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Published on: June 4, 2017
Association of urine CC16 and lung function and asthma in Chinese children
Ya-Nan Ma1, Jing Wang, Yungling Leo Lee
1Department of Biostatistics and Epidemiology, School of Public Health, China Medical University, Shenyang, Liaoning Province, PR China.
Insights
Urinary Club cell secretory protein-16 (CC16) levels were lower in Chinese children with asthma. Lower urine CC16 also correlated with reduced lung function, suggesting its potential as a biomarker for pediatric respiratory health.
Area of Science:
- Pediatric Pulmonology
- Biomarkers
- Respiratory Health
Background:
- Serum Club cell secretory protein-16 (CC16) is linked to respiratory diseases.
- Limited research exists on urinary CC16 in relation to respiratory conditions.
Purpose of the Study:
- To investigate the association between urinary CC16 and physician-diagnosed asthma in Chinese children.
- To examine the relationship between urinary CC16 and lung function measurements in this population.
Main Methods:
- Cross-sectional study of 147 children with asthma and 390 healthy children (ages 9-15) in China.
- Measurement of lung function (FEV1, FVC) using spirometers.
- Quantification of urinary CC16 via enzyme-linked immunoassay and assessment using multiple regression models.
Main Results:
- Lower creatinine-adjusted urinary CC16 levels were observed in children with asthma.
- Urinary CC16 showed a significant association with asthma diagnosis (OR 0.782).
- A positive correlation was found between urinary CC16 and forced vital capacity (beta 0.064).
Conclusions:
- Asthmatic children exhibited lower urinary CC16 levels and reduced lung function.
- Urinary CC16 may serve as a valuable biomarker for assessing lung epithelium integrity in pediatric asthma and lung injury.
Background:
Many studies have shown the relationship between serum Club cell secretory protein-16 (CC16) and respiratory diseases. However, little research has been done to study urinary CC16 in relation to respiratory diseases. Our objective was to examine the association of urinary CC16 and physician-diagnosed asthma or lung function measurements in Chinese children.
Methods:
A total of 147 physician-diagnosed children with asthma, ages 9-15 years, were recruited from our cross-sectional study population in northeast China. The 390 healthy children who were not asthmatic and not smokers were selected at random from the population according to 10% proportional sampling. Lung function values, including forced expiratory volume in 1 second and forced vital capacity were measured with two portable spirometers. Urine CC16 was determined by using an enzyme-link immunoassay kit. The relationships between urine CC16 levels and asthma, lung function were assessed by multiple regression models.
Results:
The geometric mean (95% confidence interval [CI]) creatinine-adjusted urine CC16 level was, for creatinine, 9.77 ng/mg (95% CI, 8.12-12.02 ng/mg). After adjustments for sex, age, body mass index, parental education, and smoking status, lower urine CC16 levels were found to be associated with asthma (odds ratio 0.782 [95% CI, 0.617- 0.990]). A positive association was found between urine CC16 and forced vital capacity (beta 0.064 [95% CI, 0.008-0.119]).
Conclusion:
Our study demonstrated lower levels of urine CC16 and lung function in patients with asthma than in those patients without asthma. CC16 in urine may be a useful tool or biomarker for investigating lung epithelium integrity among children with asthma or lung injury.
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