IL-18 Serum Concentration Is Markedly Elevated in Acute EBV Infection and Can Serve as a Marker for Disease Severity

被引:48
作者
van de Veerdonk, Frank L. [1 ,2 ]
Wever, Peter C. [3 ]
Hermans, Mirjam H. A.
Fijnheer, Rob [4 ]
Joosten, Leo A. B. [1 ,2 ]
van der Meer, Jos W. M. [1 ,2 ]
Netea, Mihai G. [1 ,2 ]
Schneeberger, Peter M. [3 ]
机构
[1] Radboud Univ Nijmegen, Med Ctr, Dept Med, NL-6525 GA Nijmegen, Netherlands
[2] Nijmegen Inst Infect Inflammat & Immun N4I, Nijmegen, Netherlands
[3] Jeroen Bosch Hosp, Dept Med Microbiol & Infect Control, Shertogenbosch, Netherlands
[4] Jeroen Bosch Hosp, Dept Internal Med, Shertogenbosch, Netherlands
关键词
EPSTEIN-BARR-VIRUS; INTERFERON-GAMMA; BINDING-PROTEIN; INTERLEUKIN-18; MONONUCLEOSIS; EXPRESSION; CYTOKINE;
D O I
10.1093/infdis/jis335
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
071005 [微生物学]; 100108 [医学免疫学];
摘要
Epstein Barr virus (EBV)-related diseases encompass both acute infections that result in acute infectious mononucleosis and chronic infections that result in lymphoproliferative malignant diseases. While classical inflammatory parameters such as C-reactive protein (CRP) have proven their usefulness during bacterial and fungal infections, they are often low and nondiscriminatory in viral infections. Here, we show that IL-18 is markedly elevated during acute EBV infections and EBV-associated diseases, while ferritin concentrations are also elevated during acute EBV infection and correlate with IL-18. Therefore, IL-18 and ferritin may represent infection markers for viral infections such as EBV, similar to CRP for bacterial infections.
引用
收藏
页码:197 / 201
页数:5
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