Potential role of toxoplasmosis to change interleukin 12 level in leukemia patients

Albatool Salim Mkhaiber, E. Saheb
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Abstract

Toxoplasma gondii is an opportunistic pathogen in which the reactivation of a dormant infection can cause death in immunocompromised patients. The goal of this study is to investigate the possible risk-factor of Toxoplasma infection and its possible correlation with Interleukin-12 (IL-12) cytokine in leukemia patients and according the leukemia types. In this study, 185 patients were enrolled. All serum samples were tested by using enzyme-linked immunosorbent assay (ELISA) technique for the measurement of antiToxoplasma (IgG, IgM) antibodies and IL-12 levels. The serological examination revealed that 63 (51.2%) leukemia patients were positive to antiToxoplasma IgG compared with the sera of the control group which was 48 (77.4%). Their positivity rates for antiToxoplasma IgM in leukemia patients was 3 (2.4%) while it was 2 (3.23%) in the control group. . The mean level of IL-12 in leukemia patients infected with toxoplasmosis was the significant 188.865 ±2.845 pg/ml,being higher than the mean value in the positive control which was 85.330±2.834pg/ml.Furthermore, the seroprevalence of antiToxoplasma IgG was the highest in the age group (4150) years in patients with leukemia. There were no significant differences between age and leukemia patients infected with toxoplasmosis. Since most immunosuppressive patients are exposed to various possible risk factors including Toxoplasma, primary infection or reactivation, so it is important to diagnose and treat toxoplasmosis in leukemia patients to reduce the consequences of this infection.
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弓形虫病改变白血病患者白细胞介素12水平的潜在作用
刚地弓形虫是一种机会性病原体,其中休眠感染的重新激活可导致免疫功能低下患者死亡。本研究的目的是探讨弓形虫感染的可能危险因素及其与白细胞介素-12 (IL-12)细胞因子在白血病患者和白血病类型中的可能相关性。在这项研究中,185名患者入组。采用酶联免疫吸附试验(ELISA)检测血清中抗弓形虫(IgG、IgM)抗体和IL-12水平。血清学检查结果显示,白血病患者血清抗弓形虫IgG阳性63例(51.2%),对照组阳性48例(77.4%)。白血病患者抗弓形虫IgM阳性3例(2.4%),对照组阳性2例(3.23%)。白血病弓形虫感染患者IL-12平均水平为188.865±2.845 pg/ml,高于阳性对照组的85.330±2.834pg/ml。此外,抗弓形虫IgG血清阳性率在4150岁的白血病患者中最高。白血病患者感染弓形虫病的年龄差异无统计学意义。由于大多数免疫抑制患者暴露于各种可能的危险因素,包括弓形虫、原发感染或再激活,因此诊断和治疗白血病患者弓形虫病以减少这种感染的后果非常重要。
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