The Value of Neuron-specific Enolase and Cytokines from Umbilical Blood in Cytomegalovirus Infected Fetuses
|Masashi Yoshida1*, Hideo Matsuda2 and Kenichi Furuya1|
|1Department of Obstetrics and Gynecology, National Defense Medical College, Japan|
|2Division of Obstetrics and Gynecology, Matsuda Perinatal Clinic, Japan|
|Corresponding Author :||Masashi Yoshida
Department of Obstetrics and Gynecology
National Defense Medical College, Japan
|Received July 15, 2013; Accepted November 21, 2013; Published November 27, 2013|
|Citation: Yoshida M, Matsuda H, Furuya K (2013) The Value of Neuron-specific Enolase and Cytokines from Umbilical Blood in Cytomegalovirus Infected Fetuses. J Infect Dis Ther 1:121. doi:10.4172/2332-0877.1000121|
|Copyright: © 2013 Yoshida M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Objective: We set out to establish a prognostic indicator for Cytomegalovirus (CMV) infection and determine the extent of CMV invasion.
Design: For five cases of fetal CMV infection treated at our facility, we measured the levels of NSE, S-100β, and GFAP, and we conducted a comprehensive analysis of cytokines to compare with the clinical course.
Results: NSE for cases 1 and 4 increased significantly from 10 to 78 ng/ml, and from 15.0 to 30.0 ng/ml,
respectively. On the other hand, NSE in Case 3 showed a major decrease from 220.0 to 9.6 ng/ml, while that of Case 2 remained in the normal range and that of Case 5 fluctuated slightly from 13 to 15 ng/ml. In all cases, almost no changes in S-100β and GFAP were observed during the course of treatment. Conversely, our comprehensive analysis detected no expression of cytokines, such as TNF-α and IL-2. But IP-10, a monocytic chemotactic factor, revealed a tendency for high levels; 766.2 ± 716.1 pg/ml vs 155.0 ± 104.1 pg/ml (mean ± S.D.) (p=0.077).
Conclusion: Our results suggest that an increased NSE level with fetal CMV infection indicates nerve damage associated with CMV. Moreover, the absence of inflammatory cytokines suggests an immature cell-mediated immune response in the infected fetus.