Epidemiological and Immunological Features of Influenza Viruses in Hospitalized Children with Influenza Illness in Hangzhou

Fetal Pediatr Pathol. 2020 Feb;39(1):21-28. doi: 10.1080/15513815.2019.1636429. Epub 2019 Jul 3.

Abstract

Objectives: We evaluated the epidemiological features and various inflammatory markers in hospitalized children with influenza virus infection in China. Methods: The real-time RT-PCR assay was performed for detection and genotyping of influenza A and B virus. Th1/Th2 cytokines, WBC, and CRP were determined in influenza virus positive children. Results: H1N1 and Yamagata were the prevalent genotypes of influenza A and B virus in Hangzhou, respectively. IL-2, IL-10, and CRP were significantly increased and IFN-γ was decreased in children with severe Influenza A virus infection, and TNF-α and IFN-γ levels were found to be significantly lower in children with severe Influenza B virus infection. Conclusion: Increased IL-2, IL-10, and CRP with decreased IFN-γ may indicate a severe influenza A virus infection, and decreased TNF-α and IFN-γ may indicate a severe influenza B virus infection in children.

Keywords: cytokines; hospitalized children; influenza.

MeSH terms

  • Child
  • Child, Hospitalized
  • Child, Preschool
  • China
  • Female
  • Humans
  • Influenza A Virus, H1N1 Subtype / immunology
  • Influenza A Virus, H1N1 Subtype / pathogenicity*
  • Influenza, Human / epidemiology*
  • Influenza, Human / immunology*
  • Interleukin-10 / metabolism*
  • Interleukin-2 / metabolism
  • Male
  • Tumor Necrosis Factor-alpha / metabolism

Substances

  • IL10 protein, human
  • Interleukin-2
  • Tumor Necrosis Factor-alpha
  • Interleukin-10