[T and B lymphocytes and serum alpha 1-antitrypsin activity in children with bronchial asthma treated with broncho-vaxom]
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Published on: November 4, 2010
J Wartenberg1, J Lewandowska, M Pilarek
1I Katedry i Kliniki Pediatrii AM we Wrocławiu.
Insights
Broncho-Vaxom treatment modulated T and B lymphocyte levels in children with asthma. Significant changes in lymphocyte populations correlated with treatment efficacy and serum alpha 1AT activity.
Area of Science:
- Pediatric Immunology
- Respiratory Medicine
- Pharmacology
Background:
- Asthma is a common chronic respiratory disease in children.
- Immune system dysregulation plays a role in asthma pathogenesis.
- Broncho-Vaxom is an immunomodulatory agent used to prevent recurrent respiratory infections.
Purpose of the Study:
- To assess the impact of Broncho-Vaxom on T and B lymphocyte counts.
- To evaluate changes in serum alpha-1-antitrypsin (alpha 1AT) levels.
- To correlate immunological changes with clinical efficacy in pediatric asthma patients.
Main Methods:
- A clinical trial involving 46 school-aged children with infectious or infectious-atopic asthma.
- Analysis of T and B lymphocyte percentages before and after Broncho-Vaxom treatment.
- Measurement of serum alpha 1AT activity.
Main Results:
- Broncho-Vaxom treatment led to significantly higher T lymphocyte counts in infectious asthma.
- A significant decrease in B lymphocyte counts was observed in infectious-atopic asthma.
- Serum alpha 1AT activity decreased significantly in children with infectious asthma.
- Treatment efficacy correlated with lymphocyte percentage changes, particularly increased T cells and decreased B cells.
Conclusions:
- Broncho-Vaxom influences T and B lymphocyte populations in pediatric asthma.
- Immunological shifts, especially T cell increases and B cell decreases, are linked to positive clinical outcomes.
- Changes in lymphocyte populations are influenced by baseline alpha 1AT levels.
Abstract:
The aim of this study was to evaluate an effect of Broncho-Vaxom treatment on T and B lymphocytes and serum alpha 1AT in children treated at "Zuch" sanatorium in Szczawno-spa. The trial involved 46 school aged children suffering from infectious or infectious-atopic asthma. The post-Broncho-Vaxom treatment values for T lymphocytes were significantly higher in infectious, and significantly lower for B lymphocytes in infectious-atopic asthma. Serum alpha 1AT activity in children suffering from infectious asthma decreased significantly after the treatment. A correlation between the efficacy of the treatment and the lymphocyte percentage was observed. In children with very effective clinical results of Broncho-Vaxom treatment, the significant increase in T lymphocyte, and decrease in B lymphocyte populations was observed. Changes in T and B lymphocyte percentage were analysed in respect to alpha 1AT pre-treatment activity. In children with high alpha 1AT value, T lymphocytes after the treatment increased significantly in infectious, and B lymphocytes decreased significantly in infectious-atopic group.
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