title: Original inhibition method of excessive synthesis of pro-inflammatory cytokine of tumour necrosis factor α.
abstract: Influence on pro- and anti-inflammatory cytokines of an ill person is an urgent aspect of treatment of many diseases. For inhibition of synthesis of a high level of pro-inflammatory cytokines, medications which are recombinant monoclonal antibodies, especially to tumour necrosis factor α (TNF-α), are used. However, these methods of treatment require further improvement by elaborating new approaches with a wider spectrum of influence on the immune system. A completely new method of reduction in high activity of TN F-α with the method of intradermal autoleukocyte immunization is presented in the article. Investigation was performed in a group of patients with psoriasis (24) with a high level of TNF-α in the blood (over 30 pg/ml). Simultaneously such investigation was performed on patients with psoriasis (9) without TNF-α detected (0 pg/ml). As a result of immunization, a significant reduction in TNF-α occurred in all patients with its high level, in 16 (66.7%) from 24 patients - to 0-5 pg/ml. The level of reduction and duration of the achieved effect was of an individual character and requires further investigation. However, the achieved results prove the expediency of administration of this immunization method for patients requiring reduction of TNF-α synthesis. However, the content of TNF-α in blood serum could not be detected in most patients with a low level of cytokine (in 6 from 9) after immunization (as well as before immunization), but an increase in its level from 0 to 5-8 pg/ml was observed in 3 patients. On the basis of the conducted research, the authors suggest that the influence of immunization on cytokine synthesis depends on the condition of immune cells and correlation of pro- and anti-inflammatory cytokines in a patient's skin.
authors.affiliation: Department of Infectious Diseases, Danylo Halytsky Lviv National Medical University, Ukraine.
authors.forename: AleXander
authors.initials: A
authors.lastname: Zinchuk
authors.affiliation: Department of Infectious Diseases, O.O. Bohomolets National Medical University, Kyiv, Ukraine.
authors.forename: Olga
authors.initials: O
authors.lastname: Holubovska
authors.affiliation: Department of Infectious Diseases, O.O. Bohomolets National Medical University, Kyiv, Ukraine.
authors.forename: Andrij
authors.initials: A
authors.lastname: Shkurba
authors.affiliation: Department of Infectious Diseases, Danylo Halytsky Lviv National Medical University, Ukraine.
authors.forename: Roman
authors.initials: R
authors.lastname: Hrytsko
authors.affiliation: Department of Infectious Diseases, Danylo Halytsky Lviv National Medical University, Ukraine.
authors.forename: Olga
authors.initials: O
authors.lastname: Vorozhbyt
authors.affiliation: Department of Infectious Diseases, Danylo Halytsky Lviv National Medical University, Ukraine.
authors.forename: Mykhailo
authors.initials: M
authors.lastname: Richniak
authors.affiliation: Department of Infectious Diseases, Danylo Halytsky Lviv National Medical University, Ukraine.
authors.forename: Borys
authors.initials: B
authors.lastname: Herasun
keywords: TNF-α; cytokines; intradermal autoleukocyte immunization; psoriasis; rheumatoid arthritis