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Updated: Jul 28, 2026

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Murine Model of Allergen Induced Asthma
Published on: May 14, 2012
Eosinophil activation and preschool viral wheeze
1Leicester Children's Asthma Centre, Institute for Lung Health, University of Leicester, PO Box 65, Leicester LE2 7LX, UK.
Thorax
|September 30, 2003
Summary
Systemic eosinophil activation is linked to preschool viral wheeze (PVW). However, this activation does not correlate with IgE levels, disease severity, or long-term wheezing in children.
Area of Science:
- Pediatric Allergy and Immunology
- Respiratory Medicine
- Immunology
Background:
- Preschool viral wheeze (PVW) is a common respiratory illness in young children.
- The role of systemic eosinophil activation in PVW is not fully understood.
Purpose of the Study:
- To investigate the association between systemic eosinophil activation and PVW.
- To explore potential correlations with serum IgE, clinical severity, and wheeze persistence.
Main Methods:
- Measured urinary eosinophil protein X (uEPX) and serum total IgE in children with PVW.
- Collected samples during acute illness and 6 weeks post-discharge.
- Assessed wheeze persistence at age 5+ years via questionnaire.
- Included healthy and atopic children as controls.
Main Results:
- Elevated uEPX levels were observed in children with acute PVW compared to controls (p<0.001).
- uEPX levels decreased significantly during convalescence (p<0.05).
- No association was found between uEPX and serum IgE, clinical severity, or wheeze persistence at age 5+.
Conclusions:
- Systemic eosinophil activation is significantly associated with preschool viral wheeze.
- Eosinophil activation in PVW is independent of serum IgE levels.
- Eosinophil activation does not predict wheeze persistence into early school age.
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