Related Experiment Video
Updated: May 12, 2026

Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels
Published on: August 7, 2017
Elevated level of serum osteopontin in school-age children with asthma
A Z Akelma1, M N Cizmeci2, M K Kanburoglu2
1Department of Pediatric Allergy, Fatih University Medical School, Ankara, Turkey.
Insights
Osteopontin (OPN) levels are elevated in school-aged children with asthma, suggesting a role in allergic inflammation. OPN may be involved in childhood asthma, particularly in older children with allergic rhinitis.
Area of Science:
- Immunology
- Pediatric Pulmonology
- Biochemistry
Background:
- The role of osteopontin (OPN) in pediatric asthma remains unclear.
- Investigating OPN's involvement in childhood allergic airway inflammation is crucial.
Purpose of the Study:
- To determine if osteopontin (OPN) levels differ in children with asthma compared to healthy controls.
- To explore the association between OPN levels and allergic inflammation in preschool and school-aged children.
Main Methods:
- A prospective, cross-sectional study involving 42 healthy children and 51 children diagnosed with asthma.
- Serum OPN levels were measured and analyzed in relation to clinical and laboratory parameters.
- Asthma patients were stratified into two age groups: ≤5 years (Asthma Group 1) and >5 years (Asthma Group 2).
Main Results:
- Serum OPN levels were significantly higher in the overall asthma group compared to controls (p=0.004).
- Elevated OPN levels were observed in older asthmatic children (>5 years) but not in preschool-aged children (≤5 years).
- In children over 5 years old with asthma, OPN levels were higher in those with allergic rhinitis.
Conclusions:
- This study establishes a link between childhood asthma and osteopontin (OPN).
- OPN may contribute to childhood asthma pathogenesis, potentially through Th2-mediated inflammation.
- The lack of increased OPN in preschool asthmatics could be related to transient wheezing patterns in this age group.
Background:
The role of osteopontin (OPN) has not been elucidated in childhood asthma.
Objective:
Our purpose was to investigate whether OPN levels change due to allergic inflammation in pre-school and school-age children.
Methods:
In this prospective, cross-sectional study, 42 healthy children and a total of 51 children with asthma were recruited. OPN levels and its association with clinical and laboratory parameters were investigated in the study population. The asthma group were divided into two groups with respect to age, ≤ 5-years (n = 23) and >5-years (n = 28), and labelled Asthma Group 1 and Asthma Group 2, respectively. OPN levels were compared between subgroups.
Results:
Serum OPN levels were significantly higher in the asthma group when compared to the control group (p = 0.004). OPN levels were similar in Asthma Group 1 and control groups, whereas it was found to be higher in Asthma Group 2 (p>0.025, p = 0.001, respectively). In the >5-years age asthmatic group, OPN levels of the patients with allergic rhinitis (n = 15) were higher than those of the patients (n=13) without allergic rhinitis (p = 0.021).
Conclusion:
The study underscores the relationship between childhood asthma and OPN as the first study in the literature. In this study we found that OPN, which plays a role in Th2 mediated inflammation, may also play a role in childhood asthma. The fact that OPN levels do not increase in preschool-age children with asthma might be due to the transient wheezing in this group.
Related Concept Videos
Asthma III: Clinical Manifestations
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...
Asthma I: Introduction
Asthma-IV: Nursing Management
First, in...