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Published on: August 7, 2017
[Expression of serum Clara cell secretory protein 10 in wheezing children under 5 years old]
Xiu-Fang Wang1, Ying-Ying Hou, Dan Bi
1Department of Pediatrics, Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. wxf456@126.com
Insights
Serum Clara cell secretory protein 10 (CC10) levels are lower in wheezing children, especially those with atopic risks. Lower CC10 correlates with higher IgE in atopic wheezing children.
Area of Science:
- Pediatric Allergy and Immunology
- Respiratory Medicine
- Biochemistry
Context:
- Recurrent wheezing in children under 5 is a significant clinical challenge.
- Atopy is a known risk factor for persistent wheezing and asthma development.
- Clara cell secretory protein 10 (CC10) is an anti-inflammatory protein produced in the airways.
Purpose:
- To investigate the association between serum levels of Clara cell secretory protein 10 (CC10) and total IgE in young children experiencing recurrent wheezing.
- To compare CC10 and IgE levels between wheezing children with and without high atopic risk, and a healthy control group.
Summary:
- Serum CC10 levels were significantly lower in both wheezing groups compared to controls.
- Wheezing children with high atopic risks exhibited lower CC10 levels than those without atopic risks.
- Serum IgE levels were elevated in the atopic wheezing group compared to the non-atopic wheezing and control groups.
- A strong negative correlation was observed between serum CC10 and IgE levels in wheezing children with atopic high risks.
Impact:
- Findings suggest CC10 may play a protective role in pediatric wheezing, with diminished levels indicating increased susceptibility, particularly in atopic individuals.
- The inverse relationship between CC10 and IgE in atopic wheezing children highlights potential biomarkers for disease severity and risk stratification.
- This research contributes to understanding the pathophysiology of childhood wheezing and may inform future therapeutic strategies targeting CC10 or IgE pathways.
Objective:
To study the expression of serum Clara cell secretory protein 10 (CC10) and total IgE concentration in wheezing children under 5 years old.
Methods:
Fifty-nine children with recurrent wheezing under 5 years old were classified into two groups: wheezing group 1 with atopic high risks (n=33) and wheezing group 2 without atopic high risks (n=26). Twenty-three children without infectious diseases served as a control group. Serum levels of CC10 and IgE were measured using a solid-phase sandwich ELISA.
Results:
The serum levels of CC10 in wheezing group 1 (3.95 ± 1.26 ng/mL) and wheezing group 2 (5.41 ± 1.64 ng/mL) were significantly lower than those in the control group (8.72 ± 2.23 ng/mL; P<0.01). The wheezing group 1 showed more decreased serum levels of CC10 compared with wheezing group 2 (P<0.05). The serum IgE levels in wheezing group 1 were significantly higher than those in wheezing group 2 and the control group (P<0.05). There were no significant differences in serum IgE levels between the wheezing group 2 and control group. There was a negative correlation between serum levels of CC10 and IgE in wheezing group 1 (r=-0.912, P < 0.01).
Conclusions:
Serum CC10 levels decrease remarkably in wheezing children, and more significant decrease is noted in patients with atopic high risks. Serum CC10 levels are negatively correlated to serum IgE levels in patients with atopic high risks.
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