肿瘤坏死因子α在感染弓形虫的伊拉克青少年儿童中的作用

Ashjan Mohammed Hussein, Eman Ghazi Metaab, Esree Muslim Aswad, Ioannis Adamopoulos
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摘要

弓形虫病会影响各种生化指标,这一点最近引起了人们的关注。弓形虫病生化指标值是本研究的重点。TNF-α 通过与 TNF-R1 和 TNF-R2 相互作用来调节炎症、抗肿瘤反应和体内平衡。TNF-α 通过调节造血干细胞和祖细胞的发育,在治疗淋病方面具有重要功能。尽管抗 TNF-α 药物具有治疗作用,但已知仍会出现淋巴增殖障碍等不良反应。这也表明,细胞因子发挥作用的一个主要机制是抑制寄生虫的入侵。TNF-α 能够在不同程度上直接影响细胞内寄生虫的增殖。研究对象包括一百名弓形虫病患者,年龄在十八至三十岁之间。其中七十例确诊感染,四十例样本来自男性和女性患者,其余三十例样本来自健康人作为对照组。巴格达教学医院、Al-Yarmouk 教学医院和许多门诊诊所将在 2022 年 11 月至 2023 年 10 月期间收治来自伊拉克各省的患者。此外,我们还利用 ELISA 技术测定了 TNF-α 的含量。研究结果显示,对照组与不同年龄和性别的青少年血液中的 TNF-α 水平没有明显变化。健康青少年(80.57 ±5.27)和淋病患者(123.59 ±4.35、158.85 ±10.26)的平均±SE值没有统计学差异。研究结果表明,健康青少年的平均值分别为(66.02 ± 5.89)和(87.84 ± 3.24)。性别差异不明显,平均值分别为(149.65 ±11.98 )和(133.25 ±3.96 )。弓形虫病患者的TNF-α水平远高于对照组(P≤0.01)。感染弓形虫的青少年的TNF-α平均水平(±SE)为136.86 ±5.96,而对照组为87.84 ±3.24。我们的研究表明,弓形虫能够对TNF-α等某些指标产生影响。研究结果表明,青少年是弓形虫病的高发人群。因此,当务之急是要优先对易感人群开展健康教育。
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The Role of Tumor Necrosis Factor Alpha in Adolescent Iraqi Children Infected with Toxoplasmasis
Toxoplasmosis affects various biochemical markers, which has garnered attention recently. Toxoplasmosis biochemical marker values were the focus of this study. To evaluate the infection-related marker TNF alpha, TNF-α regulates inflammation, anti-tumor responses, and homeostasis via interacting with TNF-R1 and TNF-R2. TNF-α has a vital function in treating T. gondii by regulating hematopoietic stem and progenitor cell development. Despite therapeutic usage of anti-TNF-α medications, adverse effects such lymph proliferative disorders have been known to occur. This also suggests that one major mechanism by which cytokines operate is by inhibiting parasite invasion. TNF-α has the ability to directly influence the proliferation of intracellular parasites to different extents. The study included one hundred patients with toxoplasmosis, aged between eighteen and thirty years old. Among them, seventy had confirmed cases of infection, with forty samples from both male and female patients, while the remaining thirty samples were taken from healthy individuals serving as a control group. Baghdad Teaching Hospital, Al-Yarmouk Teaching Hospital, and many outpatient clinics will treat patients from different Iraqi governorates from November 2022 and October 2023. Additionally, we utilized the ELISA technique to determine the quantity of TNF-alpha present. With this study, there were no significant changes in blood levels of TNF-α between the control group and teens of different ages and genders, according to the results. The mean ±SE values of the level in healthy teens (80.57 ±5.27) and T. gondii patients (123.59 ±4.35, 158.85 ±10.26) were not statistically different. The findings indicated that the mean values for healthy teenagers were 66.02 ±5.89 and 87.84 ±3.24, respectively. There was no significant gender difference, with mean values of 149.65 ±11.98 and 133.25 ±3.96, respectively. Patients with toxoplasmosis exhibited substantially higher TNF-α levels than the control group (P ≤0.01). The average ± SE TNF-alpha levels in teenagers infected with T. gondii were 136.86 ±5.96, whereas the control group had 87.84 ±3.24. Our research suggests that Toxoplasma gondii have the capability to exert effect on certain indicators, such as TNF-alpha. The findings indicate that adolescents are prone to a significant prevalence of toxoplasmosis diagnoses. Consequently, prioritizing health education for those with a heightened susceptibility to developing the disease is imperative.
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