FEATURES OF IMMUNE DISTURBANCES IN COMMUNITY-ACQUIRED PNEUMONIAS

Abstract. Clinical and immunological examination was performed in a group of 120 patients with community-acquired pneumonia. The study included determination of humoral and cellular immunity factors, T-lymphocytes, T cell subpopulations and B cells in peripheral blood, measurements of circulating im...

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Main Authors: G. A. Mavziutova, R. M. Fazlyeva, E. B. Tiurina, R. M. Khairullina, N. R. Bikmetova
Format: Article
Language:Russian
Published: St. Petersburg branch of the Russian Association of Allergologists and Clinical Immunologists 2014-07-01
Series:Медицинская иммунология
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Online Access:https://www.mimmun.ru/mimmun/article/view/247
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author G. A. Mavziutova
R. M. Fazlyeva
E. B. Tiurina
R. M. Khairullina
N. R. Bikmetova
author_facet G. A. Mavziutova
R. M. Fazlyeva
E. B. Tiurina
R. M. Khairullina
N. R. Bikmetova
author_sort G. A. Mavziutova
collection DOAJ
description Abstract. Clinical and immunological examination was performed in a group of 120 patients with community-acquired pneumonia. The study included determination of humoral and cellular immunity factors, T-lymphocytes, T cell subpopulations and B cells in peripheral blood, measurements of circulating immune complexes, phagocytic activities of peripheral neutrophils, studies of cytokines (IL-2, IL-4, IL-6, IL-8, TNFalpha) in the course of disease. Abnormalities of immune response were found that determined the severity of pneumonia and extent of inflammatory lung affection. Insufficiency of phagocytic protection and abnormality of immune complex elimination, reduced activity of effector T cells, with underlying increased reaction of NK cells, deficiency of humoral immunity factors, as reduced B-lymphocyte levels, as well as a trend to decrease in in IgM and IgG levels, may, in sum, determine a severe clinical course, along with lobular affection of lungs in community-acquired pneumonia. Imbalance of cytokines, with predominant proinflammatory activity and reduced regulatory functions may represent a significant reason of these immune disturbances, thus justifying a need for development of immunomodulatory therapy.
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spelling doaj-art-b6adfbb9e51a4b5ea9cbf8a6514d337a2025-08-04T14:30:29ZrusSt. Petersburg branch of the Russian Association of Allergologists and Clinical ImmunologistsМедицинская иммунология1563-06252313-741X2014-07-019660561210.15789/1563-0625-2007-6-605-612244FEATURES OF IMMUNE DISTURBANCES IN COMMUNITY-ACQUIRED PNEUMONIASG. A. Mavziutova0R. M. Fazlyeva1E. B. Tiurina2R. M. Khairullina3N. R. Bikmetova4Башкирский государственный медицинский университет, г. УфаБашкирский государственный медицинский университет, г. УфаБашкирский государственный медицинский университет, г. УфаБашкирский государственный медицинский университет, г. УфаБашкирский государственный медицинский университет, г. УфаAbstract. Clinical and immunological examination was performed in a group of 120 patients with community-acquired pneumonia. The study included determination of humoral and cellular immunity factors, T-lymphocytes, T cell subpopulations and B cells in peripheral blood, measurements of circulating immune complexes, phagocytic activities of peripheral neutrophils, studies of cytokines (IL-2, IL-4, IL-6, IL-8, TNFalpha) in the course of disease. Abnormalities of immune response were found that determined the severity of pneumonia and extent of inflammatory lung affection. Insufficiency of phagocytic protection and abnormality of immune complex elimination, reduced activity of effector T cells, with underlying increased reaction of NK cells, deficiency of humoral immunity factors, as reduced B-lymphocyte levels, as well as a trend to decrease in in IgM and IgG levels, may, in sum, determine a severe clinical course, along with lobular affection of lungs in community-acquired pneumonia. Imbalance of cytokines, with predominant proinflammatory activity and reduced regulatory functions may represent a significant reason of these immune disturbances, thus justifying a need for development of immunomodulatory therapy.https://www.mimmun.ru/mimmun/article/view/247community-acquired pneumoniaimmunitycytokinesil-2il-4il-6il-8tnfalpha
spellingShingle G. A. Mavziutova
R. M. Fazlyeva
E. B. Tiurina
R. M. Khairullina
N. R. Bikmetova
FEATURES OF IMMUNE DISTURBANCES IN COMMUNITY-ACQUIRED PNEUMONIAS
Медицинская иммунология
community-acquired pneumonia
immunity
cytokines
il-2
il-4
il-6
il-8
tnfalpha
title FEATURES OF IMMUNE DISTURBANCES IN COMMUNITY-ACQUIRED PNEUMONIAS
title_full FEATURES OF IMMUNE DISTURBANCES IN COMMUNITY-ACQUIRED PNEUMONIAS
title_fullStr FEATURES OF IMMUNE DISTURBANCES IN COMMUNITY-ACQUIRED PNEUMONIAS
title_full_unstemmed FEATURES OF IMMUNE DISTURBANCES IN COMMUNITY-ACQUIRED PNEUMONIAS
title_short FEATURES OF IMMUNE DISTURBANCES IN COMMUNITY-ACQUIRED PNEUMONIAS
title_sort features of immune disturbances in community acquired pneumonias
topic community-acquired pneumonia
immunity
cytokines
il-2
il-4
il-6
il-8
tnfalpha
url https://www.mimmun.ru/mimmun/article/view/247
work_keys_str_mv AT gamavziutova featuresofimmunedisturbancesincommunityacquiredpneumonias
AT rmfazlyeva featuresofimmunedisturbancesincommunityacquiredpneumonias
AT ebtiurina featuresofimmunedisturbancesincommunityacquiredpneumonias
AT rmkhairullina featuresofimmunedisturbancesincommunityacquiredpneumonias
AT nrbikmetova featuresofimmunedisturbancesincommunityacquiredpneumonias