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Updated: Jul 6, 2026

Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels
Published on: August 7, 2017
[Neuroimmune regulation in children with bronchial asthma]
Insights
Neuropeptides like substance P and neurokinin A are elevated, while vasoactive intestinal peptide (VIP) is decreased in children with atopic bronchial asthma, indicating their role in the condition's development.
Area of Science:
- Pediatric Pulmonology
- Neuroimmunology
- Biochemistry
Context:
- Atopic bronchial asthma is a prevalent chronic respiratory condition in children.
- The role of neuropeptides in pediatric asthma pathogenesis requires further elucidation.
- Understanding molecular mechanisms can inform targeted therapeutic strategies.
Purpose:
- To investigate the levels of key neuropeptides in children with atopic bronchial asthma.
- To compare neuropeptide concentrations between asthmatic children and a control group.
- To assess differences in neuropeptide levels based on asthma severity (moderate vs. severe).
Summary:
- This study analyzed plasma levels of Substance P, neurokinin A, and vasoactive intestinal peptide (VIP) in 80 children (aged 2-14) with atopic bronchial asthma.
- Children with asthma exhibited significantly higher levels of Substance P and neurokinin A, and lower levels of VIP compared to controls (p<0.001).
- Similar neuropeptide alterations were observed when comparing moderate and severe asthma cases, suggesting their involvement in disease progression.
Impact:
- Findings suggest that neuropeptides are implicated in the pathogenesis of pediatric bronchial asthma.
- This research may pave the way for novel diagnostic markers or therapeutic targets.
- Highlights the neuro-immune connection in childhood asthma, emphasizing the need for integrated treatment approaches.
Abstract:
80 children aged from 2 to 14 years,72 boys and 8 girls, 44 with moderate and 36 with severe form of atopic bronchial asthma were investigated. Substance P, neurokinin A and vasoactive intestinal peptide (VIP) were defined in blood plasma. In comparison with the control group, children suffering from bronchial asthma showed statistically significant (p<0,001) increase of substance P and neurokinin A and decrease of VIP. Analogous changes were observed by comparison of data received from children with moderate and severe asthma. Received data indicate the participation of neuropeptides in pathogenesis of bronchial asthma in children.
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