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[Changes of exhaled nitric oxide and peripheral blood eosinophils in children with asthma]
Chun-Long Ge1, Chuang-Li Hao, Ning-Bo Tang
1Department of Allergy, Yantai Yuhuangding Hospital, Yantai, Shangdong 264000, China.
Insights
Exhaled nitric oxide (eNO) and peripheral blood eosinophils (EOS) are elevated in children with asthma, allergic rhinitis, and cough variant asthma. These markers, particularly eNO, can indicate eosinophilic airway inflammation in pediatric asthma.
Area of Science:
- Pediatric Pulmonology
- Allergy and Immunology
- Biomarker Research
Context:
- Asthma is a common chronic respiratory disease in children, often associated with airway inflammation.
- Allergic rhinitis and cough variant asthma are specific phenotypes that may present with distinct inflammatory profiles.
- Accurate assessment of airway inflammation is crucial for diagnosis and management.
Purpose:
- To investigate exhaled nitric oxide (eNO) and peripheral blood eosinophils (EOS) in children with asthma, asthma with allergic rhinitis (AS/AR), and cough variant asthma (CVA).
- To determine the correlation between eNO and EOS levels in these pediatric respiratory conditions.
- To evaluate the diagnostic value of eNO detection in children with asthma.
Summary:
- Children with AS, AS/AR, and CVA exhibited significantly higher eNO and EOS levels compared to controls.
- The AS/AR group showed the highest levels of both eNO and EOS.
- eNO levels positively correlated with EOS levels in the asthma group, suggesting a link to eosinophilic inflammation.
Impact:
- Exhaled nitric oxide (eNO) serves as a non-invasive marker reflecting eosinophilic airway inflammation in pediatric asthma.
- Findings support the use of eNO measurements in the clinical evaluation of children with atopic respiratory symptoms.
- This research aids in understanding the inflammatory pathways in different asthma phenotypes in children.
Objective:
This study examined the levels of exhaled nitric oxide (eNO) and peripheral blood eosinophils (EOS) as well as the correlation between the two markers in children with bronchial asthma (AS),AS complicated by allergic rhinitis (AS/AR) and chronic cough variant asthma (CVA), in order to explore the value of eNOS detection in children with AS.
Methods:
The eNO level was measured using light-emitting electrochemical photometry in 12 children with AS, 29 children with AS/AR and 10 children with CVA. Peripheral blood EOS was counted by blood cell counter (Coulter JT). Forced expiratory volume in one second (FEV1) was assessed by lung function measurement. Thirty children without atopic disease and acute respiratory infection as well as without a family history of atopic diseasea served as the control group.
Results:
The levels of eNO and blood EOS in the AS, the AS/AR and the CVA groups were significantly higher than those in the control group (p<0.01). The AS/AR group showed increased levels of eNO (50.3 + or - 6.7 ppb) and EOS (5.9 + or -4.2 x 109 ) compared with the AS (30.5 + or - 8.8 ppb and 4.2 + or - 3.2 x 109 respectively) and the CVA groups (26.0 + or - 3.2 ppb and 3.7 + or - 6.9 x 109 respectively) (p<0.05). There were no significant differences in eNO and EOS levels between the AS and the CVA groups. The eNO level was positively correlated with the EOS level (r=0.51, p<0.05), but not with FEV1 (r=0.144, p>0.05) in the AS group.
Conclusions:
NO is highly expressed in children with symptoms of atopy and can reflect the levels of eosinophilic airway inflammation in children with AS.
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