Profile of Cytokines and T Cell Subsets Transcription Factors in Cerebrospinal Fluid of Patients with Viral Encephalitis

Viral Immunol. 2024 Dec;37(10):459-469. doi: 10.1089/vim.2024.0058. Epub 2024 Nov 11.

Abstract

This study investigates the demographic, clinical characteristics, virological profiles, and immunological responses of patients with viral encephalitis (VE) compared with a control group. The VE group displayed a wide range of neurological symptoms. Virological analysis revealed the predominance of Herpesviridae family viruses. Immune responses in cerebrospinal fluid (CSF) from patients with VE were examined, highlighting an immunological shift toward T helper 1 (Th1) cells dominance, altered T helper 17 cells/regulatory T cells (Th17/Tregs) balance, and high interleukin-6 expression. These findings provide insights into the complex immunological landscape of VE, highlighting the role of specific cytokines and T cell subsets in its pathogenesis and potentially guiding targeted therapeutic strategies.

Keywords: Th1/Th2 ratio; Th17/Treg ratio; anti-inflammatory cytokine; cerebrospinal fluid; pro-inflammatory cytokine; viral encephalitis.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cerebrospinal Fluid / immunology
  • Cerebrospinal Fluid / virology
  • Child
  • Child, Preschool
  • Cytokines* / cerebrospinal fluid
  • Encephalitis, Viral* / cerebrospinal fluid
  • Encephalitis, Viral* / immunology
  • Female
  • Humans
  • Male
  • Middle Aged
  • T-Lymphocyte Subsets* / immunology
  • T-Lymphocytes, Regulatory / immunology
  • Th1 Cells / immunology
  • Th17 Cells / immunology
  • Transcription Factors
  • Young Adult

Substances

  • Cytokines
  • Transcription Factors