Do the Th17 Cells Play a Role in the Pathogenesis of Leptospirosis?

Objectives. The aim of this study was to determine the level of five different pro- and anti-inflammatory cytokines to study the inflammatory response of leptospirosis. Materials and methods. The serum cytokine levels of IL-10, IL-17A, IL-21, IL-23, and TNF-α were investigated in 57 patients with le...

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Main Authors: Kanchana Bandara, Chinthika Gunasekara, Manjula Weerasekera, Chamil Marasinghe, Nilantha Ranasinghe, Neluka Fernando
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2018/9704532
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author Kanchana Bandara
Chinthika Gunasekara
Manjula Weerasekera
Chamil Marasinghe
Nilantha Ranasinghe
Neluka Fernando
author_facet Kanchana Bandara
Chinthika Gunasekara
Manjula Weerasekera
Chamil Marasinghe
Nilantha Ranasinghe
Neluka Fernando
author_sort Kanchana Bandara
collection DOAJ
description Objectives. The aim of this study was to determine the level of five different pro- and anti-inflammatory cytokines to study the inflammatory response of leptospirosis. Materials and methods. The serum cytokine levels of IL-10, IL-17A, IL-21, IL-23, and TNF-α were investigated in 57 patients with leptospirosis and 12 healthy controls using a commercially available ELISA kit (Mabtech, Sweden). Statistical analysis was done using Graphpad Prism. Results. Elevation of serum IL-10 and IL-17A levels and significant elevation of serum IL-21 (p=0.002), IL-23 (p=0.002), and TNF-α (p=0.039) were observed among leptospirosis patients compared to the healthy control group. The two major complications observed among these patients were renal failure and liver involvement. Renal failure was significantly associated with elevation of IL-21 and IL-23, while patients with liver involvement had a significant elevation of IL-21, IL-23, and TNF-α. Conclusion. Elevation of IL-17A together with the significant elevation of IL-21 and IL-23 suggests a possible involvement of Th17 cells in the immunopathogenesis of leptospirosis.
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series Canadian Journal of Infectious Diseases and Medical Microbiology
spelling doaj-art-8c73ed73d94c4095814723fe57649d2b2025-02-03T01:24:58ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95321918-14932018-01-01201810.1155/2018/97045329704532Do the Th17 Cells Play a Role in the Pathogenesis of Leptospirosis?Kanchana Bandara0Chinthika Gunasekara1Manjula Weerasekera2Chamil Marasinghe3Nilantha Ranasinghe4Neluka Fernando5Department of Basic Sciences, Faculty of Allied Health Sciences, General Sir John Kotelawala Defence University, Ratmalana, Sri LankaDepartment of Microbiology, Faculty of Medical Sciences, University of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri LankaDepartment of Microbiology, Faculty of Medical Sciences, University of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri LankaDepartment of Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri LankaOut Patients Department, Base Hospital, Horana, Sri LankaDepartment of Microbiology, Faculty of Medical Sciences, University of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri LankaObjectives. The aim of this study was to determine the level of five different pro- and anti-inflammatory cytokines to study the inflammatory response of leptospirosis. Materials and methods. The serum cytokine levels of IL-10, IL-17A, IL-21, IL-23, and TNF-α were investigated in 57 patients with leptospirosis and 12 healthy controls using a commercially available ELISA kit (Mabtech, Sweden). Statistical analysis was done using Graphpad Prism. Results. Elevation of serum IL-10 and IL-17A levels and significant elevation of serum IL-21 (p=0.002), IL-23 (p=0.002), and TNF-α (p=0.039) were observed among leptospirosis patients compared to the healthy control group. The two major complications observed among these patients were renal failure and liver involvement. Renal failure was significantly associated with elevation of IL-21 and IL-23, while patients with liver involvement had a significant elevation of IL-21, IL-23, and TNF-α. Conclusion. Elevation of IL-17A together with the significant elevation of IL-21 and IL-23 suggests a possible involvement of Th17 cells in the immunopathogenesis of leptospirosis.http://dx.doi.org/10.1155/2018/9704532
spellingShingle Kanchana Bandara
Chinthika Gunasekara
Manjula Weerasekera
Chamil Marasinghe
Nilantha Ranasinghe
Neluka Fernando
Do the Th17 Cells Play a Role in the Pathogenesis of Leptospirosis?
Canadian Journal of Infectious Diseases and Medical Microbiology
title Do the Th17 Cells Play a Role in the Pathogenesis of Leptospirosis?
title_full Do the Th17 Cells Play a Role in the Pathogenesis of Leptospirosis?
title_fullStr Do the Th17 Cells Play a Role in the Pathogenesis of Leptospirosis?
title_full_unstemmed Do the Th17 Cells Play a Role in the Pathogenesis of Leptospirosis?
title_short Do the Th17 Cells Play a Role in the Pathogenesis of Leptospirosis?
title_sort do the th17 cells play a role in the pathogenesis of leptospirosis
url http://dx.doi.org/10.1155/2018/9704532
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