14-3-3 protein detection in the cerebrospinal fluid of patients with influenza-associated encephalopathy

J Child Neurol. 2006 Jul;21(7):562-5. doi: 10.1177/08830738060210070502.

Abstract

Influenza-associated encephalopathy is characterized by high fever, convulsions, and loss of consciousness associated with influenza infection in children, but its pathophysiology remains to be clarified. We examined 14-3-3 proteins, which are acidic brain proteins, in cerebrospinal fluid by immunoblotting in four patients with influenza-associated encephalopathy, four patients with influenza without encephalopathy, and four patients with another encephalopathy. Interestingly, we detected 14-3-3 proteins in all four patients with influenza-associated encephalopathy (100%) but not in any of the other patients. 14-3-3 isoforms, including beta, gamma, epsilon, xi, and theta, were found in the cerebrospinal fluid of the patients with influenza-associated encephalopathy, suggesting extensive damage to the brain. We conclude that 14-3-3 proteins in cerebrospinal fluid are highly detectable in influenza-associated encephalopathy and thus can be used as a rapid diagnostic marker.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • 14-3-3 Proteins / cerebrospinal fluid*
  • Adolescent
  • Biomarkers / cerebrospinal fluid
  • Brain Diseases / cerebrospinal fluid*
  • Brain Diseases / diagnosis
  • Brain Diseases / virology*
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Influenza A virus*
  • Influenza B virus*
  • Influenza, Human / cerebrospinal fluid*
  • Influenza, Human / diagnosis
  • Male

Substances

  • 14-3-3 Proteins
  • Biomarkers