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Serum leukotrienes, circulating neutrophils, and high sensitivity C-reactive protein in Chinese children with
Yuelin Shen1, Qiang Qin2, Zhifei Xu3
1Department No. 2 of Respiratory Medicine, Beijing Children's Hospital Affiliated to Capital Medical University, Beijing, People's Republic of China.
Insights
Children with sleep-disordered breathing (SDB) show increased systemic inflammation, indicated by elevated leukotrienes (LTs), neutrophil counts, and hsCRP. These inflammatory markers correlate with SDB severity and are linked to LT production.
Area of Science:
- Pediatric Pulmonology
- Immunology
- Sleep Medicine
Background:
- Leukotriene (LT) levels increase with disease severity in sleep-disordered breathing (SDB) patients' breath and urine.
- Limited research exists on circulating LTs' role in SDB systemic inflammation.
- The relationship between LT production, leukocyte count, and hsCRP in SDB is debated.
Purpose of the Study:
- To investigate the association between serum leukotrienes (LTs) and systemic inflammation markers in children with SDB.
- To determine if LT levels, neutrophil counts, and hsCRP correlate with SDB severity.
Main Methods:
- Prospective observational study involving questionnaires, physical exams, and polysomnography.
- Serum leukotriene B4 (LTB4) and cysteinyl leukotrienes (cysLTs) measured via enzyme-linked immunosorbent assays.
- Neutrophil (Neu) count and high-sensitivity C-reactive protein (hsCRP) levels analyzed.
Main Results:
- 166 children with SDB and 45 controls were studied.
- SDB children exhibited higher serum LTB4, cysLTs, Neu count, and hsCRP compared to controls.
- All inflammatory markers showed disease severity-dependent increases and correlated with LT production.
Conclusions:
- Children with SDB exhibit an activated systemic inflammatory response, evidenced by elevated serum LTs, neutrophil counts, and hsCRP.
- The degree of inflammation is dependent on SDB severity.
- Serum LT levels are significantly associated with circulating neutrophil counts and hsCRP values in SDB.
Background:
A number of previous works have shown that leukotriene (LT) concentration emerged disease severity-dependent increases in both exhaled breath condensate and urine of sleep-disordered breathing (SDB) patients. However, few studies have investigated how circulating level of LTs contributes to systemic inflammation of SDB, and the relationship between LT production, leukocyte count and high sensitivity C-reactive protein (hsCRP) level in SDB disease remains controversial.
Methods:
Prospective, observational study that included standard questionnaires, physical examinations and polysomnography. Serum leukotriene B4 (LTB(4)) and cysteinyl leukotrienes (cysLTs) were determined by means of enzyme-linked immunosorbent assays.
Results:
A total of 166 children with SDB and 45 control subjects were recruited. SDB children had increased serum levels for both LTB(4) and cysLTs as well as neutrophil (Neu) count and hsCRP than the control group, and all the inflammatory parameters emerged disease severity-dependent increases. LT production correlated significantly with Neu count and hsCRP level. In the regression model, both apnea-hypopnea index and body mass index z-score were significant predictors of LTB(4) and cysLTs (p < 0.001).
Conclusions:
The activated systemic inflammatory response as reflected by serum elevations of LTs, Neu counts and hsCRP is present in children with SDB, and the magnitude of inflammation emerged disease severity-dependent. The level of LTs is significantly associated with circulating Neu counts and hsCRP values in SDB.
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