Озонотерапия аллергического дерматита у детей

In order to study the effectiveness of ozone therapy method there was conducted treatment of children with different forms of allergic dermatitis for 28 days. Ozone therapy as a treatment method can be used in clinical practice in combination with other physical factors and medicinal preparations. Frequency of conduction of repeated courses depends on the character of the disease and may be 1-3 cycles a year.С целью изучения эффективности метода озонотерапии проводилось лечение 28 детей с различными формами аллергического дерматита. Озонотерапия как лечебный метод может быть использован в клинической практике в сочетании с другими физическими факторами или лекарственными препаратами. Частота проведения повторных курсов зависит от характера заболевания и может составлять 1–3 цикла в год

Evolutionary aspects of thymology in pediatric practice

The thymus is now considered a derivative of the immune system being, to greater extent, its central organ. Immunodeficiency states and immune dysregulation also depend on the quality of the thymus, which may be determined both genetically and by fetopathic approach as well as due to the possibility and mode of its intravital injuries, age-related involution over different periods of life. Not accidentally, there are various morphometric bipolar states of the thymus gland in the pediatric population (3-7%), whereas its size may be sufficiently larger or smaller than the reference variable values. In certain cases, the phenomenon of thymomegaly (for example, in newborns) is considered a result of genetic errors (neuro-endocrine-immune syndrome with thymomegaly) induced by the mutated Hox genes. This syndrome may also be associated with congenital heart disorders. Moreover, the excessive morbidity in respiratory infections (commonly, viral by their etiology) among young children with bipolar thymus conditions remains the subject of sharp discussions. Some works assessing immune status in the children subjected to forced thymectomy, e.g., during heart surgery, yielded quite controversial results, even in cases of subtotal removal of thymus gland.Dialectically, the concepts of “morphology” and “organ function” could not be separated from one another. The morphometric transformations in organs (even transient ones) occuring within the range of > 95 and < 5 percentiles, should be almost always underlied by a certain pathomorphosis which require verification of their causes and origin. Even today, however, the assessment of thymus pathomorphology in the deceased children is not always critical, being often descriptive. This situation is, probably, associated with extreme complexity of thymic morphology assessment. The final point seems to be not set in the discussion about immunodeficiency states or immune dysregulation among children with bipolar thymus transformations. This is due to current absence of reliable immune-mediated biomarkers, the limited availability of genetic diagnostics in primary immunodeficiency conditions, and a decreased interest of clinical science in the issues of bipolar conditions of the thymus gland at the early age, in the absence of longitudinal observations in this category of patients, etc. In this article, the authors attempt to draw attention of researchers to this problem

Thymic gland aspects in childhood: morpho-functional reciprocal relationships betwen thymus, nervous and endocrine system, in particular, with the somatotrophic axis hormones

Thymic gland (thymus) represents a huge mystery for biology, medicine (primarily immunology), including pediatric issues. Complexity of the study is determined by the multiplicity of integral connections of thymus with other components of immune system, neuroendocrine, hematopoietic systems, connective tissue, different organs and cells which provide appropriate barrier function. Discerning the direct thymic function from this continuum, or determining specific role of molecular factors (neuropeptides, growth hormone, etc.) upon the immune physiology represents a problem which is not yet resolved. In this review article dedicated to the current state of the problem, we consider the morphological and functional relationships between thymus, neuroendocrine system and, in particular, with hormones of the somatotropic axis. These interactions may also manifest by clinical heterogeneity which may be associated with impaired morphogenesis (organogenesis) at a very early stage of embryogenesis; namely, under the influence of gene family that determine the fate of each segment of the embryo-Hox genes which control the expression of other, functionally interconnected genes. Previously, T lymphocytes produced by the thymus and brain neurons have been shown to express the same antigen (Thy antigen), which was considered a specific antigen of T lymphocytes. A common molecular language, mediated by the molecules of intercellular interaction, was revealed which is used for the signal exchange between the cells, tissues and organs regulating the three mentioned systems (nervous, endocrine and immune). The interest of pediatricians in this field is associated with definite concept of human ontogenesis, from birth to elderly age, with thymic gland playing the main role, since antenatal period to early childhood. The main line of reasoning in this research area is not only theoretical, but also important from practical point of view. Since any critical involution of the thymus is accompanied by reduced number of produced and exported cells, a hormone-based therapy may be an alternative strategy to restore the organ by increasing thymocyte proliferation, and exporting mature T cells to peripheral lymphoid organs. Great opportunities have been opened in clinical immunology due to development of effective epistemological methods, e.g., genetic knock-out, transgenic animal models with human stem cell transfer, transplantation of hematopoietic and immunopoietic cells in primary and secondary immunodeficiencies, immune cell malignancies, autoinflammatory diseases, and, finally, infections of the immune system

SUBPOPULATION PROFILES OF T HELPER CELLS EXPRESSING CD45RA AND CD31 MARKERS IN CHILDREN AFTER THYMECTOMY PERFORMED UPON SURGICAL TREATMENT OF CONGENITAL HEART DISEASE

Thymectomy is a stage of surgery when treating some congenital heart defects. Thymus gland is the central organ of immune system. This organ is the primary site of T-cell lymphopoiesis and central tolerance to autoantigens during fetal and early postnatal life. If performed neonatally or in infancy, the thymectomy may cause restriction of these immune functions. Suppression of T-cell lymphopoiesis in children with thymectomy can be estimated as a subpopulation of thymic naive T helper cells (CD3+CD4+CD45RA+CD31+). To perform this task, we evaluated subpopulations of thymic naive T helper lymphocytes with CD3+CD4+CD45RA+CD31+ phenotype in the children (n = 40) who underwent thymectomy during surgical treatment of congenital heart diseases in neonates, or in early postnatal life. Their data were compared with children who underwent surgical treatment of congenital heart disease without thymectomy at the same age periods (n = 12), and healthy children (n = 23). We have revealed that thymectomy in frames of surgery of congenital heart disease leads to reduced thymic naive T helper lymphocytes with CD3+CD4+CD45RA+CD31+ phenotype in peripheral blood. Early execution of thymectomy is associated with deficiency of the thymic naive T helper lymphocytes in the peripheral blood, as well as a decrease in T helper cells (CD3+CD4+). The number thymic naive T helper lymphocytes in peripheral blood negatively corrrelated with terms elapsed after the surgery of congenital heart defects in children