Lymphocyte apoptosis in neonatal sepsis due to klebsiella

Abstract

The apoptosis of lymphocytes was examined in 10 infants with late neonatal sepsis induced by Klebsiella pneumoniae Most of the infants (70%) were preterm. Control group consisted of 7 healthy newborns. Apoptosis analysis was examined by counting the numbers of hypodiploid cells by using a propidium iodide (DNA staining procedure and flow cytometry analysis. We observed an elevated numbers of apoptotic cells in all cases of neonatal sepsis Median of lymphocyte apoptosis was 18 1% on day 5 of cell culture, whereas in control patients it was up to 7,8%. Absolute lymphopenia was observed in 30% of cases with neonatal sepsis. The activity of lymphocyte apoptosis was not associated with quantitative baseline of C-reactive protein (Spearman R = 0,48, p = 0,18). Acute phase of neonatal sepsis induced by Klebsiella pneumonia is associated with an increased apoptosis of peripheral blood lymphocytes

Keywords

neonatal sepsis / klebsiella / lymphocyte apoptosis

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