TLR-2 and TLR-4 expression in monocytes of newborns with late-onset sepsis,

Objective:To analyze toll-like receptor (TLR)-2 and TLR-4 expression in monocytes of newborns with late-onset sepsis.Methods:This prospective study included 27 full-term newborns aged 8 to 29 days, with clinical and laboratory diagnosis of late-onset sepsis. Ten newborns (37%) had positive cultures....

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Main Authors: Ana C.C. Redondo, Maria E.J.R. Ceccon, Ana L. Silveira-Lessa, Camila Quinello, Patrícia Palmeira, Werther B. Carvalho, Magda Carneiro-Sampaio
Format: Article
Language:English
Published: Elsevier 2014-10-01
Series:Jornal de Pediatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572014000500472&lng=en&tlng=en
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author Ana C.C. Redondo
Maria E.J.R. Ceccon
Ana L. Silveira-Lessa
Camila Quinello
Patrícia Palmeira
Werther B. Carvalho
Magda Carneiro-Sampaio
author_facet Ana C.C. Redondo
Maria E.J.R. Ceccon
Ana L. Silveira-Lessa
Camila Quinello
Patrícia Palmeira
Werther B. Carvalho
Magda Carneiro-Sampaio
author_sort Ana C.C. Redondo
collection DOAJ
description Objective:To analyze toll-like receptor (TLR)-2 and TLR-4 expression in monocytes of newborns with late-onset sepsis.Methods:This prospective study included 27 full-term newborns aged 8 to 29 days, with clinical and laboratory diagnosis of late-onset sepsis. Ten newborns (37%) had positive cultures. Cytokines were measured by cytometric bead array in peripheral blood, while TLR-2, TLR-4 expression, and median fluorescence intensity (MFI) were determined by immunophenotyping peripheral whole blood monocytes, and were analyzed with a BD FACSDiva flow cytometer (Becton, Dickinson and Company, USA). A comparison was performed with healthy adults.Results:Microorganisms were identified in 37% of these septic newborns, and all of them had high levels of pro-inflammatory cytokines (IL-8, IL-6, IL-1β) and anti-inflammatory cytokine (IL-10) corroborating the inflammatory/septic process. In monocytes, the frequency of TLR-4 expression was higher in infected newborns (p = 0.01).Conclusion:This study investigated the innate immune response in septic newborns. Septic newborns that relied almost exclusively on the innate immune system showed little in vivo response at monocyte activation, suggesting impaired immune response and increased susceptibility to infection.
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spelling doaj.art-a7035528678d4fd7ac5b51aadcdf03e82022-12-22T02:57:42ZengElsevierJornal de Pediatria1678-47822014-10-0190547247810.1016/j.jped.2013.12.012S0021-75572014000500472TLR-2 and TLR-4 expression in monocytes of newborns with late-onset sepsis,Ana C.C. RedondoMaria E.J.R. CecconAna L. Silveira-LessaCamila QuinelloPatrícia PalmeiraWerther B. CarvalhoMagda Carneiro-SampaioObjective:To analyze toll-like receptor (TLR)-2 and TLR-4 expression in monocytes of newborns with late-onset sepsis.Methods:This prospective study included 27 full-term newborns aged 8 to 29 days, with clinical and laboratory diagnosis of late-onset sepsis. Ten newborns (37%) had positive cultures. Cytokines were measured by cytometric bead array in peripheral blood, while TLR-2, TLR-4 expression, and median fluorescence intensity (MFI) were determined by immunophenotyping peripheral whole blood monocytes, and were analyzed with a BD FACSDiva flow cytometer (Becton, Dickinson and Company, USA). A comparison was performed with healthy adults.Results:Microorganisms were identified in 37% of these septic newborns, and all of them had high levels of pro-inflammatory cytokines (IL-8, IL-6, IL-1β) and anti-inflammatory cytokine (IL-10) corroborating the inflammatory/septic process. In monocytes, the frequency of TLR-4 expression was higher in infected newborns (p = 0.01).Conclusion:This study investigated the innate immune response in septic newborns. Septic newborns that relied almost exclusively on the innate immune system showed little in vivo response at monocyte activation, suggesting impaired immune response and increased susceptibility to infection.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572014000500472&lng=en&tlng=enSepse/imunologiaImunidade inataReceptor 2 toll-likeReceptor 4 toll-likeRecém-nascidosMonócitos
spellingShingle Ana C.C. Redondo
Maria E.J.R. Ceccon
Ana L. Silveira-Lessa
Camila Quinello
Patrícia Palmeira
Werther B. Carvalho
Magda Carneiro-Sampaio
TLR-2 and TLR-4 expression in monocytes of newborns with late-onset sepsis,
Jornal de Pediatria
Sepse/imunologia
Imunidade inata
Receptor 2 toll-like
Receptor 4 toll-like
Recém-nascidos
Monócitos
title TLR-2 and TLR-4 expression in monocytes of newborns with late-onset sepsis,
title_full TLR-2 and TLR-4 expression in monocytes of newborns with late-onset sepsis,
title_fullStr TLR-2 and TLR-4 expression in monocytes of newborns with late-onset sepsis,
title_full_unstemmed TLR-2 and TLR-4 expression in monocytes of newborns with late-onset sepsis,
title_short TLR-2 and TLR-4 expression in monocytes of newborns with late-onset sepsis,
title_sort tlr 2 and tlr 4 expression in monocytes of newborns with late onset sepsis
topic Sepse/imunologia
Imunidade inata
Receptor 2 toll-like
Receptor 4 toll-like
Recém-nascidos
Monócitos
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572014000500472&lng=en&tlng=en
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