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Published on: September 19, 2016
[Effects of BCG-PSN injection on immune and lung function of asthmatic children complicated with allergic rhinitis]
Jing-Zhi Ji1, Zhuang-Gui Chen, Yan-Feng Chen
1Department of Pediatrics, The Third Affiliated Hospital, Sun Yet-Sen University, Guangzhou, China.
Insights
Polysaccharide nucleic acid of BCG (BCG-PSN) improved immune balance and lung function in children with asthma and allergic rhinitis. This suggests immune-adjusting therapy is crucial alongside anti-inflammatory treatments.
Area of Science:
- Immunology
- Pediatric Pulmonology
- Allergy
Context:
- Asthma and allergic rhinitis are common in children, often involving Th2-dominant immune responses.
- Current treatments primarily focus on anti-inflammation, potentially neglecting immune dysregulation.
Purpose:
- To evaluate the efficacy of polysaccharide nucleic acid of BCG (BCG-PSN) in modulating immune function and improving pulmonary parameters in pediatric patients with comorbid asthma and allergic rhinitis.
Summary:
- A randomized controlled trial compared BCG-PSN plus inhaled corticosteroids (n=17) against inhaled corticosteroids alone (n=20) for 6 months.
- BCG-PSN treatment significantly increased IFN-g, improved the IFN-g/IL4 ratio, decreased IL-4 and total IgE, reduced asthmatic attacks and respiratory infections, and enhanced lung function compared to controls.
Impact:
- BCG-PSN demonstrates potential in correcting Th1/Th2 imbalance in pediatric asthma with allergic rhinitis.
- Findings highlight the importance of immune-modulating therapies in managing complex respiratory conditions in children.
Objective:
To investigate the effect of polysaccharide nucleic acid of BCG (BCG-PSN) injection on immune and pulmonary function in asthmatic children complicated with allergic rhinitis.
Methods:
Thirty-seven cases were separated at random into two groups, the BCG-PSN group (17 cases) was treated with BCG-PSN plus inhaled glucocortisteriods, and the control group (20 cases) was treated with inhaled glucocortisteriods only. The children in both groups were followed up for 6 months to record their lung function, allergic rhinitis scores, frequency of asthmatic attacks and respiratory infection. The levels of interleukin (IL)-4, interferon-gamma (IFN-g) and plasma total IgE were detected by using double antibody sandwich ELISA at the beginning and the end of treatment.
Results:
In comparison with the control group, after treatment, the levels of IFN-g and the ratio of IFN-g/IL4 in the BCG-PSN group significantly increased, whereas the level of IL-4 and the plasma total IgE significantly decreased (P less than 0.05), while those of the control group had no significant change. The lung function of both groups had significant improvement (p less than 0.05). The frequencies of asthmatic attacks in BCG-PSN and control groups were 0.81 +/- 0.20 vs. 1.72 +/- 0.80, and the difference was statistically significant. The frequencies of respiratory tract infection in BCG-PSN and control groups were 1.15 +/- 0.55 vs. 3.21 +/- 0.73, the difference was significant.
Conclusion:
BCG-PSN may be able to correct the imbalance of Th1/Th2 and improve the lung function of children with asthma complicated with allergic rhinitis, which suggest that the immune adjusting treatment should be emphasized besides anti-inflammation therapy.
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