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Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels
Published on: August 7, 2017
The cytokine interleukin-26 as a biomarker in pediatric asthma
Jon R Konradsen1,2,3, Björn Nordlund2,3,4, Bettina Levänen5
1Clinical Immunology and Allergy Unit, Department of Medicine Solna, Karolinska Institutet and Karolinska University Hospital, SE-171 76, Stockholm, Sweden.
Insights
Interleukin-26 (IL-26) may indicate asthma severity in children without eosinophilic inflammation. Sputum IL-26 levels correlated with disease control and neutrophil counts in this pilot study.
Area of Science:
- Pulmonology
- Immunology
- Biomarker Discovery
Background:
- Investigated the role of Interleukin-26 (IL-26) in pediatric asthma.
- Examined associations between IL-26, disease severity, and Th2 inflammation biomarkers.
- Focused on a cohort of pediatric patients with controlled or uncontrolled asthma.
Discussion:
- Sputum IL-26 protein concentrations correlated with asthma control in children lacking eosinophilic inflammation markers.
- IL-26 levels in sputum were associated with blood neutrophil counts.
- Suggests IL-26's potential as a biomarker for asthma severity in specific pediatric subgroups.
Key Insights:
- IL-26 is a potential indicator of asthma severity in pediatric patients.
- This association is particularly relevant in cases without significant Th2-mediated inflammation (e.g., low exhaled nitric oxide, low blood eosinophils).
- Sputum IL-26 levels reflect disease control and correlate with neutrophil presence.
Outlook:
- Further research is warranted to validate IL-26 as a reliable biomarker for pediatric asthma.
- Exploring the precise mechanisms linking IL-26 to asthma pathophysiology in non-Th2 inflammation.
- Investigating therapeutic strategies targeting IL-26 in specific asthma phenotypes.
Abstract:
In this pilot study, we examined associations between local interleukin (IL)-26, disease severity and biomarkers of Th2-mediated inflammation in a well-defined cohort of pediatric patients (14 years median age, 41 % females) with controlled (n = 28) or uncontrolled (n = 48) asthma. Sputum IL-26 protein concentrations (ELISA) reflected disease control in patients without local (low exhaled nitric oxide) or systemic (low blood eosinophils) signs of eosinophilic inflammation. Moreover, sputum-IL-26 concentrations correlated with those of blood neutrophils. Our study indicates that IL-26 is a potential biomarker of disease severity in pediatric asthma without signs of Th2-mediated inflammation.
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