Correlation between IL-8, IL-6 in tonsillitis patients and progressive of disease

Authors

  • Wijdan Abdulameer Faihan Faculty of Science, University of Kufa, Najaf, Iraq Author
  • Mayyada F. Darweesh Faculty of Science, University of Kufa, Najaf, Iraq Author
  • Ahmed H. Zwamel Faculty of Medicine, Jabir Ibn Hayyan Medical University, Najaf, Iraq Author

DOI:

https://doi.org/10.61841/gd304g78

Keywords:

Tonsillitis, Tonsillectomy, IL-6,, IL-8, correlation

Abstract

Tonsil is the organ of the first line of host defense against pathogenic agents, but also a place with recurrent chronic inflammatory processes. It represents the effectors of systemic humoral and cellular immunity .So this study aimed to evaluate IL-8, IL_6 serum level in different types of tonsillitis and their correlation with development of disease. This study included 100 patients attending to Al-Sadder Medical city in ENT unit in Najaf governorate .The patients were classified into two groups: seventy patients with tonsillitis who were subdivided into acute tonsillitis, chronic tonsillitis and recurrent tonsillitis as well as thirty patients with tonsillectomy. Five ml of a venous blood sample was collected from each patient and control 2ml of blood put in EDTA tube for total and differential blood count and 3ml for ELISA testing to determine the level of IL-8 and IL-6.

This study has shown that higher frequency of tonsillitis in males (52.9%). The highest percentage of patients appeared with Grade 3 (33.6%), followed by Grade 2 (22.7%) in tonsillitis patients and grade 4(43.4%), grade 3(33.3%) in tonsillectomy patients. The level of IL-8, IL-6 was higher in tonsillitis patients and tonsillectomy than in healthy subjects. IL-8, IL-6 serum level was highly increased among the patients in grade 3, 4 (46.57, 50.65 pg/ml for IL-8 and 45.65 ± 5.61, 70 ± 4.32 pg/ml for IL-6 ) and highly significant increase in chronic and recurrent patients (28.87, 26.94 for IL-8) and (31.74, 29.54 for IL-6).

In conclusion there is a strong correlation between IL-6 and IL-8, furthermore, IL-8 strongly correlate with Monocyte count. IL-6 and IL-8 found to be increase along with tonsillitis severity i.e. the grade 3, 4 tonsillitis have high level of IL-6 and IL-8.

Downloads

Download data is not yet available.

References

1. Abbas, A. K.; Lichtman, A. H. and Pillai, S. (2018). 9Ed Cellular and molecular immunology E-book. Elsevier Health Sciences.

2. Abd ALaziz, A. W.; Abbas, S. K. H. and Zain Alabedin, S. S. (2019). Detection the Role of Some Inflammatory Markers in Patient with Acut and Chronic Tonsillitis. World J. Pharm. Pharm. Sci. 8(1): 289–296.

3. Akin ocal, F.; Ocal, R. and Kuscu, F. (2017). Can McIsaac scores prevent the unnecessary use of antibiotics in tonsillitis? B-ENT. 13: 183-187.

4. AL-Taei, F. A.; Al-Khafaji, J. K. and AlGazally, M. E. (2016). Characterization of Streptococcus pyogenes

Isolated from Throat Swabs in Baghdad Children Patients. J. Babylon University/Pure and Applied Sciences

.5(24): 1227-1233.

5. Arens, R. and Marcus, C. L. (2004). Pathophysiology of Upper Airway Obstruction: a Developmental Perspective. Sleep. 27(5): 997–1019.

6. Aziz, A.; Mannan, A.; Akhtar, W. and Aziz, Y. (2019). Warm-e-Lauztain (Tonsillitis): Diagnosis and Management with Reference to Unani System of Medicine. J. drug deliv. ther. 9(2): 474–77.

7. Bista, M.; Amytya, R. C. and Basnet, P. (2006). Tonsillar microbial flora: a comparison of infected and non- infected tonsils. J. Kathmandu .Univ. Med. 4:18-21.

8. Brandtzaeg P. (2010). Function of mucosa-associated lymphoid tissue in antibody formation. Immunol Invest. 39(4-5):303-355.

9. Brodsky, L. (1989). Modern assessment of tonsils and adenoids. Pediatr. Clin. North Am. 36(6): 1551–1569.

10. Cahali, M. B.; Soares, C. F.; Dantas, D. A. and Formigoni, G. G. (2011). Tonsil volume, tonsil grade and obstructive sleep apnea: is there any meaningful correlation?. Clinics. 66(8):1347-1351.

11. Cavalcantia, V. P.; Camargo, L. A.; Moura, F. S.; Melo Fernandes, E. J.; Lamaro-Cardoso, J.; Braga, C. A. and André, M. C. (2019). Staphylococcus aureus in tonsils of patients with recurrent tonsillitis: prevalence, susceptibility profile, and genotypic characterization. Braz J Infect Dis. 23(1): 8-14.

12. Christensen, A. M.; Thomsen, M. K.; Ovesen, T. and Klug, T. E. (2014). Are procalcitonin or other infection markers useful in the detection of group A streptococcal acute tonsillitis. Scand. J. Infect. Dis. 46(5): 376-383.

13. Fahad, H. M. (2018). Types of Aerobic Bacteria Isolated from Iraqi Patients with Acute Tonsillitis and their Susceptibility to Different Antibiotics. J. Pure Appl. Microbiol. 12(4): 1–5.

14. Gentile, D. A.; Villalobos, E.; Angelini, B. and Skoner, D. (2003). Cytokine levels during symptomatic viral upper respiratory tract infection. Ann. Allergy Asthma Immunol. 91(4): 362-367.

15. Gong, J.; Dong, H.; Xia, Q.; Huang, Z.; Wang, X. (2020). Correlation Analysis between Disease Severity and Inflammation-related Parameters in Patients with COVID-19 Pneumonia. MedRxiv. 1-17.

16. Jara, S. M. and Weaver, E. M. (2018). Association of palatine tonsil size and obstructive sleep apnea in adults. Laryngoscope. 128(4): 1002–1006.

17. Kokcu, A.; Kurtoglu, E.; Celik, H.; Tosun, M.; Malatyalıoglu, E. and Ozdemir, A.Z. (2014). May the platelet to lymphocyte ratio be a prognostic factor for epithelial ovarian cancer? Asian Pac J Cancer Prev. 15: 9781-9784

18. Köseoğlu, S.; Özcan, K.M.; Ikincioğlu, A.; Çetin, M.A.; Yıldırım, E. and Dere, H. (2015). Relationship between neutrophil to lymphocyte ratio, platelet to lymphocyte ratio and obstructive sleep apnea syndrome. Adv Clin Exp Med. 24(4): 623-627.

19. Li, J.; Farthing, P. M. and Thornhill, M. H. (2000). Oral and skin keratinocytes are stimulated to secrete monocyte chemoattractant protein‐1 by tumour necrosis factor‐α and interferon‐γ. J Oral Pathol Med. 29 (9): 438-444.

20. Lu, X.; Zhang, J. and Xiao, S. (2018). Correlation between Brodsky Tonsil Scale and Tonsil Volume in Adult Patients. Biomed Res Int.1:1-6.

21. Macdonald, S. P. ; Stone, S. F.; Neil, C. L.; van Eeden, P. E.; Fatovich, D. M.; Arendts, G. and Brown, S. G. (2014). Sustained Elevation of Resisting, NGAL and IL-8 Are Associated with Severe Sepsis/Septic Shock in the Emergency Department. PLOS One. 9 (10):1-9.

22. Mandapathil, M.; Beier, U. H.; Graefe, H.; Kroger, B.; Hedderich, J.; Maune, S. and Meyer, J. E. (2018). Differential Chemokine Expression Patterns in Tonsillar Disease. Acta Otorhinolaryngol. Ital. 38(4): 316–322.

23. Maruna, P.; Nedelníková, K. and Gürlich, R. (2000). Physiology and genetics of procalcitonin. Physiol Res. 49(1): 57-61.

24. Mehra, R. and Redline S. (2008).Sleep apnea: a proinflammatory disorder that coaggregates with obesity. J Allergy Clin Immunol. 121(5):1096–1102.

25. Nabat, Z. N.; Alateef, B. A. and Hussain, I. M. (2019). Bacteriological and Immunological Study of Patients with Tonsillitis in Hila City. Iraqi J. Biotechnol. 18(2): 252–260.

26. Najim, J. M; Alsaimary, I. E. and Alshareida, A. M. (2019). Pathogenicity of Streptococcus Pyogense Associated among Tonsillitis Patients and Tonsillectomy. J. Phys. 1–5.

27. Naskalski, J.; Kusnierz-Cabala, B.; Kedra, B.; Dumnicka, J.; Panek, P. (2007). Correlation of peripheral blood monocyte and neutrophil direct counts with plasma inflammatory cytokines and TNF-alpha soluble receptors in the initial phase of acute pancreatitis. Adv Med Sci. 52: 129-34.

28. Ng, S. K.; Lee, D. L.; Li, A. M.; Wing, Y. K. and Tong, M. C. (2010). Reproducibility of Clinical Grading of Tonsillar Size. Arch Otolaryngol Head Neck Surg. 136(2):159–162.

29. Paradise, J. L.; Bluestone, C. D.; Colborn, D. K.; Bernard, B. S.; Rockette, H. E. and Kurs-lasky, M. (2002). Tonsillectomy and Adenotonsillectomy for Recurrent Throat Infection in Moderately Affected Children. Pediatrics. 110 (1) 7-15.

30. Park, C. S.; Chung, S. W.; Ki, S. Y.; Lim, G. I.; Uh, S. T.; Kim, Y. H.; et al. (2000). Increased Levels of Interleukin-6 Are Associated with Lymphocytosis in Bronchoalveolar Lavage Fluids of Idiopathic Nonspecific Interstitial Pneumonia. Am J Respir Crit Care Med .162 (3 Pt 1): 1162–1168.

31. Passàli, D.; Damiani V.; Passàli, G.C.; Passàli, F.M.; Bellussi, L. (2003). Recurrent and chronic inflammations of Waldeyer’s ring in childhood: infectious, structural and immunological features. Int Congr Ser. 1257:239-252.

32. Rosales, C.; Demaurex, N.; Lowell, C. A. and Uribe-Querol, E. (2016). Neutrophils: Their Role in Innate and Adaptive Immunity. J Immunol Res. ID 1469780:1-2.

33. Rudack, C.; Jörg, S. and Sachse. F. (2004). Biologically Active Neutrophil Chemokine Pattern in Tonsillitis. Clin Exp. Immunol. 135: 511–18.

34. Russell, C. D.; Unger, S. A.; Walton, M. and Schwarze, J. (2017). The human immune response to respiratory syncytial virus infection. Clin Microbiol Rev. 30(2):481-502.

35. Ryan, C. M. and Bradley, T. D. (2005). Pathogensis of obstructive sleep apenea. J Appl Physiol. 99(6): 2440- 2450.

36. Sachse, F.; Ahlers, F.; Stoll, W. and Rudack, C. (2005). Neutrophil chemokines in epithelial inflammatory processes of human tonsils. Clin Exp Immunol. 140(2):293-300.

37. Sankri-Tarbichi, A. G. (2012). Obstructive sleep apnea-hypopnea syndrome: Etiology and diagnosis. Avicenna J Med. 2(1): 3–8.

38. Saraiva, M. and O'Garra, A. (2010). The regulation of IL-10 production by immune cells. Nat Rev Immunol. 10: 170-81.

39. Schmidt-Arras, D. and Rose-John, S. (2016). IL-6 Pathway in the Liver: From Physiopathology to Therapy. J. Hepatol. 64(6): 1403–1415.

40. Seethaler, A.; Rudack, C. and Spiekermann, C. (2019). Structured literature review of patient-reported outcome (PRO) instruments in adult tonsillectomy or tonsillotomy. Health Qual Life Outcomes. 17(1):122.

41. Seethaler, A.; Stenner, M.; McNally, A.; Rudack, C.; Roth, J.; Vogl, T. and Spiekermann, C. (2020). IL-8 and IFN-g as Preoperative Predictors of the Outcome of Tonsillectomy. Ear Nose Throat J. 1–6.

42. Skovbjerg, S.; Roos, K.; Olofsson, S.; Lindh, M.; Ljung, A.; Hynsjö, L. and Wold, A. E. (2015). High Cytokine Levels in Tonsillitis Secretions Regardless of Presence of Beta-Hemolytic Streptococci. J. Interf. Cytokine Res. 35(9): 682–689.

43. Skovgaard, K.; Mortensen, S.; Boye, M.; Poulsen, K. T.; Campbell, F. M., Eckersall P. D. and Heegaard, P. M. (2009). Rapid and widely disseminated acute phase protein response after experimental bacterial infection of pigs. Vet. Res. 40 (3): 23.

44. Smiyan, O. I.; Plakhuta, V. A.; Bunda, T. P.; Popov, S. V. (2015). Dynamics of cytokines in infants with acute obstructive bronchitis and thymomegalia. Lik Sprava. 1–2: 81–85.

45. Todorović, M. M. and Zvrko, E. Z. (2013). Immunoregulatory cytokines and chronic tonsillitis. Bosnian journal of basic medical sciences. 13(4): 230–236.

46. Ünal, M.; Öztürk, C.; Görür, K. (2002). Effect of Tonsillectomy on Serum Concentrations of Interleukins and TNF-α in Patient with Chronic Tonsillitis. ORL. 64:254-256.

47. Wang, J. and Arase, H. (2014). Regulation of immune responses by neutrophils. Ann. NY Acad. Sci. 1319: 66- 81.

48. Weitkamp, J.; Reinsberg S. and Bartmann P. (2002). Interleukin-8 (IL-8) Preferable to IL-6 as a Marker for Clinical Infection. Clin Diagn Lab Immunol. 9(6): 1401.

49. Windfuhr, J. P.; Toepfner, N.; Steffen, G.; Waldfahrer, F. and Berner, R. (2016). Clinical practice guideline: tonsillitis I. Diagnostics and nonsurgical management. Eur. Arch. Oto-Rhino-Laryngology. 273(4): 973–987.

50. Wu, H.P.; Chang, C.F. and Lin, C.Y. (2003). Predicitive inflammatory parameters in the diagnosis of acute appendicitis in children. Acta Paediatr. Taiwan. 44: 227-731.

51. Yokoe, T.; Minoguchi, K.; Matsuo, H.; Oda, N.; Minoguchi, H. and Yoshino, G. et al. (2003). Elevated Levels of C - reactive protein and Interleukin-6 in Patients with Obstructive Sleep Apnea Syndrome Are Decreased by Nasal Continuous Positive Airway Pressure. Circulation. 107:1129–1134.

52. Yuko, E.A. (2012). Interleukin 6 levels in adenotonsillar hyperplasia and chronic recurrent tonsillitis. MSc.thesis. University of Nairobi.

53. Zhou, Z.; Mou, S.; Chen, X.; Gong, L. and Ge, W. (2018). Anti-inflammatory activity of resveratrol prevents inflammation by inhibiting NF-κB in animal models of acute pharyngitis. Mol. Med. Rep. 17(1): 1269-1274.

Downloads

Published

30.06.2020

How to Cite

Faihan, W. A., Darweesh, M. F., & Zwamel, A. H. (2020). Correlation between IL-8, IL-6 in tonsillitis patients and progressive of disease. International Journal of Psychosocial Rehabilitation, 24(6), 17710-17722. https://doi.org/10.61841/gd304g78