nih-gov/www.nih.gov/node/39346
2025-02-26 13:17:41 -05:00

593 lines
47 KiB
Text
Raw Permalink Blame History

This file contains invisible Unicode characters

This file contains invisible Unicode characters that are indistinguishable to humans but may be processed differently by a computer. If you think that this is intentional, you can safely ignore this warning. Use the Escape button to reveal them.

This file contains Unicode characters that might be confused with other characters. If you think that this is intentional, you can safely ignore this warning. Use the Escape button to reveal them.

<!DOCTYPE html>
<html class="no-js" lang="en" dir="ltr" prefix="content: http://purl.org/rss/1.0/modules/content/ dc: http://purl.org/dc/terms/ foaf: http://xmlns.com/foaf/0.1/ rdfs: http://www.w3.org/2000/01/rdf-schema# sioc: http://rdfs.org/sioc/ns# sioct: http://rdfs.org/sioc/types# skos: http://www.w3.org/2004/02/skos/core# xsd: http://www.w3.org/2001/XMLSchema#">
<head>
<title>Understanding recurrent tonsillitis | National Institutes of Health (NIH)</title>
<meta charset="utf-8" />
<script type="text/javascript">
//<![CDATA[
var usasearch_config = { siteHandle:"nih" };
var script = document.createElement("script");
script.type = "text/javascript";
script.src = "//search.usa.gov/javascripts/remote.loader.js";
document.getElementsByTagName("head")[0].appendChild(script);
//]]>
</script><link rel="shortcut icon" href="https://www.nih.gov/favicon.ico" type="image/vnd.microsoft.icon" />
<meta name="google-site-verification" content="rjIoO4vW0AYgltSYvxM1L_CzGIkq28kHf9gHIASKx8s" />
<link rel="profile" href="http://www.w3.org/1999/xhtml/vocab" />
<meta http-equiv="cleartype" content="on" />
<link rel="apple-touch-icon" href="https://www.nih.gov/sites/all/themes/nih/apple-touch-icon.png" />
<meta name="description" content="In children with recurrent tonsillitis, the bacteria that cause the disease trick immune cells into destroying each other instead of remembering the bacteria." />
<meta name="keywords" content="Recurrent tonsillitis, strep throat, tonsils, germinal center, Streptococcus pyogenes, streptococcal pyrogenic exotoxin A, SpeA, immune system, T follicular helper cells, Shane Crotty, Science Translational Medicine" />
<meta name="robots" content="follow, index" />
<meta name="viewport" content="width=device-width, initial-scale=1.0" />
<meta name="generator" content="Drupal 7 (http://drupal.org)" />
<link rel="canonical" href="https://www.nih.gov/news-events/nih-research-matters/understanding-recurrent-tonsillitis" />
<link rel="shortlink" href="https://www.nih.gov/node/39346" />
<meta http-equiv="content-language" content="EN" />
<meta property="og:site_name" content="National Institutes of Health (NIH)" />
<meta property="og:type" content="article" />
<meta property="og:title" content="Understanding recurrent tonsillitis" />
<meta property="og:url" content="https://www.nih.gov/news-events/nih-research-matters/understanding-recurrent-tonsillitis" />
<meta property="og:description" content="In children with recurrent tonsillitis, the bacteria that cause the disease trick immune cells into destroying each other instead of remembering the bacteria." />
<meta property="og:updated_time" content="2019-03-05T10:38:00-05:00" />
<meta property="og:image" content="https://www.nih.gov/sites/default/files/news-events/research-matters/2019/20190226-tonsil-stock.jpg" />
<meta name="twitter:card" content="summary" />
<meta name="twitter:title" content="Understanding recurrent tonsillitis" />
<meta name="twitter:url" content="https://www.nih.gov/news-events/nih-research-matters/understanding-recurrent-tonsillitis" />
<meta name="twitter:description" content="In children with recurrent tonsillitis, the bacteria that cause the disease trick immune cells into destroying each other instead of remembering the bacteria." />
<meta name="twitter:image" content="https://www.nih.gov/sites/default/files/news-events/research-matters/2019/20190226-tonsil-stock.jpg" />
<meta property="article:published_time" content="2019-02-25T12:30:35-05:00" />
<meta property="article:modified_time" content="2019-03-05T10:38:00-05:00" />
<meta name="owner" content="OD" />
<meta name="published_date" content="2019-02-25T12:30:35-05:00" />
<meta name="last_revision" content="2019-03-05T10:38:00-05:00" />
<link type="text/css" rel="stylesheet" href="https://www.nih.gov/sites/default/files/css/css_PfvPCWanzn7FjDwZqwAHhPoOxYKwkQP-RZSK1pFFG0s.css" media="all" />
<link type="text/css" rel="stylesheet" href="https://www.nih.gov/sites/default/files/css/css__mIWP9gcStq74isjZVoAAsiih8VXwJoN75Nyw_BXrj0.css" media="screen" />
<style media="print">#sb-container{position:relative;}#sb-overlay{display:none;}#sb-wrapper{position:relative;top:0;left:0;}#sb-loading{display:none;}
</style>
<link type="text/css" rel="stylesheet" href="https://www.nih.gov/sites/default/files/css/css_jENQOQqZCRFGZK__DTefxYiXR2RUf03k1ugj3_Vg7vk.css" media="all" />
<link type="text/css" rel="stylesheet" href="//cdn.jsdelivr.net/qtip2/3.0.3/jquery.qtip.min.css" media="all" />
<link type="text/css" rel="stylesheet" href="https://www.nih.gov/sites/default/files/css/css_3yt-b0M1HNJsvKsXwYjh5TEtX2lJGAvJvtmVAfORYZs.css" media="all" />
<link type="text/css" rel="stylesheet" href="//fonts.googleapis.com/css?family=Droid+Sans:700,regular|Droid+Serif:italic,regular&amp;subset=latin" media="all" />
<link type="text/css" rel="stylesheet" href="https://www.nih.gov/sites/default/files/css/css_E4VlyxyL3JMcT6dslWLGb0uQdoI2bh_Xj0N65V-bcWo.css" media="all" />
<link type="text/css" rel="stylesheet" href="https://www.nih.gov/sites/default/files/css/css_5rDMv37-JxnNA70cRr_1jlAjVs56DCb8EN4XB2QLl0c.css" media="all" />
<!--[if lte IE 8]>
<link type="text/css" rel="stylesheet" href="https://www.nih.gov/sites/default/files/css/css_aLJB_yHt22A_mQek4IRDNsur5tEkCpqLe72j_w6QHQ0.css" media="all" />
<![endif]-->
<link type="text/css" rel="stylesheet" href="https://www.nih.gov/sites/default/files/css/css_KviiBystpJcQq4MplcQZvCFxnu9V763f5bPq_AKh4xM.css" media="all" />
<script src="https://www.nih.gov/sites/default/files/js/js_mQAv54bz2JVXcwS5QWlz0fVY9Os67zeu9bgNqtlVLPY.js"></script>
<script src="//code.jquery.com/jquery-2.2.4.min.js"></script>
<script>window.jQuery || document.write("<script src='/sites/all/modules/contrib/jquery_update/replace/jquery/2.2/jquery.min.js'>\x3C/script>")</script>
<script>jQuery.migrateMute=true;jQuery.migrateTrace=false;</script>
<script src="//code.jquery.com/jquery-migrate-1.4.1.min.js"></script>
<script>window.jQuery && window.jQuery.migrateWarnings || document.write("<script src='/sites/all/modules/contrib/jquery_update/replace/jquery-migrate/1.4.1/jquery-migrate.min.js'>\x3C/script>")</script>
<script src="https://www.nih.gov/sites/default/files/js/js_9sGTPBGcOGZjLiSLGrYEnuUf8VdvLmL_DEZNNNbnHXk.js"></script>
<script src="https://www.nih.gov/sites/default/files/js/js_hNnF7a_sbk6nZ2-mOamHzalYND7HBHDLRInsaU93HDk.js"></script>
<script src="https://www.nih.gov/sites/default/files/js/js_gHk2gWJ_Qw_jU2qRiUmSl7d8oly1Cx7lQFrqcp3RXcI.js"></script>
<script>document.createElement( "picture" );</script>
<script src="//cdn.jsdelivr.net/qtip2/3.0.3/jquery.qtip.min.js"></script>
<script defer="defer" src="//script.crazyegg.com/pages/scripts/0011/2616.js"></script>
<script src="https://www.nih.gov/sites/default/files/js/js_3s0l7MQ3oYmGkNAypyzCJq3a0wT85XX_P1SLgnph5K4.js"></script>
<script>
Shadowbox.path = "/sites/all/libraries/shadowbox/";
</script>
<script>jQuery.extend(Drupal.settings, {"basePath":"\/","pathPrefix":"","setHasJsCookie":0,"instances":"{\u0022default\u0022:{\u0022content\u0022:{\u0022text\u0022:\u0022\u0022},\u0022style\u0022:{\u0022tip\u0022:false,\u0022classes\u0022:\u0022\u0022},\u0022position\u0022:{\u0022at\u0022:\u0022bottom right\u0022,\u0022adjust\u0022:{\u0022method\u0022:\u0022\u0022},\u0022my\u0022:\u0022top left\u0022,\u0022viewport\u0022:false},\u0022show\u0022:{\u0022event\u0022:\u0022mouseenter \u0022},\u0022hide\u0022:{\u0022event\u0022:\u0022mouseleave \u0022}}}","qtipDebug":"{\u0022leaveElement\u0022:0}","shadowbox":{"animate":true,"animateFade":true,"animSequence":"wh","auto_enable_all_images":1,"auto_gallery":1,"autoplayMovies":true,"continuous":false,"counterLimit":10,"counterType":"default","displayCounter":true,"displayNav":true,"enableKeys":true,"fadeDuration":0.34999999999999998,"handleOversize":"resize","handleUnsupported":"link","initialHeight":160,"initialWidth":320,"language":"en","modal":false,"overlayColor":"#000","overlayOpacity":0.80000000000000004,"resizeDuration":0.55000000000000004,"showMovieControls":true,"slideshowDelay":0,"viewportPadding":20,"useSizzle":false},"picture":{"mappings":[["Sidebar media mappings","sidebar_media_mappings"],["Floated media mappings","floated_media_mappings"],["Not Set","not_set"]],"label":"Image size (required)"},"extlink":{"extTarget":"_blank","extClass":"ext","extLabel":"(link is external)","extImgClass":0,"extIconPlacement":0,"extSubdomains":1,"extExclude":"(.\\.nih\\.gov.)|(.\\.cancer\\.gov.)|(.\\.genome\\.gov.)|(.\\.drugabuse\\.gov.)|(locatorplus\\.gov.)|(.\\.govdelivery\\.com.)|(.\\.hatchbuck\\.com.)|(nihseniorhealth\\.gov.)|(clinicaltrials\\.gov.)|(search\\.usa\\.gov\\\/search\\?affiliate\\=hip.)|(search\\.gov\\\/search\\?affiliate\\=hip.)|(drugabuse\\.gov.)|(medlineplus\\.gov.)|(collegedrinkingprevention\\.gov.)|(smokefree\\.gov.)|(arpa-h\\.gov.)|(nih\\.sharepoint\\.com)","extInclude":"(.\\.pagefreezer\\.com.)","extCssExclude":".media, .emergency-message, .slideshow-main, .bean-home-slideshow-2l-block","extCssExplicit":"","extAlert":"_blank","extAlertText":"You are leaving the NIH website.\r\n\r\nThis external link provides additional information that is consistent with the intended purpose of this site. NIH cannot attest to the accuracy of a non-federal site.\r\n\r\nLinking to a non-federal site does not constitute an endorsement by NIH or any of its employees of the sponsors or the information and products presented on the site. You will be subject to the destination site\u2019s privacy policy when you follow the link.","mailtoClass":"mailto","mailtoLabel":"(link sends e-mail)","extUseFontAwesome":0}});</script>
<script type="application/javascript" id="uws-snippet">
// Verint Unified WebSDK Integration Snippet v2.3
//
// Instructions: please embed this snippet directly into every page of your website template.
// For optimal performance, this should be embedded directly into the template, not referenced as
// an external file.
//
// DO NOT MODIFY BELOW THIS LINE *****************************************
(function () {
var cookies = document.cookie.split("; ").reduce(function (o, i) { var p = i.split("="); o[p[0]] = p[1]; return o; }, {});
var containerValue = cookies.uws_container_override && JSON.parse(decodeURIComponent(cookies.uws_container_override));
var config = {
moduleHost: "ucm-us.verint-cdn.com",
configHost: "ucm-us.verint-cdn.com",
siteKey: "nih-gov",
container: containerValue || "live",
loadTime: Date.now()
};
var readyCallbacks = []; window.uwsReady = function (callback) { readyCallbacks.push(callback); };
var sdkPath = "//" + [config.moduleHost, "files/sites", config.siteKey, config.container, "sdk.js"].join("/");
var script = document.createElement("script"); script.src = sdkPath; script.async = true; script.type = "module";
script.addEventListener("load", function () { window.unifiedSDK.start(config, readyCallbacks); });
document.head.appendChild(script);
})();
// DO NOT MODIFY ABOVE THIS LINE *****************************************
</script>
</head>
<body class="html not-front not-logged-in page-node page-node- page-node-39346 node-type-nih-research-matters section navigation-nih-research-matters section-news-events">
<a href="#main-content" class="element-invisible element-focusable">Skip to main content</a>
<noscript aria-hidden="true"><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-5CBCNW2" height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript>
<div class="l-page has-one-sidebar has-sidebar-second">
<div class="l-page-content">
<header class="l-header" role="banner">
<div class="l-ribbon-wrapper">
<ul class="l-ribbon">
<li><span class="ribbon-hhs"></span><a href="https://www.hhs.gov">U.S. Department of Health &amp; Human Services</a><span class="ribbon-right"></span></li>
</ul>
</div> <div class="l-banner-wrapper">
<div class="l-banner">
<div class="l-branding">
<a class="nih-logo icon-nih-logo" href="/" title="National Institutes of Health (NIH) - Turning Discovery into Health" rel="home"><img src="/sites/all/themes/nih/images/nih-logo-color.png" width="390" height="60" alt="National Institutes of Health (NIH) - Turning Discovery into Health" /></a>
</div>
<!-- DigitalGov Search -->
<form accept-charset="UTF-8" action="https://search.nih.gov/search" id="search" class="search-form site-search" method="get">
<div style="margin:0;padding:0;display:inline"><input name="utf8" type="hidden" value="&#x2713;" /></div>
<input id="affiliate" name="affiliate" type="hidden" value="nih" />
<label for="query" class="hide">Search the NIH Website</label>
<input autocomplete="on" class="usagov-search-autocomplete form-field form-field-site-search" id="query" name="query" type="text" placeholder="Search NIH" /><input type="submit" name="commit" value="Search" class="form-button form-button-site-search" />
</form>
<ul class="banner-utilities">
<li><a href="/virtual-tour">Virtual Tour</a></li>
<li><a href="https://ned.nih.gov/">Staff Directory</a></li>
<li><a href="https://salud.nih.gov">En Espa&ntilde;ol</a></li>
</ul>
</div>
</div>
</header>
<div class="l-navigation-wrapper">
<!-- ****************** SITE MENU ****************** -->
<h2 class="element-invisible">Site Menu</h2>
<nav class="l-menu-wrapper">
<ul class="l-menu">
<!-- ********* HOME TAB (Mobile view only) ********* -->
<li class="tab-wrapper tab-wrapper-home">
<div class="tab home"><a href="/"><span>Home</span></a></div>
</li>
<!-- ********* HEALTH INFO TAB ********* -->
<li class="tab-wrapper tab-wrapper-healthinfo tab-wrapper-left">
<div class="tab"><a href="/health-information"><span>Health Information</span></a></div>
<div class="megamenu">
<div class="megamenu-col megamenu-leftcol">
<ul class="sub-menu">
<li><a href="https://www.hhs.gov/programs/social-services/health-care-facilities/index.html">Health Care Providers & Facilities</a></li>
<li><a href="/health-information/health-info-lines">Health Info Lines</a></li>
<li><a href="https://www.healthcare.gov">HealthCare.gov</a></li>
<li><a href="/research-training/science-education">Science Education Resources</a></li>
<li><a href="/health-information/nih-clinical-research-trials-you">NIH Clinical Research Trials and You</a></li>
<li><a href="/institutes-nih/nih-office-director/office-communications-public-liaison/clear-communication/talking-your-doctor">Talking to Your Doctor</a></li>
<!--<li><a href="/institutes-nih/nih-office-director/office-communications-public-liaison/clear-communication/clear-health-nih" title="">Clear Health AZ</a></li>-->
</ul>
<p class="more-wrapper"><a class="button gold" href="/health-information" title="More Health Information">More &raquo;</a></p>
</div>
<div class="megamenu-col megamenu-rightcol">
<form id="hipsearch" accept-charset="UTF-8" action="https://search.nih.gov/search" method="get" class="search-form">
<p class="subhead"><label for="query2">Search Health Topics</label></p>
<div class="input-wrapper">
<div style="margin:0;padding:0;display:inline"><input name="utf8" type="hidden" value="&#x2713;" /></div>
<input id="affiliate" name="affiliate" type="hidden" value="hip" />
<input type="hidden" name="dc" value="940" />
<input autocomplete="on" maxlength="50" class="usagov-search-autocomplete form-field form-field-search" id="query2" name="query" type="text" />
<input name="commit" type="submit" value="Go" id="searchbutton" class="form-button" />
</div>
</form>
<p class="subhead">Quick Links</p>
<ul class="sub-menu">
<li><a class="minibadge minibadge-medlineplus" href="https://medlineplus.gov/"><span class="minibadge-text">MedlinePlus Health Info</span></a></li>
<li><a class="minibadge minibadge-newsinhealth" href="https://newsinhealth.nih.gov/"><span class="minibadge-text">NIH News in Health</span></a></li>
<li><a class="minibadge minibadge-wellnesstoolkits" href="/health-information/your-healthiest-self-wellness-toolkits"><span class="minibadge-text">Wellness Toolkits</span></a></li>
</ul>
</div>
</div>
</li>
<!-- ********* GRANTS TAB ********* -->
<li class="tab-wrapper tab-wrapper-grants tab-wrapper-left">
<div class="tab"><a href="/grants-funding"><span>Grants & Funding</span></a></div>
<div class="megamenu">
<div class="megamenu-col megamenu-leftcol">
<ul>
<li><a href="https://grants.nih.gov">Grants Home Page</a></li>
<li><a href="https://grants.nih.gov/funding/index.htm">Find Funding</a></li>
<li><a href="https://grants.nih.gov/grants/how-to-apply-application-guide/due-dates-and-submission-policies/due-dates.htm">Due Dates</a></li>
<li><a href="https://grants.nih.gov/grants/how-to-apply-application-guide.html">How to Apply</a></li>
<li><a href="https://grants.nih.gov/grants/about_grants.htm">About Grants</a></li>
<li><a href="https://grants.nih.gov/policy/index.htm">Policy &amp; Compliance</a></li>
<li><a href="https://nexus.od.nih.gov/all/">Grants News/Blog</a></li>
<li><a href="https://grants.nih.gov/funding/contracts.htm">Contracts</a></li>
<li><a href="https://www.lrp.nih.gov/">Loan Repayment</a></li>
</ul>
<p class="more-wrapper"><a class="button gold" href="/grants-funding" title="More Grants &amp; Funding Information">More &raquo;</a></p>
</div>
<div class="megamenu-col megamenu-rightcol">
<p class="subhead">Quick Links</p>
<ul>
<li><a class="minibadge minibadge-report" href="https://report.nih.gov/"><span class="minibadge-text">RePORT</span></a></li>
<li><a class="minibadge minibadge-era" href="https://commons.era.nih.gov/commons/"><span class="minibadge-text">eRA Commons</span></a></li>
<li><a class="minibadge minibadge-commonfund" href="https://commonfund.nih.gov/"><span class="minibadge-text">NIH Common Fund</span></a></li>
</ul>
</div>
</div>
</li>
<!-- ********* NEWS TAB ********* -->
<li class="tab-wrapper tab-wrapper-news tab-wrapper-left">
<div class="tab"><a href="/news-events"><span>News &amp; Events</span></a></div>
<div class="megamenu">
<div class="megamenu-col megamenu-leftcol">
<ul>
<li><a href="/news-events/news-releases">News Releases</a></li>
<li><a href="/news-events/digital-media-kits">Digital Media Kits</a></li>
<li><a href="/news-events/media-resources">Media Resources</a></li>
<li><a href="/news-events/media-contacts">Media Contacts</a></li>
<li><a href="/news-events/images-b-roll">Images and B-roll</a></li>
<li><a href="/news-events/events">Events</a></li>
<li><a href="/news-events/social-media-outreach">Social Media</a></li>
</ul>
<p class="more-wrapper"><a class="button gold" href="/news-events" title="More News &amp; Events">More &raquo;</a></p>
</div>
<div class="megamenu-col megamenu-rightcol">
<p class="subhead">Quick Links</p>
<ul>
<li><a class="minibadge minibadge-newsinhealth" href="https://newsinhealth.nih.gov/"><span class="minibadge-text">NIH News in Health</span></a></li>
<li><a class="minibadge minibadge-researchmatters" href="/news-events/nih-research-matters"><span class="minibadge-text">NIH Research Matters</span></a></li>
<li><a class="minibadge minibadge-nihrecord" href="https://nihrecord.nih.gov/"><span class="minibadge-text">NIH Record</span></a></li>
</ul>
</div>
</div>
</li>
<!-- ********* RESEARCH TAB ********* -->
<li class="tab-wrapper tab-wrapper-research tab-wrapper-right">
<div class="tab"><a href="/research-training"><span>Research &amp; Training</span></a></div>
<div class="megamenu">
<div class="megamenu-col megamenu-leftcol">
<ul>
<li><a href="/research-training/medical-research-initiatives">Medical Research Initiatives</a></li>
<li><a href="/research-training/science-highlights">Science Highlights</a></li>
<li><a href="/research-training/science-education">Science Education</a></li>
<li><a href="/research-training/research-nih-labs-clinics">Research in NIH Labs &amp; Clinics</a></li>
<li><a href="/research-training/training-opportunities">Training Opportunities</a></li>
<li><a href="/research-training/library-resources">Library Resources</a></li>
<li><a href="/research-training/research-resources">Research Resources</a></li>
<li><a href="/research-training/clinical-research-resources">Clinical Research Resources</a></li>
<li><a href="/research-training/safety-regulation-guidance">Safety, Regulation and Guidance</a></li>
</ul>
<p class="more-wrapper"><a class="button gold" href="/research-training" title="More Research &amp; Training">More &raquo;</a></p>
</div>
<div class="megamenu-col megamenu-rightcol">
<p class="subhead">Quick Links</p>
<ul>
<li><a class="minibadge minibadge-pubmed" href="https://pubmed.ncbi.nlm.nih.gov"><span class="minibadge-text">PubMed</span></a></li>
<li><a class="minibadge minibadge-stemcell" href="https://stemcells.nih.gov"><span class="minibadge-text">Stem Cell Information</span></a></li>
<li><a class="minibadge minibadge-oppnet" href="https://oppnet.nih.gov"><span class="minibadge-text">OppNet</span></a></li>
<li><a class="minibadge minibadge-nidb" href="https://intramural.nih.gov"><span class="minibadge-text">NIDB</span></a></li>
<li><a class="minibadge minibadge-nihblueprint" href="https://neuroscienceblueprint.nih.gov"><span class="minibadge-text">NIH Blueprint for Neuroscience Research</span></a></li>
</ul>
</div>
</div>
</li>
<!-- ********* INSTITUTES TAB ********* -->
<li class="tab-wrapper tab-wrapper-institutes tab-wrapper-right">
<div class="tab"><a href="/institutes-nih"><span>Institutes at NIH</span></a></div>
<div class="megamenu">
<div class="megamenu-col megamenu-leftcol">
<ul>
<li><a href="/institutes-nih/list-institutes-centers">List of Institutes and Centers</a></li>
<li><a href="/institutes-nih/nih-office-director">NIH Office of the Director</a></li>
<li><a href="/institutes-nih/directors-nih-institutes-centers">Directors of NIH Institutes and Centers</a></li>
<li><a href="/institutes-nih/nih-institute-center-contact-information">NIH Institute and Center Contact Information</a></li>
</ul>
<p class="more-wrapper"><a class="button gold" href="/institutes-nih" title="More About the Institutes at NIH">More &raquo;</a></p>
</div>
<div class="megamenu-col megamenu-rightcol">
<p class="subhead">Quick Links</p>
<ul class="ic-acronymn-list">
<li><a href="https://www.cancer.gov" title="National Cancer Institute">NCI</a></li>
<li><a href="https://nei.nih.gov" title="National Eye Institute">NEI</a></li>
<li><a href="https://www.nhlbi.nih.gov" title="National Heart, Lung, and Blood Institute">NHLBI</a></li>
<li><a href="https://www.genome.gov" title="National Human Genome Research Institute">NHGRI</a></li>
<li><a href="https://www.nia.nih.gov" title="National Institute on Aging">NIA</a></li>
<li><a href="https://www.niaaa.nih.gov" title="National Institute on Alcohol Abuse and Alcoholism">NIAAA</a></li>
<li><a href="https://www.niaid.nih.gov" title="National Institute of Allergy and Infectious Diseases">NIAID</a></li>
<li><a href="https://www.niams.nih.gov" title="National Institute of Arthritis and Musculoskeletal and Skin Diseases">NIAMS</a></li>
<li><a href="https://www.nibib.nih.gov" title="National Institute of Biomedical Imaging and Bioengineering">NIBIB</a></li>
<li><a href="https://www.nichd.nih.gov" title="Eunice Kennedy Shriver National Institute of Child Health and Human Development">NICHD</a></li>
<li><a href="https://www.nidcd.nih.gov" title="National Institute on Deafness and Other Communication Disorders">NIDCD</a></li>
<li><a href="https://www.nidcr.nih.gov" title="National Institute of Dental and Craniofacial Research">NIDCR</a></li>
<li><a href="https://www.niddk.nih.gov" title="National Institute of Diabetes and Digestive and Kidney Diseases">NIDDK</a></li>
<li><a href="https://nida.nih.gov" title="National Institute on Drug Abuse">NIDA</a></li>
<li><a href="https://www.niehs.nih.gov" title="National Institute of Environmental Health Sciences">NIEHS</a></li>
<li><a href="https://www.nigms.nih.gov" title="National Institute of General Medical Sciences">NIGMS</a></li>
<li><a href="https://www.nimh.nih.gov" title="National Institute of Mental Health">NIMH</a></li>
<li><a href="https://www.nimhd.nih.gov" title="National Institute on Minority Health and Health Disparities">NIMHD</a></li>
<li><a href="https://www.ninds.nih.gov" title="National Institute of Neurological Disorders and Stroke">NINDS</a></li>
<li><a href="https://www.ninr.nih.gov" title="National Institute of Nursing Research">NINR</a></li>
<li><a href="https://www.nlm.nih.gov" title="National Library of Medicine">NLM</a></li>
<li><a href="https://www.cc.nih.gov" title="NIH Clinical Center">CC</a></li>
<li><a href="https://www.cit.nih.gov" title="Center for Information Technology">CIT</a></li>
<li><a href="https://www.csr.nih.gov" title="Center for Scientific Review">CSR</a></li>
<li><a href="https://www.fic.nih.gov" title="Fogarty International Center">FIC</a></li>
<li><a href="https://ncats.nih.gov" title="National Center for Advancing Translational Sciences">NCATS</a></li>
<li><a href="https://nccih.nih.gov" title="National Center for Complementary and Integrative Health">NCCIH</a></li>
</ul>
</div>
</div>
</li>
<!-- ********* ABOUT TAB ********* -->
<li class="tab-wrapper tab-wrapper-about tab-wrapper-right">
<div class="tab"><a href="/about-nih"><span>About NIH</span></a></div>
<div class="megamenu">
<div class="megamenu-col megamenu-leftcol">
<ul>
<li><a href="/about-nih/who-we-are">Who We Are</a></li>
<li><a href="/about-nih/what-we-do">What We Do</a></li>
<li><a href="https://hr.nih.gov/jobs">Jobs at NIH</a></li>
<li><a href="/about-nih/visitor-information">Visitor Information</a></li>
<li><a href="/about-nih/frequently-asked-questions">Frequently Asked Questions</a></li>
<li><a href="/about-nih/contact-us">Contact Us</a></li>
<!--<li><a href="/about-nih/explore-nih">Explore NIH</a></li>-->
</ul>
<p class="more-wrapper"><a class="button gold" href="/about-nih" title="More About NIH">More &raquo;</a></p>
</div>
<div class="megamenu-col megamenu-rightcol">
<p class="subhead">Quick Links</p>
<ul>
<li><a href="/about-nih/who-we-are/nih-director">The NIH Director</a></li>
<li><a href="/virtual-tour">Take the Virtual Tour</a></li>
<li><a href="/about-nih/what-we-do/nih-turning-discovery-into-health">NIH&hellip;Turning Discovery Into Health<sup>&reg;</sup></a></li>
<li><a href="/about-nih/what-we-do/impact-nih-research">Impact of NIH Research</a></li>
<li><a href="/about-nih/what-we-do/science-health-public-trust">Science, Health, and Public Trust</a></li>
</ul>
</div>
</div>
</li>
</ul>
<div class="tab-bkgnd"></div><!-- For pixel rounding issue -->
</nav>
<!-- ****************** END SITE MENU ****************** -->
</div>
<div class="l-main-wrapper">
<div class="l-main" id="page-content">
<h2 class="element-invisible">You are here</h2><div class="breadcrumb"><a href="/">Home</a> » <a href="/news-events">News &amp; Events</a> » <a href="/news-events/nih-research-matters">NIH Research Matters</a></div> <div class="l-region l-region--section-header">
<div id="block-block-101" class="block block--block sectionheader block--block-101" id="block-block-101" class="block block--block sectionheader block--block-101">
<div class="content" class="block__content">
<h2><a href="/news-events/nih-research-matters">NIH Research Matters</a></h2> </div>
</div>
</div>
<div class="l-content-wrapper">
<div class="l-content" role="main">
<a id="main-content"></a>
<div about="/news-events/nih-research-matters/understanding-recurrent-tonsillitis" typeof="sioc:Item foaf:Document" class="ds-1col node node--nih-research-matters view-mode-full node--full node--nih-research-matters--full clearfix">
<p class="publishdate"><span property="dc:date" datatype="xsd:dateTime" content="2019-02-26T00:00:00-05:00" class="date-display-single">February 26, 2019</span></p><div class='syndicate'><h1>Understanding recurrent tonsillitis</h1><div class="callout callout-with-border"><h3>At a Glance</h3>
<ul>
<li>In children with recurrent tonsillitis, the bacteria that cause the disease trick immune cells into destroying each other instead of remembering the bacteria.</li>
<li>The discovery points to potential strategies to reduce the risk of recurrent tonsillitis.</li>
</ul></div><div class="media-float-right"><div class="ds-1col file file-image file-image-jpeg view-mode-floated_media clearfix">
<picture title="Woman doctor examining girls throat with spatula and flashlight">
<!--[if IE 9]><video style="display: none;"><![endif]-->
<source srcset="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-large/public/news-events/research-matters/2019/20190226-tonsil-stock.jpg?itok=xzx1q6aU&amp;timestamp=1551189204 1x" media="screen and (min-width: 960px)" />
<source srcset="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-medium/public/news-events/research-matters/2019/20190226-tonsil-stock.jpg?itok=tLomMlPn&amp;timestamp=1551189204 1x" media="screen and (min-width: 800px)" />
<source srcset="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-medium-small/public/news-events/research-matters/2019/20190226-tonsil-stock.jpg?itok=1zSzDcKk&amp;timestamp=1551189204 1x" media="screen and (min-width: 600px)" />
<source srcset="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-small/public/news-events/research-matters/2019/20190226-tonsil-stock.jpg?itok=lGhtKnQ4&amp;timestamp=1551189204 1x" media="screen and (min-width: 480px)" />
<source srcset="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-tiny/public/news-events/research-matters/2019/20190226-tonsil-stock.jpg?itok=1UMIoK3D&amp;timestamp=1551189204 1x" media="screen and (min-width: 0)" />
<!--[if IE 9]></video><![endif]-->
<img src="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-medium/public/news-events/research-matters/2019/20190226-tonsil-stock.jpg?itok=tLomMlPn&amp;timestamp=1551189204" alt="Woman doctor examining girls throat with spatula and flashlight" title="Woman doctor examining girls throat with spatula and flashlight" />
</picture><span class="caption">Researchers may have figured out why some people are susceptible to recurrent tonsillitis. </span><span class="credit">LightFieldStudios / iStock / Thinkstock</span></div>
</div><p>Tonsillitis, or swelling of the tonsils, is usually caused by a viral infection. But it can also be caused by strep bacteria, <em>Streptococcus pyogenes</em>. Parents of young children are all too familiar with the symptoms of this type of tonsillitis, also known as strep throat. These can include fever, a sore throat, and swelling in the lymph nodes and tonsils.</p>
<p>Strep throat can be treated effectively with antibiotics, but some children get the disease repeatedly (recurrent tonsillitis). Children who develop recurrent tonsillitis may need to have their tonsils surgically removed. It hasnt been clear why some children are more likely than others to get recurrent tonsillitis.</p>
<p>To gain a better understanding, a team led by Dr. Shane Crotty from the La Jolla Institute for Immunology acquired tissue samples from the tonsils of 66 children who had them removed due to recurrent tonsillitis and 80 children who had them removed for other medical reasons, such as sleep apnea. The study was funded in part by NIHs National Institute of Allergy and Infectious Diseases (NIAID). Results appeared on February 6, 2019, in <em>Science Translational Medicine</em>.</p>
<p>T follicular helper (T<sub>FH</sub>) cells are a type of immune cell that normally help another type of immune cell (B cells) produce protective antibodies against bacteria and viruses. The team found that the tonsils of children with recurrent tonsillitis contained relatively higher numbers of a novel T<sub>FH</sub> cell type. The children with recurrent tonsillitis also had fewer B cells in their tonsils.</p>
<div class="media-float-right"><div class="media media-element-container media-floated_media"><div class="ds-1col file file-image file-image-jpeg view-mode-floated_media clearfix">
<picture title="Immune cells in tonsil" class="media-element file-floated-media">
<!--[if IE 9]><video style="display: none;"><![endif]-->
<source srcset="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-large/public/news-events/research-matters/2019/20190226-tonsil.jpg?itok=w825IX3j&amp;timestamp=1551116780 1x" media="screen and (min-width: 960px)"></source>
<source srcset="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-medium/public/news-events/research-matters/2019/20190226-tonsil.jpg?itok=VqqK8cJj&amp;timestamp=1551116780 1x" media="screen and (min-width: 800px)"></source>
<source srcset="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-medium-small/public/news-events/research-matters/2019/20190226-tonsil.jpg?itok=fCVytTLJ&amp;timestamp=1551116780 1x" media="screen and (min-width: 600px)"></source>
<source srcset="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-small/public/news-events/research-matters/2019/20190226-tonsil.jpg?itok=RW0Nd_qf&amp;timestamp=1551116780 1x" media="screen and (min-width: 480px)"></source>
<source srcset="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-tiny/public/news-events/research-matters/2019/20190226-tonsil.jpg?itok=NAgji3ri&amp;timestamp=1551116780 1x" media="screen and (min-width: 0)"></source>
<!--[if IE 9]></video><![endif]-->
<img class="media-element file-floated-media" src="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-medium/public/news-events/research-matters/2019/20190226-tonsil.jpg?itok=VqqK8cJj&amp;timestamp=1551116780" alt="Immune cells in tonsil" title="Immune cells in tonsil" />
</picture><span class="caption">Naïve B cells (blue) team up with T follicular helper cells (white) in areas known as germinal centers (red) within tonsils. This interaction allows them to become mature, antibody-producing B cells (green). </span><span class="credit">Dr. Yu Kato, La Jolla Institute</span></div>
</div></div>
<p>When people are exposed to <em>S. pyogenes</em>, their immune system produces several antibodies, one of which recognizes a toxic protein produced by the bacteria called SpeA. The scientists found that children with recurrent tonsillitis had low levels of antibodies against SpeA in their blood. Further experiments found that in these children, the bacteria were playing a dirty trick on the immune system. The SpeA caused the novel T<sub>FH</sub> cells to kill B cells instead of helping those B cells to make antibodies to neutralize, or inactivate, the SpeA toxin.</p>
<p>Vulnerability to this process appears to have a genetic component. The researchers saw that many of the children in their study had a family history of recurrent tonsillitis. The team was able to identify specific genetic variations in the immune system that were associated with risk of recurrent tonsillitis.</p>
<p>These findings point to potential strategies to reduce the incidence of recurrent tonsillitis.</p>
<p>“Since the immunological connection as well as the genetic connection are all tied to an insufficient antibody response against SpeA, it suggests that recognizing this factor is actually a key problem for these kids,” Crotty says. “Having a vaccine that trains the immune system in advance might be able stimulate a protective immune response that can prevent recurring bouts of tonsillitis.”</p></div><h2 class="label-above">Related Links</h2><ul class="spaced print-urls"><li><a href="https://newsinhealth.nih.gov/2013/03/soothing-sore-throat" target="_top">Soothing a Sore Throat</a></li><li><a href="https://www.niaid.nih.gov/diseases-conditions/group-streptococcal-infections" target="_top">Group A Streptococcal Infections</a></li><li><a href="https://medlineplus.gov/tonsillitis.html" target="_top">Tonsillitis</a></li></ul><p class="footnote"><strong class="label-inline">References:&nbsp;</strong><a href="https://www.ncbi.nlm.nih.gov/pubmed/30728285">Recurrent group A <em>Streptococcus</em> tonsillitis is an immunosusceptibility disease involving antibody deficiency and aberrant TFH cells.</a> Dan JM, Havenar-Daughton C, Kendric K, Al-Kolla R, Kaushik K, Rosales SL, Anderson EL, LaRock CN, Vijayanand P, Seumois G, Layfield D, Cutress RI, Ottensmeier CH, Lindestam Arlehamn CS, Sette A, Nizet V, Bothwell M, Brigger M, Crotty S. <em>Sci Transl Med</em>. 2019 Feb 6;11(478). pii: eaau3776. doi: 10.1126/scitranslmed.aau3776. PMID: 30728285.</p><p class="footnote"><strong class="label-inline">Funding:&nbsp;</strong>NIHs National Institute of Allergy and Infectious Diseases (NIAID), Office of the Director (OD), and National Center for Research Resources (NCRR); Thrasher Research Fund; La Jolla Institute; UCSD Department of Medicine; and Cancer Research UK.</p>
</div>
<div class="lastupdated">
</div> </div>
<aside class="l-region l-region--sidebar-second masonry-container">
<div id="block-ds-extras-in-this-edition" class="block block--ds-extras box block--ds-extras-in-this-edition" id="block-ds-extras-in-this-edition" class="block block--ds-extras box block--ds-extras-in-this-edition">
<h3 class="block__title">In this Edition</h3>
<div class="content" class="block__content">
<div class="view view-nih-rm-in-this-edition view-id-nih_rm_in_this_edition view-display-id-default view-dom-id-bda034963c4fb76521e81a98be3a69e8">
<div class="view-content">
<div>
<p><a href="/news-events/nih-research-matters/spongy-stomach-sensor-could-be-swallowed">Spongy stomach sensor that could be swallowed</a></p> </div>
<div>
<p><a href="/news-events/nih-research-matters/understanding-recurrent-tonsillitis" class="active">Understanding recurrent tonsillitis</a></p> </div>
<div>
<p><a href="/news-events/nih-research-matters/blocking-dna-repair-restores-sensitivity-brain-tumors-treatment-mice">Blocking DNA repair restores sensitivity of brain tumors to treatment in mice</a></p> </div>
</div>
</div> </div>
</div>
<div id="block-bean-research-matters-search" class="block block--bean box block--bean-research-matters-search" id="block-bean-research-matters-search" class="block block--bean box block--bean-research-matters-search">
<h3 class="block__title">Search NIH Research Matters</h3>
<div class="content" class="block__content">
<div about="/block/research-matters---search" class="ds-1col entity entity-bean bean-research-matters-block view-mode-default clearfix">
<!-- DigitalGov Search -->
<form id="directorsearch" accept-charset="UTF-8" action="https://search.nih.gov/search/docs" method="get" class="search-form">
<div class="input-wrapper">
<div style="margin:0;padding:0;display:inline"><input name="utf8" type="hidden" value="✓" /></div>
<input id="affiliate" name="affiliate" type="hidden" value="nih" />
<input type="hidden" name="dc" value="678" />
<label for="query2" class="hide">Search NIH Research Matters' stories</label>
<input autocomplete="off" class="usagov-search-autocomplete form-field form-field-search" id="query2" name="query" type="text" />
<input name="commit" type="submit" value="Go" id="searchbutton" class="form-button" />
</div>
</form>
</div>
</div>
</div>
<div id="block-bean-research-matters-contact-us" class="block block--bean box block--bean-research-matters-contact-us" id="block-bean-research-matters-contact-us" class="block block--bean box block--bean-research-matters-contact-us">
<h3 class="block__title">Connect with Us</h3>
<div class="content" class="block__content">
<div about="/block/research-matters---contact-us" class="ds-1col entity entity-bean bean-research-matters-block view-mode-default clearfix">
<p><a class="button-link" href="https://service.govdelivery.com/accounts/USNIH/subscriber/new?topic_id=USNIH_48" onclick="window.open(this.href,'popup','width=725,height=500,left=25,top=25,location=no,resizable=yes,scrollbars=yes,status=yes');return false;">Subscribe to get NIH Research Matters by email</a></p>
<ul class="icon-list">
<li><a class="icon-link rss-monochrome" href="/nih-research-matters/feed.xml"><span class="icon"></span>RSS feed</a></li>
<li><a class="icon-link facebook-monochrome" href="https://www.facebook.com/ResearchMatters"><span class="icon"></span>Facebook</a></li>
<li><a class="icon-link email-monochrome" href="mailto:nihresearchmatters@od.nih.gov"><span class="icon"></span>Email us</a></li>
</ul>
<p><strong>Mailing Address:</strong><br />
NIH Research Matters<br />
Bldg. 31, Rm. 5B52, MSC 2094<br />
Bethesda, MD 20892-2094</p></div>
</div>
</div>
<div id="block-bean-research-matters-popular-stori" class="block block--bean box block--bean-research-matters-popular-stori" id="block-bean-research-matters-popular-stori" class="block block--bean box block--bean-research-matters-popular-stori">
<h3 class="block__title">Popular Stories</h3>
<div class="content" class="block__content">
<div about="/block/research-matters---popular-stori" class="ds-1col entity entity-bean bean-research-matters-block view-mode-default clearfix">
<p><a href="https://www.nih.gov/news-events/nih-research-matters/research-context-can-we-slow-aging">Research in Context: Can we slow aging?</a></p>
<p><a href="https://www.nih.gov/news-events/nih-research-matters/brain-changes-observed-during-pregnancy">Brain changes observed during pregnancy</a></p>
<p><a href="https://www.nih.gov/news-events/nih-research-matters/research-context-detecting-cancer">Research in Context: Detecting cancer</a></p>
<p><a href="https://www.nih.gov/news-events/nih-research-matters/risk-future-burden-dementia-united-states">Risk and future burden of dementia in the United States </a></p>
<p><a href="https://www.nih.gov/news-events/nih-research-matters/complete-wiring-map-adult-fruit-fly-brain">Complete wiring map of an adult fruit fly brain</a></p>
</div>
</div>
</div>
<div id="block-bean-research-matters-about" class="block block--bean box block--bean-research-matters-about" id="block-bean-research-matters-about" class="block block--bean box block--bean-research-matters-about">
<h3 class="block__title">About NIH Research Matters</h3>
<div class="content" class="block__content">
<div about="/block/research-matters---about" class="ds-1col entity entity-bean bean-research-matters-block view-mode-default clearfix">
<p><strong>Editor:</strong> Harrison Wein, Ph.D.</p>
<p><strong>Assistant Editors:</strong> Vicki Contie and Brian Doctrow, Ph.D.</p>
<p><strong><em>NIH Research Matters </em></strong>is a weekly update of NIH research highlights reviewed by NIHs experts. It's published by the <a href="/institutes-nih/nih-office-director/office-communications-public-liaison">Office of Communications and Public Liaison</a> in the <a href="/institutes-nih/nih-office-director">NIH Office of the Director</a>.</p>
<p>ISSN 2375-9593</p>
</div>
</div>
</div>
</aside>
</div>
<div class="l-connect-wrapper">
<div class="l-connect">
<h2 class="element-invisible">Connect with Us</h2>
<ul>
<li><a class="contactus-monochrome" href="/about-nih/contact-us"><span class="icon"></span>Contact Us</a></li>
<li><a class="twitter-monochrome" href="https://twitter.com/NIH"><span class="icon"></span>X</a></li>
<li><a class="facebook-monochrome" href="https://www.facebook.com/nih.gov"><span class="icon"></span>Facebook</a></li>
<li><a class="instagram-monochrome" href="https://www.instagram.com/nihgov/"><span class="icon"></span>Instagram</a></li>
<li><a class="youtube-monochrome" href="https://www.youtube.com/user/nihod"><span class="icon"></span>YouTube</a></li>
<li><a class="flickr-monochrome" href="https://www.flickr.com/photos/nihgov/"><span class="icon"></span>Flickr</a></li>
<li><a class="social-monochrome" href="/news-events/social-media-outreach"><span class="icon"></span>More Social Media from NIH</a></li>
</ul>
</div>
</div>
</div>
</div>
<div class="l-footer-wrapper">
<footer class="l-footer" role="contentinfo">
<h2 class="element-invisible">Footer</h2>
<ul>
<li><a href="/">NIH Home</a></li>
<li><a href="/virtual-tour">Virtual Tour</a></li>
<li><a href="https://salud.nih.gov">En Español</a></li>
<li><a href="/about-nih/visitor-information">Visitor Information</a></li>
<li><a href="/about-nih/frequently-asked-questions">Frequently Asked Questions</a></li>
<li><a href="/privacy-policy">Privacy Policy</a></li>
<li><a href="/disclaimers">Disclaimers</a></li>
<li><a href="/accessibility">Accessibility</a></li>
<li><a href="/nih-website-archives">NIH Website Archives</a></li>
</ul>
<ul>
<li><a href="/nondiscrimination-notice">Nondiscrimination Notice</a></li>
<li><a href="/institutes-nih/nih-office-director/office-communications-public-liaison/freedom-information-act-office">Freedom of Information Act</a></li>
<li><a href="https://www.edi.nih.gov/no-fear-act">No Fear Act</a></li>
<li><a href="https://www.hhs.gov/vulnerability-disclosure-policy/index.html">HHS Vulnerability Disclosure</a></li>
<li><a href="https://oig.hhs.gov">Office of Inspector General</a></li>
<li><a class="lastTab" href="https://www.usa.gov/">USA.gov</a></li>
</ul>
<p>NIH&hellip;Turning Discovery Into Health<sup>&reg;</sup></p>
<p>National Institutes of Health, 9000 Rockville Pike, Bethesda, Maryland 20892</p>
<p><a href="https://www.hhs.gov">U.S. Department of Health and Human Services</a></p>
</footer>
</div>
<div class="back-to-top"><a href="#"><span class="icon-arrow-up"></span><span class="text">Back to Top</span></a></div>
</div>
</div>
<script src="https://www.nih.gov/sites/default/files/js/js_7Ukqb3ierdBEL0eowfOKzTkNu-Le97OPm-UqTS5NENU.js"></script>
<script src="https://www.nih.gov/sites/default/files/js/js_E9yUYWK8EMydR0HMIp2PahVxPAClXyH0Cnh782A15UM.js"></script>
</body>
</html>