Table 2.
Cytokine profiles in patients with severe malaria according to severity.
n (%) or median [IQR] | Total (n = 278) | UM (n = 134) | SM (n = 144) | P value | LSM (n = 76) | VSM (n = 68) | P value |
---|---|---|---|---|---|---|---|
IL-1b detectable | 30 (10.8) | 14 (10.4) | 16 (11.1) | 0.858 | 6 ( 7.9) | 10 (14.7) | 0.19 |
IL-1 b, pg/mL | 1.00 [1.00–1.00] | 1.00 [1.00–1.00] | 1.00 [1.00–1.00] | 0.879 | 1.00 [1.00–1.00] | 1.00 [1.00–1.00] | 0.17 |
IL-1a detectable | 9 (3.2) | 6 (4.5) | 3 (2.1) | 0.321 | 2 ( 2.6) | 1 (1.5) | 1.0 |
IL-1 a, pg/mL | 1.00 [1.00–1.00] | 1.00 [1.00–1.00] | 1.00 [1.00–1.00] | 0.268 | 1.00 [1.00–1.00] | 1.00 [1.00–1.00] | 0.62 |
IL-2 detectable | 82 (29.6) | 43 (32.1) | 39 (27.3) | 0.380 | 18 (24.0) | 21 (30.9) | 0.36 |
IL-2, pg/mL | 0.50 [0.50–1.90] | 0.50 [0.50–4.18] | 0.50 [0.50–0.97] | 0.163 | 0.50 [0.50–0.50] | 0.50 [0.50–1.42] | 0.43 |
IL-4 detectable | 78 (28.1) | 30 (22.4) | 48 (33.3) | 0.042 | 19 (25.0) | 29 (42.6) | 0.02 |
IL-4, pg/mL | 0.10 [0.10–0.31] | 0.10 [0.10–0.10] | 0.10 [0.10–0.50] | 0.038 | 0.10 [0.10–0.17] | 0.10 [0.10–0.70] | 0.02 |
IL-10 detectable | 275 (98.9) | 133 (99.3) | 142 (98.6) | 1.0 | 75 (98.7) | 67 (98.5) | 1.00 |
IL-10, pg/mL | 159.76 [45.93–570.42] | 100.79 [39.16–320.65] | 223.63 [52.21–769.52] | 0.001 | 149.48 [34.77–629.11] | 375.62 [142.35–1176.2] | < 0.01 |
TNF a detectable, n (%) | 95 (34.2) | 50 (37.3) | 45 (31.3) | 0.286 | 21 (27.6) | 24 (35.3) | 0.32 |
TNF a, pg/mL | 2.00 [2.00–6.23] | 2.00 [2.00–8.33] | 2.00 [2.00–5.22] | 0.277 | 2.00 [2.00–4.26] | 2.00 [2.00–5.76] | 0.29 |
IFNg detectable | 105 (37.8) | 53 (39.6) | 52 (36.1) | 0.554 | 25 (32.9) | 27 (39.7) | 0.40 |
IFNg, pg/mL | 9.50 [9.50–97.80] | 9.50 [9.50–171.28] | 9.50 [9.50–73.61] | 0.179 | 9.50 [9.50–38.06] | 9.50 [9.50–116.66] | 0.12 |
MIF detectable | 278 (100) | 134 (100) | 144 (100) | NA | 76 (100) | 68 (100) | NA |
MIF, pg/mL | 1207.3 [567.45–2296.9] | 842.10 [533.15–1410.4] | 1511.0 [681.28–4330.7] | < 0.01 | 1357.4 [681.71–2461.2] | 2002.2 [681.28–5968.4] | 0.14 |
UM uncomplicated malaria, SM severe malaria, LSM less severe malaria, VSM very severe malaria, IL interleukin, TNF tumor necrosis factor, IFN interferon, MIF macrophage migration inhibitory factor, NA not applicable.