RESUMO
BACKGROUND: Traumatic brain injuries (TBIs) is a leading cause of death, disability, and resources consumption. Cerebral hemorrhagic contusions are primary brain lesion and often one of the most visible lesions following TBIs. Interleukin-one beta (IL-1 ß) is pro-inflammatory cytokines it is circulatory level and gene have been implicated in secondary brain injury and worse outcome following TBIs. This study is to determine the significance role of IL-1 ß gene polymorphism (-511C/T) and circulatory level for prediction trauma severity and outcome in traumatic cerebral hemorrhagic contusion. METHODS: The study population includes 90 Sudanese patients with traumatic cerebral hemorrhagic and 90 apparently healthy individuals as control. IL-1ß serum concentration was measured using enzyme-linked immunosorbent assay and IL-1ß gene was genotyped using restriction fragment length polymorphism-polymerase chain reaction. RESULTS: Significant elevation of IL-1ß level was seen among trauma patients compared to control (p-value < 0.001). Although there was no significant association between IL-1ß level with trauma severity or death; IL-1ß level was higher in severe brain injures compared with moderate and mild one, and the mean concentration of IL-1ß was high (18.75 pg/mL) among patient developed poor outcome compared to survivals (15.17 pg/mL). T recessive allele of IL-1 ß gene was detected in 13.3% of participant. The highest circulatory level of IL-1ß (17.8 pg/mL) was observed among patients with TT homozygous alleles. IL-1 ß gene polymorphism was not associated with trauma severity and death. CONCLUSIONS: IL-1ß circulatory level was varied according to trauma severity and highly levels were seen among patients developed unfavorable outcome. IL-1ß -511C/T gene was not associated with trauma severity and outcome.
