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Published on: August 7, 2017
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.
Purpose:
Mycoplasma pneumoniae pneumonia (MP) is associated with the exacerbation, timing, and onset of asthma. The goal of this study was to elucidate the impact of MP on eosinophil-related hyper-reactive amplification in atopic children.
Methods:
We studied 48 patients with MP (26 atopic, 22 non-atopic), between 3 and 12 years of age. Serial changes in blood eosinophil counts, serum interleukin-5 (IL-5), and serum eosinophil cationic protein (ECP) levels were measured in atopic and non-atopic children with MP upon admission, recovery, and at 2 months post-recovery. Serum IL-5 and ECP levels were measured by enzyme-linked immunosorbent assays; eosinophil counts were measured using an autoanalyzer.
Results:
Serial changes in serum IL-5, ECP, and total eosinophil counts were significantly higher in atopic patients, relative to non-atopic controls (P≤0.001). Serum IL-5 and ECP levels were significantly higher in atopic patients at all three time points tested, while eosinophil counts were higher in the clinical recovery and follow-up phases, but not in the acute phase. Furthermore, among atopic patients, serum ECP levels were significantly higher in the recovery and follow-up phases than in the acute phase.
Conclusions:
The present study demonstrated significant differences in eosinophil counts, serum IL-5, and serum ECP levels between atopic and non-atopic children with MP at admission, recovery, and 2 months after clinical recovery. These outcomes are suggestive of eosinophil-related hyperreactivity in atopic children, with this status maintained for at least 2 months after MP.
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.
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