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Published on: May 21, 2021
Induced sputum nitrites correlate with FEV1 in children with cystic fibrosis
N Anil1, M Singh1, A Rajwanshi1
1.Department of Experimental Medicine and Biotechnology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.Department of Cytology and Gynaepathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Insights
Children with cystic fibrosis (CF) have higher nitrite levels in airway secretions compared to healthy children. Increased sputum nitrites correlate with inflammation and reduced lung function in CF patients.
Area of Science:
- Biochemistry
- Pediatric Pulmonology
- Inflammation Research
Background:
- Cystic Fibrosis (CF) is a genetic disorder affecting multiple organs, primarily the lungs.
- Airway inflammation is a hallmark of CF pathology, contributing to lung function decline.
- Nitrites, products of nitric oxide metabolism, are implicated in inflammatory processes.
Purpose of the Study:
- To compare nitrite levels in induced sputum between children with CF and healthy controls.
- To investigate the relationship between sputum nitrites and lung function parameters in pediatric CF patients.
Main Methods:
- Induced sputum was collected from 20 children with CF and 10 healthy controls.
- Nitrite concentrations were quantified using the Greiss assay.
- Lung function was assessed via spirometry, measuring parameters like FEV1.
Main Results:
- Children with CF exhibited significantly higher induced sputum nitrite levels (184.8 microM/L) compared to controls (56.4 microM/L).
- Positive correlations were found between sputum nitrites and neutrophil percentage/white blood cell count in CF patients.
- Sputum nitrite levels showed a negative correlation with FEV1 in children with CF.
Conclusions:
- Induced sputum nitrite levels are elevated in children with cystic fibrosis.
- Sputum nitrites may serve as a non-invasive biomarker for airway inflammation in pediatric CF.
- This finding could aid in monitoring disease progression and treatment efficacy.
Aim:
To determine the difference in the levels of nitrites in induced sputum of children with cystic fibrosis (CF) and controls. Furthermore, to evaluate the association between induced sputum nitrites and lung function in children with CF.
Methods:
Nitrites, cell differentials, white blood cell count, were estimated in induced sputum of 20 children with CF and 10 age-matched healthy controls. Nitrites in induced sputum samples were measured using the Greiss assay. Lung function was ascertained by spirometry.
Results:
We observed high levels of nitrites in CF (184.8 +/- 11.07 microM/L) versus controls (56.4 +/- 5.7 microM/L) (p < 0.01). A positive correlation between neturophil percent and nitrites, white blood cell count and nitrites (p < 0.05) in children with CF was observed. Sputum nitrites correlated negatively with FEV(1) (p < 0.05) in children with CF.
Conclusion:
Induced sputum nitrite could serve as a useful non invasive marker for assessing the degree of inflammation in the airways of children with CF.
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