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Immunoglobulins concentration and B cell counts as severity markers in adult community-acquired pneumonia Cross sectional study
Indexado
WoS WOS:000588168200008
Scopus SCOPUS_ID:85095802566
DOI 10.1097/MD.0000000000022390
Año 2020
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Community-acquired pneumonia (CAP) is a worldwide cause of morbidity and mortality. Immunoglobulins (Igs) and B cells quantification studies in CAP are few and show discrepancies. Serum IgA acts as a powerful natural anti-inflammatory factor, but its role in the CAP has not yet been defined. The highly sensitive xMAP Luminex technique allows better immunoglobulins quantification. The aim of this study was to analyze the relation between clinical severity and circulating Igs and B cells in adults with CAP. Igs (M, A, G1, G2, G3, and G4) and B cells were quantified in peripheral blood of 190 Chilean patients >= 18 years old hospitalized for CAP and in 21 adults without respiratory disease, using xMAP Luminex and flow cytometry, respectively. Clinical history was recorded and PSI and CURB-65 scores were calculated for evaluation of clinical severity. The total IgM, IgG2 and total IgG levels were lower in CAP than in asymptomatic adults (P < .05). No significant differences of Igs levels were found between patients classified as severe and mild by PSI and CURB-65 scores. Fatal cases had higher levels of IgA (P < .05). No differences in CD19(+) B cells frequency was found between CAP and asymptomatic adults (P = .40). In PSI severe cases, CD19(+) B cells were significantly lower than in mild cases (P = .008). No differences were found in CURB-65 severe and mild groups (P = .11). In fatal cases (11/82) group, CD19(+) B cells frequency was lower than in 71 survivors (P = .2). No differences in memory B lymphocytes were detected between asymptomatic and CAP adults, severe and mild patients, survivors and fatal cases (P > .05). Serum IgA levels were significantly higher in fatal CAP cases, raising it as a potential biomarker for severe disease considering its relatively universal availability. In PSI severe patients, B cells showed lower levels and could have a role on its physiopathology. Finding new markers rooted in physiopathology could improve the possibility of scoring severe CAP cases. Luminex technology showed promising quantification serum Igs.

Revista



Revista ISSN
Medicine 0025-7974

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Disciplinas de Investigación



WOS
Medicine, General & Internal
Scopus
Medicine (All)
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Luchsinger, Vivian Mujer Hosp Clin - Chile
ICBM - Chile
2 Lizama, Luis Hombre Hosp Clin - Chile
ICBM - Chile
3 GARMENDIA-MIGUEL, MARIA LUISA Mujer Hosp Clin - Chile
Universidad de Chile - Chile
4 TEMPIO-SEPULVEDA, FABIAN IGNACIO Hombre Hosp Clin - Chile
Universidad Nacional Andrés Bello - Chile
5 RUIZ-CARMONA, MAURICIO HERNAN Hombre Hosp Clin - Chile
Cardiovascular Hospital Clínico - Chile
6 Pizarro, Rolando Hombre Hosp Lucio Cordova - Chile
Hospital Lucio Córdova - Chile
7 Rossi, Patricio Hombre Hospital San José - Chile
Radiology Complejo Hospitalario San José - Chile
Complejo Hospitalario San José - Chile
8 Huenchur, Lucia Mujer Hospital San José - Chile
Radiology Complejo Hospitalario San José - Chile
Complejo Hospitalario San José - Chile
9 Moreno, C. Hombre Hosp Clin - Chile
ICBM - Chile
10 LOPEZ-NITSCHE, MERCEDES NATALIA Mujer Hosp Clin - Chile
Universidad Nacional Andrés Bello - Chile
11 AMPUERO-LLANOS, SANDRA PATRICIA Mujer Hosp Clin - Chile
ICBM - Chile
12 LARRANAGA-LARRANAGA, CARMEN EUGENIA Mujer Hosp Clin - Chile
ICBM - Chile
13 AVENDANO-CARVAJAL, LUIS FIDEL Hombre Hosp Clin - Chile
ICBM - Chile
14 Bakir, Mehmet -

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Financiamiento



Fuente
Fondo Nacional de Desarrollo Científico y Tecnológico
Fondo Nacional de Desarrollo Científico y Tecnológico (FONDECYT), Chile

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Agradecimientos



Agradecimiento
This study was supported by a Grant (N1171643) from Fondo Nacional de Desarrollo Cientifico y Tecnologico (FONDECYT), Chile. The funder had not influence on the design of the study and collection, analysis and reporting of the results or in writing the manuscript.
This study was supported by a Grant (N1171643) from Fondo Nacional de Desarrollo Científico y Tecnológico (FONDECYT), Chile. The funder had not influence on the design of the study and collection, analysis and reporting of the results or in writing the manuscript.

Muestra la fuente de financiamiento declarada en la publicación.