Cytokines and adenosine deaminase in typhoid patients in Najaf, Iraq
Journal name: World Journal of Pharmaceutical Research
Original article title: Serum pro-inflammatory cytokines level and adenosine deaminase enzyme activity in patients with typhoid fever in najaf/iraq
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
This page presents a generated summary with additional references; See source (below) for actual content.
Original source:
This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.
Dr. Najlaa A.Ali Al-Dahhan
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Serum pro-inflammatory cytokines level and adenosine deaminase enzyme activity in patients with typhoid fever in najaf/iraq
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Copyright (license): WJPR: All rights reserved
Download the PDF file of the original publication
Summary of article contents:
1) Introduction
Typhoid fever, caused by the bacterium Salmonella enterica serotype typhi, is a significant public health issue in developing countries, characterized by systemic infection and high clinical toxicity. The infection typically arises from consuming contaminated food or water, prevalent in areas with poor sanitation. The clinical manifestations of typhoid fever are associated with the body’s immune response, including the activation of various immune cells and the production of inflammatory cytokines. This study aimed to evaluate the levels of adenosine deaminase (ADA) enzyme and pro-inflammatory cytokines, specifically IL-6 and TNF-α, in the serum of patients with typhoid fever in Najaf, Iraq.
2) Elevated Levels of Adenosine Deaminase in Typhoid Patients
A critical finding of the study was that serum levels of ADA in patients with typhoid fever were significantly increased compared to healthy controls, with averages of 52.2 ± 4.32 L/U in patients versus 12.3 ± 6.03 L/U in controls (P < 0.001). This increased activity of ADA suggests its role as a marker of cell-mediated immunity, reflecting a heightened immune response in individuals suffering from typhoid fever. The elevation in ADA levels indicates the proliferation of immune cells crucial for combating the bacterial infection, emphasizing the importance of ADA in the immunological landscape of typhoid patients.
3) Pro-inflammatory Cytokines and Their Role in Typhoid Fever
The study also highlighted significant elevations in serum pro-inflammatory cytokines IL-6 and TNF-α among typhoid fever patients compared to controls, with IL-6 averaging 72.35 ± 2.03 pg/ml in patients versus 30.41 ± 1.03 pg/ml in controls, and TNF-α showing similarly elevated values. These elevated cytokines play vital roles in the pathogenesis of fever and the inflammatory response during the illness. Cytokines like IL-6 are known to mediate not just fever but also other systemic manifestations associated with infection, thus contributing to the clinical symptoms observed in typhoid patients.
4) Gender Differences in Cytokine Levels
The research also examined gender differences in cytokine levels, revealing that male patients exhibited higher mean concentrations of IL-6 and TNF-α compared to female patients, although not statistically significant for ADA levels. Male patients had IL-6 levels of 62.14 pg/ml and TNF-α levels of 52.45 pg/ml, while female patients had IL-6 levels of 57.3 pg/ml and TNF-α levels of 45.32 pg/ml. This variation suggests that gender may influence the immune response and inflammatory profile in typhoid fever, although further studies are warranted to elucidate the underlying causes of these differences.
5) Conclusion
The study concluded that both elevated levels of ADA and pro-inflammatory cytokines (IL-6 and TNF-α) in patients with typhoid fever indicate a strong cell-mediated immune response to the infection. The significant increase in these biological parameters underscores the body's attempt to mount an effective defense against S. typhi. Therefore, monitoring ADA levels and cytokine concentrations could provide valuable insights into the immunological status and disease progression in typhoid fever patients, potentially aiding in diagnosis and therapeutic strategies. Further research into the dynamics of these immune factors could enhance understanding of their roles in infectious diseases such as typhoid fever.
FAQ section (important questions/answers):
What is the focus of Dr. Najlaa's study on typhoid fever?
The study evaluates serum pro-inflammatory cytokines and adenosine deaminase (ADA) enzyme activity in patients with typhoid fever in Najaf, Iraq, comparing these levels with a control group of healthy individuals.
How many patients were involved in the study, and what were their symptoms?
The study involved 60 typhoid fever patients exhibiting symptoms such as fever (≥38°C), diarrhea, toxic appearance, and rose spots, confirmed by positive Widal test results.
What were the significant differences noted in serum ADA levels?
Patients with typhoid fever had significantly higher mean serum ADA levels (52.2±4.32 L/U) compared to the control group (12.3±6.03 L/U), indicating increased immune activation.
Which pro-inflammatory cytokines were measured in the study?
The study measured IL-6 and TNF-α concentrations, finding significantly elevated levels in typhoid patients compared to healthy controls, highlighting their role in the disease's pathogenesis.
How did cytokine levels vary with age and gender in patients?
Age groups showed variation in cytokine levels, particularly elevated IL-6 and TNF-α in the 31-45 age group. Males displayed higher concentrations than females but without significant variation.
What conclusions were drawn regarding ADA activity and immune response?
The elevated serum ADA levels during typhoid infection suggest its role as a marker of cell-mediated immunity, indicating an active immune response and cellular proliferation in infected patients.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Cytokines and adenosine deaminase in typhoid patients in Najaf, Iraq”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Fever:
Fever is a critical symptom in typhoid fever, often occurring as the body's response to the bacterial infection caused by Salmonella typhi. It is a key indicator of the disease's presence and severity, with elevated body temperature reflecting the internal inflammatory and immune response against the invading pathogen.
2) Study (Studying):
The study refers to the research conducted to evaluate serum pro-inflammatory cytokines and adenosine deaminase levels in patients with typhoid fever. This investigation provides insights into the immunological changes associated with the disease, contributing to better understanding and potential therapeutic approaches for managing typhoid.
3) Male:
In the context of the study, male patients exhibited higher concentrations of certain pro-inflammatory cytokines compared to females, indicating potential gender-based differences in immune response during typhoid fever. This observation prompts further investigation into sex differences in disease manifestation and immune function.
4) Table:
Tables in the study present quantitative data, showing mean values and standard deviations of serum markers such as ADA, IL-6, and TNF-α across different patient groups. They act as visual representations of findings, facilitating quick comprehension of variations in cytokine levels related to gender, age, and health status.
5) Water:
Water is a common vehicle for the transmission of typhoid fever, as the disease is often contracted through ingesting contaminated water. Poor sanitation and hygiene practices lead to widespread outbreaks in developing regions, making water quality crucial for public health interventions against infectious diseases like typhoid.
6) Activity:
Activity refers to the enzymatic functions and biological processes evaluated in the study, like adenosine deaminase (ADA) activity in the serum. This activity is indicative of cellular immune response, as enzyme levels rise during infections, marking the immune system's engagement in combating pathogens like Salmonella.
7) Disease:
Disease in the study pertains to typhoid fever, a systemic infection caused by Salmonella typhi. Understanding the pathology, clinical manifestations, and cytokine responses associated with this disease helps develop targeted therapies and preventive measures, highlighting its significance in public health.
8) Blood:
Blood sampling was essential for measuring serum levels of ADA and pro-inflammatory cytokines in this study. Analyzing blood components allows researchers to assess the biological markers indicative of immune response, providing a clear understanding of the physiological impacts of typhoid fever.
9) Sign:
In the medical context, a sign refers to an observable indicator of disease, such as fever or the presence of specific pro-inflammatory cytokines. These signs, identified during the study, are crucial for diagnosing typhoid and understanding the immune response to the bacterial infection.
10) Wall:
The term wall relates to the blood vessel wall, where adenosine deaminase is present. Understanding where enzymes like ADA are located helps researchers link immune processes to specific tissues, offering insights into how systemic infections affect various biological systems, including blood circulation.
11) Pur:
Poor refers to the conditions prevalent in many areas where typhoid fever is endemic, such as inadequate sanitation and access to clean water. These factors significantly contribute to the transmission and prevalence of the disease, stressing the impact of socioeconomic status on public health outcomes.
12) Purification:
Purification, as referenced in the study, relates to separating and clarifying biological samples, ensuring accurate measurements of cytokine levels. This process is essential for obtaining reliable data from the experiments, which are critical in understanding the immunological changes during typhoid fever.
13) Accumulation (Accumulating, Accumulate):
Accumulation refers to the build-up of toxic metabolites in the body due to increased immune activity during infections like typhoid fever. Monitoring the levels of biomarkers can provide insights into how effectively the body's immune system is managing these substances and responding to infection.
14) Inflammation:
Inflammation is a fundamental immune response triggered by infections like typhoid fever. Pro-inflammatory cytokines released during this process help orchestrate the body's defense, but excessive inflammation can lead to complications, making it a critical focus in studies examining immune responses in diseases.
15) Calculation:
Calculation involves determining concentrations of serum markers from the data collected in the study. Statistical analyses enable researchers to draw meaningful conclusions about the relationships between biomarkers and disease states, guiding further research and clinical practices.
16) Discussion:
The discussion section of the study interprets the findings, contextualizing results within existing research. This analysis allows researchers to consider implications for treatment and prevention strategies for typhoid fever, and to explore potential avenues for further research based on the observed trends.
17) Developing:
Developing refers to regions with limited healthcare resources where typhoid fever is prevalent. Addressing such diseases in these areas underscores the need for public health interventions and strengthens efforts to improve sanitation and healthcare access to reduce illness and mortality rates.
18) Substance:
Substance pertains to the biological components, such as cytokines and enzymes, analyzed in the study. Characterizing these substances helps researchers understand their roles in infection and the immune response, revealing pathways that could be targeted in treating typhoid fever.
19) Evolution:
Evolution signifies the ongoing adaptation and development of bacterial pathogens like Salmonella typhi, which can influence disease severity and immune response. Understanding the evolutionary background of infectious agents is crucial for developing effective interventions and vaccines.
20) Suffering:
Suffering highlights the impact of typhoid fever on patients, emphasizing the burden of illness. Understanding the experiences of those suffering from the disease can guide healthcare providers in delivering compassionate care and developing holistic treatment approaches.
21) Toxicity:
Toxicity in the context of this research relates to the harmful effects exerted by bacterial products or metabolites during typhoid fever. Evaluating serum markers of cellular immunity can shed light on how the body combats these toxic challenges.
22) Company:
Company here refers to entities such as KAMIYA Biomedical Company, which provided the assay kits used in the study. Collaborating with reliable companies ensures that researchers use high-quality reagents and methodologies, bolstering the study's credibility and reproducibility.
23) Animal:
Animal studies provide a foundational understanding of immune responses and disease mechanisms that inform human research. They play a pivotal role in preclinical trials to assess the efficacy of interventions before application in human subjects, especially in infectious diseases like typhoid fever.
24) Powder:
Powder is referenced in the context of reagent preparation, indicating the need for careful handling and precise reconstitution of assay components. Proper preparation ensures accurate results in enzyme and cytokine measurements, critical for interpreting the study's outcomes.
25) Death:
Death is a possible outcome of severe typhoid fever due to systemic infection. Understanding the risk factors and clinical manifestations that lead to mortality can improve patient care and prevention strategies in affected populations.
26) House:
House signifies societal settings where individuals may experience environmental health threats, such as poor sanitation leading to typhoid fever. Addressing community health in residential areas is crucial for curtailing the spread of infectious diseases.
27) Tera:
Tera refers to the scale of cellular processes and interactions in the immune response. Understanding these complex biological systems at a granular, detailed level is vital for deciphering the mechanisms that govern disease pathology and treatment strategies.
28) Food:
Food is a common pathway for the transmission of typhoid fever when consumed contaminated. Ensuring food safety, alongside promoting hygiene practices, is essential to prevent outbreaks and protect community health.
29) Pain:
Pain is a significant symptom experienced by patients suffering from typhoid fever, affecting their quality of life. Addressing pain management in treatment regimens further enhances patient outcomes and satisfaction.
30) Burning (Burn, Burned, Burnt):
Burn could relate to fever associated with tissue injury or infection. Understanding fever dynamics and its implications for clinical management is essential in treating pyretic conditions like typhoid fever, offering insights into patient care strategies.
31) Cai (Caí):
Chai may refer to a common beverage which could be a source of contamination if improperly prepared in regions where typhoid is endemic. Awareness and education about safe food and drink practices are imperative in preventing transmission of infectious diseases.
32) Life:
Life underscores the broader implications of typhoid fever on human health and well-being. The disease not only impacts individuals but also places a strain on public health systems, emphasizing the need for comprehensive strategies to combat infectious diseases and improve overall community health.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Cytokines and adenosine deaminase in typhoid patients in Najaf, Iraq’. Further sources in the context of Science might help you critically compare this page with similair documents:
Statistical analysis, Gender difference, Control group, Age-group, SPSS, Clinical manifestation, Immune response, Optical density, Cell-mediated immunity, Significant increase, Sample collection, Venous blood, Lipopolysaccharide (LPS), Typhoid fever, Laboratory diagnosis, Bacterial invasion, Mean concentration, Humoral immune response, Clinical finding, Proinflammatory cytokine, Healthy control group, Biotin-conjugated antibody, Adenosine deaminase enzyme, IL-6, Salmonella enterica, Acute typhoid fever, Clinical laboratory, Cytokine detection, ELISA kit, Mean serum concentration, Color development, Standard curve, Pro-inflammatory cytokine, Color reaction, Serum sample, Adenosine deaminase, Micro plate reader, Gender groups, Immune activation, Salmonella enterica serotype Typhi, Interleukin-6 level, ADA enzyme, Historical prevalence, Washing Solution, Diluted detection antibody, Color development enzyme, Stop solution, Typhoid fever patients, Serum ADA enzyme, Serum adenosine deaminase, Cytokines as endogenous pyrogens, Serum cytokine pattern, Rehabilitation of typhoid fever, Lymphocyte activity, Oral live attenuated typhoid vaccine, Molecular and immunological study, Serum IL-6 level.