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Changes of Interleukin-6 Level in Serum and CSF in Aseptic Meningitis

Journal of the Korean Pediatric Society 1995;38(5):625-632.
Published online May 15, 1995.
Changes of Interleukin-6 Level in Serum and CSF in Aseptic Meningitis
Moon Kyu Kim1, Dong Soo Kim2
1Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea
2Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
무균성 뇌막염 환아에서 Interleukin-6의 변동에 관한 연구
김문규1, 김동수2
1아주대학교 의과대학 소아과학교실
2연세대학교 의과대학 소아과학교실
Abstract
Purpose
: Aseptic meningitis is an infection of CNS caused by virus and there are remarka-ble changes in endogenous cytokine level. Interleukin-6 is a pleiotropic and multi-functional cyt-okine and plays a central role in host defense mechanisms. We studied the IL--6 level in serum and CSF with the patients of aseptic meningitis and investigated the relationship of IL-6 with C RP and other laboratory data. Methods : The spinal tap was done twice, each at the acute and subacute stage. The subje-cts consisted of 20 patients with aseptic meningitis who were admitted to Jang-Song Hospital fr om June to July, 1993. All the sera were stored in deep freezer at-20℃ until use. The IL-6 lev-el was measured by sandwich ELISA method and the CRP level by fluorescence polarization immunoassay. Results : In aseptic meningitis, there was significant increase of IL-6 in both serum and CSF and it also had a good correlation with CRP and fever duration. The WBC count and protein co-ncentration were not reliable for clinical manifestation. Conclusion : These results suggest that interleukin-6 level can be a reliable index of infla-mmation in CNS in aseptic meningitis and the IL-6 may be producted not only by WBC but also by other cells in CNS.
Key Words: Interleukin-6, Aseptic meningitis, CRP


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