Dexamethasone Alters Tracheal Aspirate T-Cell Cytokine Production in Ventilated Preterm Infants Article Swipe
YOU?
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· 2021
· Open Access
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· DOI: https://doi.org/10.3390/children8100879
Postnatal corticosteroids improve respiratory status and facilitate respiratory support weaning in preterm infants with bronchopulmonary dysplasia (BPD). Older literature describes characteristic cytokine profiles in tracheal aspirates (TA) of BPD patients which are altered with corticosteroids. Corticosteroids also influence peripheral blood T-cell presence. However, little is known regarding TA T-cell phenotype and cytokine production before or after exogenous corticosteroids. We hypothesized that postnatal dexamethasone alters the TA T-cell cytokine profiles of preterm infants. TA samples were collected from 14 infants born from 23 0/7 to 28 6/7 weeks who were mechanically ventilated for at least 14 days. Samples were collected up to 72 h before a ten-day dexamethasone course and again 1 to 3 calendar days after dexamethasone initiation. The primary outcome was change in T cell populations present in TA and their intracellular cytokine profile after dexamethasone treatment, ascertained via flow cytometry. Following dexamethasone treatment, there were significant decreases in respiratory severity score (RSS), percent CD4+IL-6+ cells, CD8+IL-6+ cells, CXCR3+IL-6+ cells, and CXCR3+IL-2+ cells and total intracellular IFN-γ in TA. RSS significantly correlated with TA percent CD4+IL-6+ cells. To our knowledge, this is the first study demonstrating that dexamethasone reduced T-cell IL-6 and this reduction was associated with improved RSS in pre-term infants with evolving BPD.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/children8100879
- https://www.mdpi.com/2227-9067/8/10/879/pdf?version=1633162255
- OA Status
- gold
- Cited By
- 3
- References
- 34
- Related Works
- 10
- OpenAlex ID
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3207044153Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/children8100879Digital Object Identifier
- Title
-
Dexamethasone Alters Tracheal Aspirate T-Cell Cytokine Production in Ventilated Preterm InfantsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-10-02Full publication date if available
- Authors
-
Siamak Yazdi, Ekta Patel, Colby D. Richardson, Karen Hardy, John E. Baatz, Jennifer K. Mulligan, Rita M. RyanList of authors in order
- Landing page
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https://doi.org/10.3390/children8100879Publisher landing page
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https://www.mdpi.com/2227-9067/8/10/879/pdf?version=1633162255Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
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https://www.mdpi.com/2227-9067/8/10/879/pdf?version=1633162255Direct OA link when available
- Concepts
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Dexamethasone, Medicine, Bronchopulmonary dysplasia, Cytokine, Weaning, Internal medicine, Immunology, Endocrinology, Andrology, Biology, Gestational age, Pregnancy, GeneticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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3Total citation count in OpenAlex
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2023: 2, 2022: 1Per-year citation counts (last 5 years)
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34Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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