title: Cytokines and immunoglobulin in rheumatic heart disease: production by blood and tonsillar mononuclear cells.
abstract: Rheumatic fever and rheumatic heart disease are considered to result from abnormal immune responses after Group A streptococcal pharyngitis. Production of interleukin 1 (IL-1), tumor necrosis factor-alpha (TNF), interleukin 2 (IL-2) and immunoglobulin (Ig) by blood and tonsillar mononuclear cells from rheumatic or healthy children was measured after stimulation in vitro by pokeweed mitogen (PWM) or the streptococcal extracellular product, blastogen A (BLA). Tonsillar cells from patients with rheumatic heart disease produced significantly less IL-1, TNF, IL-2, and Ig than control tonsillar cells. In contrast, blood mononuclear cell cultures from rheumatic children produced more TNF and IL-2 than controls. Our findings suggest that abnormal regulation of cytokine and Ig production may contribute to the pathogenesis of acute rheumatic fever and rheumatic heart disease.
authors.affiliation: Department of Pediatrics, University of Minnesota Hospital, Minneapolis.
authors.forename: L C
authors.initials: LC
authors.lastname: Miller
authors.forename: E D
authors.initials: ED
authors.lastname: Gray
authors.forename: M
authors.initials: M
authors.lastname: Mansour
authors.forename: Z H
authors.initials: ZH
authors.lastname: Abdin
authors.forename: R
authors.initials: R
authors.lastname: Kamel
authors.forename: S
authors.initials: S
authors.lastname: Zaher
authors.forename: W E
authors.initials: WE
authors.lastname: Regelmann
mesh_terms: D002478:Cells, Cultured; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007136:Immunoglobulins / Q000096:biosynthesis* / Q000276:immunology; D007375:Interleukin-1 / Q000096:biosynthesis / Q000276:immunology; D007376:Interleukin-2 / Q000096:biosynthesis* / Q000276:immunology; D007963:Leukocytes, Mononuclear / Q000276:immunology / Q000378:metabolism*; D008213:Lymphocyte Activation / Q000276:immunology; D008214:Lymphocytes / Q000276:immunology / Q000378:metabolism; D008297:Male; D009000:Monocytes / Q000276:immunology / Q000378:metabolism; D015846:Monokines / Q000096:biosynthesis* / Q000276:immunology; D014066:Palatine Tonsil / Q000276:immunology / Q000378:metabolism*; D012214:Rheumatic Heart Disease / Q000276:immunology / Q000378:metabolism*; D014409:Tumor Necrosis Factor-alpha / Q000096:biosynthesis / Q000276:immunology
chemical_list: D007136:Immunoglobulins; D007375:Interleukin-1; D007376:Interleukin-2; D015846:Monokines; D014409:Tumor Necrosis Factor-alpha