INFLUENCE OF CD14 GENE POLYMORHISM ON CLINIC AL COURSE AND OUTCOME OF NOSOCOMIAL PNEUMONIA
| Autor: | E. A. Baygozina, V. I. Sovalkin |
|---|---|
| Jazyk: | ruština |
| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Медицинская иммунология, Vol 12, Iss 1-2, Pp 95-102 (2014) |
| Druh dokumentu: | article |
| ISSN: | 1563-0625 2313-741X |
| DOI: | 10.15789/1563-0625-2010-1-2-95-102 |
| Popis: | Genotypes CD14 gene genotypes frequencies of in control group and in group of patients with nosocomial pneumonia (NP) correspond to Hardy-Weinberg law. We revealed a statistically significant increase of genotype Т/Т frequency in the patients with NP (33.33%) in contrast to control group (18.09%) (р = 0.008). Notable is a difference in severity of NP cours in the patients with C/С, C/Т and Т/Т genotypes. In first case, the score of discase severity, using CPIS scale, was 7.81±1.32, whereas in second case it was 8.93±1.48 (р < 0.05). A positive correlation was found between resolution time of NP and CD14 genotype, i.e. Т/Т genotype was associated with prolonged respiratory support in NP with mecanical ventilation, as compared with NP cases in the patlents with C/С and C/Т genotypes (r = 0.70; р = 0.01). It was shown that the patients with CD14 Т/Т genotype exhibited hypercytokinemia due to TNFα. IL-1β and IL-1RN, thus pointing to a key role of CD14 gene polymorphism in immune pathogenesis of NP. |
| Databáze: | Directory of Open Access Journals |
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