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Serum periostin in obstructive airways disease.
James Fingleton1, Irene Braithwaite2, Justin Travers3
1Medical Research Institute of New Zealand, Wellington, New Zealand Capital and Coast District Health Board, Wellington, New Zealand Victoria University of Wellington, Wellington, New Zealand james.fingleton@mrinz.ac.nz.
Serum periostin, a biomarker for type 2 inflammation in asthma, shows a skewed distribution in adults with airflow obstruction. Inhaled corticosteroid therapy significantly reduced periostin levels.
Area of Science:
- Respiratory Medicine
- Biomarkers
- Immunology
Background:
- Asthma is characterized by type 2 inflammation.
- Serum periostin is investigated as a potential biomarker for treatment response in asthma.
- Understanding periostin's role in airflow obstruction is crucial.
Purpose of the Study:
- To determine serum periostin distribution in adults with symptomatic airflow obstruction.
- To examine associations between periostin and type 2 biomarkers.
- To assess the impact of inhaled corticosteroids (ICS) on serum periostin levels.
Main Methods:
- Cross-sectional study of 386 adults (18-75 years) with wheeze/breathlessness.
- Serum periostin levels measured.
- Analysis of associations with exhaled nitric oxide, blood eosinophils, and total IgE.
- Intervention study in 49 ICS-naïve patients treated with budesonide.
Main Results:
- Serum periostin levels exhibited a right-skewed distribution (median 54.0 ng/mL).
- Periostin showed weak positive associations with exhaled nitric oxide, blood eosinophil count, and total IgE.
- ICS therapy significantly reduced serum periostin levels by -4.8 ng/mL.
Conclusions:
- Serum periostin distribution data is provided for adults with symptomatic airflow obstruction.
- Periostin has weak associations with established type 2 biomarkers.
- Inhaled corticosteroid treatment effectively reduces serum periostin levels in asthma.
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