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Nasal Wash Cytokines during Respiratory Viral Infection in Pediatric Allogeneic Hematopoietic Cell-Transplant Recipients.

Abstract
Allogeneic hematopoietic cell-transplant (alloHCT) recipients are at increased risk of complications from viral respiratory-tract infections (vRTIs). We measured cytokine concentrations in nasal washes (NWs) from pediatric alloHCT recipients to better understand their local response to vRTI. Forty-one immunologic analytes were measured in 70 NWs, collected during and after vRTI, from 15 alloHCT recipients (median age, 11 yr) with 19 episodes of vRTI. These were compared with NW cytokine concentrations from an independent group of otherwise healthy patients. AlloHCT recipients are able to produce a local response to vRTI and produce IFN-α2 and IL-12p40 in significant quantities above an uninfected baseline early in infection. Compared with otherwise healthy comparator-group patients, alloHCT recipients have higher NW concentrations of IL-4 when challenged with vRTI. Further study of these immunologic analytes as well as of type 1 versus type 2 balance in the respiratory mucosa in the context of vRTI during immune reconstitution may be of future research interest in this vulnerable patient population.
AuthorsTim Flerlage, Aisha Souquette, E Kaitlynn Allen, Timothy Brahm, Jeremy Chase Crawford, Li Tang, Yilun Sun, Gabriela Maron, Joshua Wolf, Brandon Triplett, Paul G Thomas
JournalAmerican journal of respiratory cell and molecular biology (Am J Respir Cell Mol Biol) Vol. 63 Issue 3 Pg. 349-361 (09 2020) ISSN: 1535-4989 [Electronic] United States
PMID32551899 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Cytokines
Topics
  • Adolescent
  • Child
  • Child, Preschool
  • Cytokines (metabolism)
  • Female
  • Hematopoietic Stem Cell Transplantation (adverse effects)
  • Humans
  • Infant
  • Infections (etiology, metabolism)
  • Male
  • Nasal Lavage Fluid (cytology)
  • Transplant Recipients
  • Transplantation, Homologous (adverse effects)

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