoshi
Cerebrospinal Fluid Levels of Neopterin in Child Patients with Neurological Diseases-In Correlation with IFN-γ or TNF-α
Pteridines
neopterin
cerebrospinal fluid (csf)
bacterial meningitis
non-pheocytotic csf
febrile convulsion (fc)
title Cerebrospinal Fluid Levels of Neopterin in Child Patients with Neurological Diseases-In Correlation with IFN-γ or TNF-α
title_full Cerebrospinal Fluid Levels of Neopterin in Child Patients with Neurological Diseases-In Correlation with IFN-γ or TNF-α
title_fullStr Cerebrospinal Fluid Levels of Neopterin in Child Patients with Neurological Diseases-In Correlation with IFN-γ or TNF-α
title_full_unstemmed Cerebrospinal Fluid Levels of Neopterin in Child Patients with Neurological Diseases-In Correlation with IFN-γ or TNF-α
title_short Cerebrospinal Fluid Levels of Neopterin in Child Patients with Neurological Diseases-In Correlation with IFN-γ or TNF-α
title_sort cerebrospinal fluid levels of neopterin in child patients with neurological diseases in correlation with ifn γ or tnf α
topic neopterin
cerebrospinal fluid (csf)
bacterial meningitis
non-pheocytotic csf
febrile convulsion (fc)
url https://doi.org/10.1515/pteridines.1999.10.1.27
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