Serial Changes in Serum Eosinophil-associated Mediators between Atopic and Non-atopic Children after Mycoplasma

Joo-Hwa Kim1, Tae-Shik Cho1, Jin-Hwa Moon1

  • 1Department of Pediatrics, Hanyang University College of Medicine, Seoul, Korea.

Abstract

Insights

Mycoplasma pneumoniae pneumonia (MP) in children is linked to heightened eosinophil activity, particularly in those with atopy. This eosinophil hyperreactivity persists for at least two months post-infection.

Area of Science:

  • Pediatric Pulmonology
  • Immunology
  • Infectious Diseases

Background:

  • Mycoplasma pneumoniae pneumonia (MP) is a known trigger for asthma exacerbations.
  • Understanding the role of eosinophils in MP is crucial for managing atopic children.

Purpose of the Study:

  • To investigate the impact of MP on eosinophil-related hyperreactivity in atopic children.
  • To compare eosinophil markers between atopic and non-atopic children with MP.

Main Methods:

  • Studied 48 children (3-12 years) with MP: 26 atopic, 22 non-atopic.
  • Measured serial changes in blood eosinophil counts, serum IL-5, and serum ECP.
  • Utilized ELISA for IL-5/ECP and autoanalyzer for eosinophil counts.

Main Results:

  • Atopic children showed significantly higher serum IL-5, ECP, and eosinophil counts post-MP (P≤0.001).
  • Elevated IL-5 and ECP were observed at all time points in atopic patients.
  • Eosinophil counts were higher during recovery and follow-up in atopic children.

Conclusions:

  • MP significantly alters eosinophil counts and related inflammatory markers in atopic children.
  • Evidence suggests eosinophil-related hyperreactivity persists for at least 2 months after MP in atopic individuals.

Related Concept Videos

Atypical Pneumonia01:14

Atypical Pneumonia

Atypical pneumonia, often caused by Mycoplasma pneumoniae, is a form of pulmonary infection that differs from the classical presentation of bacterial pneumonia in both its cause and clinical symptoms. Mycoplasma pneumoniae is a pleomorphic bacterium notable for its lack of a rigid cell wall. This structural characteristic imparts resistance to beta-lactam antibiotics and significantly influences the bacterium’s behavior within the human host.Other pathogens responsible for the disease...
77
Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
69
Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs01:25

Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs

Asthma is a chronic respiratory condition for which new therapeutic avenues, including anti-inflammatory drugs like mast cell stabilizers and anti-IgE treatments, continue to be developed.
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...
2.3K
Asthma III: Clinical Manifestations01:13

Asthma III: Clinical Manifestations

Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...
35
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features01:24

Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features

Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...
28
Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
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.
1.5K