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Immunological effects of cerebral palsy and rehabilitation exercises in children
Department of Pediatrics, Sumy State University, Sumy, Ukraine.
Department of Pediatrics, Sumy State University, Sumy, Ukraine.
Umeå University, Faculty of Medicine, Department of Medical Biochemistry and Biophysics.ORCID iD: 0000-0001-5113-3303
2021 (English)In: Brain, Behavior, and Immunity - Health, E-ISSN 2666-3546, Vol. 18, article id 100365Article in journal (Refereed) Published
Abstract [en]

Cerebral palsy (CP) is a group of motor disorders caused by non-progressive lesions of the premature brain with lifelong pathophysiological consequences that include dysregulation of innate immunity. Persistent inflammation with increased levels of circulating pro-inflammatory tumor necrosis factor alpha (TNF-a) is negatively associated with rehabilitation outcome in children with CP. Because of the crosstalk between innate and adaptive immunity, we investigated the effect of CP and rehabilitation exercises on the adaptive immune system in children with CP by measuring the levels of CD3+, CD4+, CD8+ Т-cells, and CD22+ B-cells and the levels of immunoglobulins. Children with CP had higher levels of CD3+, CD4+, CD8+ Т-cells, and CD22+ B-cells compared to healthy children, and the rehabilitation exercise programs produced better outcomes in terms of increased gains in motor function at an earlier age. Rehabilitation exercises performed over a month resulted in significantly decreased levels of IgA in serum and reduced numbers of B-lymphocytes and reduced IgM levels. Our study suggests that rehabilitation programs with a focus on neuroplasticity and physical exercises in children with CP can reduce both cellular and humoral immune responses.

Place, publisher, year, edition, pages
Elsevier, 2021. Vol. 18, article id 100365
Keywords [en]
CD22+ B-cells, Children with cerebral palsy, IgA, Rehabilitation, T-cells, TNF-a
National Category
Immunology in the medical area
Identifiers
URN: urn:nbn:se:umu:diva-202965DOI: 10.1016/j.bbih.2021.100365ISI: 001114763800012PubMedID: 34704080Scopus ID: 2-s2.0-85130868547OAI: oai:DiVA.org:umu-202965DiVA, id: diva2:1727012
Available from: 2023-01-14 Created: 2023-01-14 Last updated: 2025-04-24Bibliographically approved

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Borén, Thomas

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CiteExportLink to record
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Citation style
  • apa
  • ieee
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More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
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  • text
  • asciidoc
  • rtf