Decreased nitric oxide production after intravenous immunoglobulin treatment in patients with Kawasaki disease

Autor: Hsiu-Chin Liu, Yu-Tsun Wu, Chia-Jung Lee, Chih-Lu Wang, Kuender D. Yang, Li-Tung Huang
Rok vydání: 2002
Předmět:
Zdroj: The Journal of Pediatrics. 141:560-565
ISSN: 0022-3476
DOI: 10.1067/mpd.2002.127505
Popis: Objective: To assess nitric oxide (NO) production and different displays of NO synthase (NOS) isoforms in patients with Kawasaki disease (KD) before and after intravenous immunoglobulin (IVIG) treatment. Study design: Blood and urine samples were collected from patients with KD before IVIG treatment and 3 days afterward. Age-matched febrile patients with various diseases served as control patients. Plasma NOx (NO3- + NO2-) levels were measured as NO production. Real-time reverse transcriptase–polymerase chain reaction and immunohistochemical staining were used to detect differential NOS isoform expression in mononuclear leukocytes (MNCs). Results: Patients with KD (n = 40) had higher levels of NOx than the non-KD febrile control patients. The elevated NOx levels in patients with KD were significantly associated with the occurrence of coronary artery dilation (>3 mm). These elevated NOx levels significantly decreased after IVIG treatment (157.8 ± 15.9 μmol/L vs 57.0 ± 4.27 μmol/L, P
Databáze: OpenAIRE