RESUMO
AIM: To specify the cytokine profile in chronic glomerulonephritis (CGN) with aggravating renal function, to assess prognostic value of some cytokines in development of CGN in these patients. MATERIAL AND METHODS: Indices of the cytokine profile were followed up in 56 CGN patients with nephrotic syndrome and arterial hypertension and compared in those patients who developed CGN for 2 years (group 2) versus patients with intact renal function (group 1). RESULTS: Serum levels of IL-1beta and TNF-alpha were maximal in CGN patients with aggravating renal function. Such patients had a low concentration of serum IL-1beta receptors antagonists. Severity of proteinurea correlated with serum level of TNF-alpha. If the latter was higher than 120 pg/ml, there was a high probability of CRF development within 2 years. CONCLUSION: Pathogenesis of CRF in CGN is associated with proinflammatory cytokines, especially TNF-alpha. Its serum concentration can be used for evaluating risk of renal function deterioration.
Assuntos
Glomerulonefrite/complicações , Glomerulonefrite/imunologia , Interleucina-1/sangue , Interleucina-1/imunologia , Falência Renal Crônica/complicações , Falência Renal Crônica/fisiopatologia , Fator de Necrose Tumoral alfa/imunologia , Fator de Necrose Tumoral alfa/metabolismo , Adolescente , Adulto , Doença Crônica , Progressão da Doença , Feminino , Humanos , Hipertensão Renal/complicações , Masculino , Pessoa de Meia-Idade , Proteinúria/etiologia , Proteinúria/urinaRESUMO
The paper deals with the studies of the human status and immunological responsiveness of workers engaged in copper-smelting industry. The examinees were found to more frequently develop lower environmentally induced immunological responsiveness followed by leuko- and lymphopenia, higher lymphocytic CD4+/CD8+ ratios, phagocytic dysfunction in peripheral blood. Preventive use of beta-carotene prevented negative changes in immunological parameters.