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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En el marco de las investigaciones b&#225;sicas dirigidas a esclarecer los mecanismos inmunol&#243;gicos que configuran la respuesta del hu&#233;sped frente a la infecci&#243;n por <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span>&#44; se han valorado los niveles de receptor soluble de interleucina 2 &#40;sIL-2R&#41; en exudados pleurales tuberculosos&#44; en comparaci&#243;n con l&#237;quidos de etiolog&#237;a no micobacteriana&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Para ello&#44; se han estudiado 40 enfermos con derrame pleural&#58; 10 con pleures&#237;a tuberculosa&#44; 10 con neoplasia&#44; 10 con neumon&#237;a bacteriana no tuberculosa y 10 con trasudado&#46; La determinaci&#243;n de la concentraci&#243;n de sIL-2R se efectu&#243; mediante t&#233;cnica ELISA&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En pacientes con tuberculosis&#44; el valor de sIL-2R en l&#237;quido pleural fue 14&#46;666<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>5&#46;634 U&#47;ml&#44; significativamente superior a los niveles encontrados en cualquier otro grupo de patolog&#237;a&#44; que fueron 4&#46;341<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#46;655 U&#47;ml en los derrames neum&#243;nicos&#44; 5&#46;542<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>3&#46;682 U&#47;ml en los neopl&#225;sicos y 1&#46;377<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>125 U&#47;ml en los trasudados</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En la tuberculosis pleuropulmonar&#44; la compartimentalizaci&#243;n de la respuesta inmune de la cavidad pleural determina la existencia de niveles significativamente m&#225;s elevados de sIL-2R con respecto a los detectados en los l&#237;quidos pleurales de otraetiolog&#237;a&#46; Esta observaci&#243;n&#44; as&#237; como la demostraci&#243;n de una estrecha correlaci&#243;n entre sIL-2R y ADA&#44; permite plantear la posible utilizaci&#243;n de esta mol&#233;cula como un par&#225;metro accesorio en el diagn&#243;stico diferencial de los derrames pleurales&#44; aunque en este estudio no parece alcanzar el grado de fiabilidad de la ADA&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">In order to better understand the immunological mechanisms involved in host protection against <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> infection&#44; we studied soluble interleukin 2 receptor &#40;sIL-2R&#41; concentration in tuberculous pleural exudates as well as in pleural fluids of non-mycobacterial etiology&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We collected pleural fluid from 40 patients&#58; 10 with tuberculous pleurisy&#44; 10 with neoplasia&#44; 10 with non-tuberculous bacterial pneumon&#237;a and 10 with trasudate&#46; Soluble IL-2R was measured in the stored specimens using a standard ELISA technique&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">In patients with tuberculosis&#44; sIL-2R in pleural fluid was 14&#44;666<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>5&#44;634 U&#47;ml&#44; significantly higher than was detected in any other group&#44; being 4&#44;341<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#44;655 U&#47;ml in pneumonic exudates&#44; 5&#44;542<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>3&#44;682 U&#47;ml in neoplasic exudates and 1&#44;377<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>125 in trasudates &#40;p &#60; 0&#46;001&#41;&#46; Also&#44; an excellent correlation was demonstrated between adenosin-desaminase &#40;ADA&#41; and sIL-2R in tuberculous pleural fluids&#44; with p &#60; 0&#46;001 and r&#61; 0&#44;805&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">In pleuropulmonary tuberculosis&#44; compartmentalization of the immune response in the pleural space is responsable for the significantly higher levels of sIL-2R that were found in tuberculous pleural liquids compared with the ones detected in other diseases&#46; This observation&#44; as well as the demonstration of a good correlation between sIL-2R and ADA&#44; suggest the possible usefulness of this molecule as an additional marker in the differential diagnosis of pleural effusions&#44; though in the present study it appears to be less reliable than ADA&#46;</p></span>"
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Estudio comparativo de los niveles de receptor soluble de interleucina 2 y adenosín-desaminasa en líquidos pleurales tuberculosos y de otras etiologías
Comparative assessment of soluble interleukin 2 receptor and adenosin-desaminase levels in pleural fluid of patients with tubercsulosis or other diseases
M.J. Avilés Inglés1, C. Contessotto
Sección de Neumología. Hospital Los Arcos. Santiago de la Ribera. Murcia
J. Ontañón*, M. Muro*, P. Berlinches**, J. de la Torre**, F. Sánchez Gascón***, M.R. Álvarez López*
* Sección de Neumología. Hospital Santa María del Rosell. Cartagena
** Sección de Inmunología. Hospital Virgen de la Arrixaca. Murcia
*** Sección de Neumología. Hospital General de Murcia. Murcia
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Article information
ISSN: 03002896
Original language: Spanish
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