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Published on: April 16, 2019
[Polarization and immune regulation of TH cells in children with bronchial asthma]
Yu-Hong Jiang1, Ya-Qiu Wang, Kuan-Zhou Sun
1Women and Children's Medical Center of Qingdao, Qingdao, Shandong 266011, China. jyh05832@sohu.com
Insights
This study found that children with bronchial asthma have lower levels of IL-2 and IFN-gamma, and a reduced percentage of TH1 cells, indicating altered immune cell polarization and potentially impaired cellular immunity in asthma.
Area of Science:
- Immunology
- Cellular Biology
- Pediatric Medicine
Context:
- Bronchial asthma is a chronic inflammatory airway disease.
- T helper (TH) cell polarization plays a critical role in immune regulation.
- Understanding TH cell subsets in pediatric asthma is crucial for developing targeted therapies.
Purpose:
- To investigate the polarization and immune regulation of TH cells in children with bronchial asthma.
- To compare serum levels of Interleukin-2 (IL-2) and Interferon-gamma (IFN-gamma) between asthmatic children and healthy controls.
- To quantify the percentages of TH1 and TH2 cells in asthmatic and control groups.
Summary:
- Asthmatic children exhibited significantly lower serum levels of IL-2 and IFN-gamma compared to healthy controls.
- The percentage of TH1 cells was significantly decreased in asthmatic patients, while TH2 cells were increased.
- These findings suggest abnormal TH1/TH2 cell polarization and potentially inhibited cellular immune function in pediatric bronchial asthma.
Impact:
- Provides insights into the immunological mechanisms underlying bronchial asthma in children.
- Highlights potential biomarkers (IL-2, IFN-gamma, TH1/TH2 ratio) for asthma assessment.
- Suggests that therapeutic strategies targeting T helper cell balance may be beneficial for asthma management.
Objective:
To study the polarization and immune regulation of TH cells in patients with bronchial asthma.
Methods:
Thirty-eight hospitalized children with bronchial asthma (ranging from 4-12 years old) and 29 age-matched healthy children (Control group) were enrolled in this study. Serum IL-2 and IFN-gamma levels were detected using ELISA. The percentage of TH1 and TH2 cells was detected by intracellular staining.
Results:
The serum levels of IL-2 (15.94 +/- 3.07 microg/L) and IFN-gamma (487.2 +/- 43.6 pg/mL ) in asthmatic patients were significantly lower than those in the Control group (24.73 +/- 4.37 microg/L and 654.07 +/- 14.64 pg/mL respectively; P < 0.01). The percentage of TH1 in asthmatic patients decreased significantly compared with that in the Control group [(11.24 +/- 2.43)% vs (16.67 +/- 2.73)%; P < 0.01]; in contrast, the percentage of TH2 increased compared with that in the Control group [(19.85 +/- 4.46)% vs (16.08 +/- 6.17)%; P < 0.05].
Conclusions:
The serum levels of IL-2 and IFN-gamma, and the number of TH1 cells decreased in asthmatic patients. The decreased number of TH1 cells and the ratio of TH1/TH2 suggest an abnormal polarization of TH1 and TH2 cells. The changes may be associated with the inhibition of cellular immune function in asthmatic patients.
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