Related Experiment Video
Updated: Mar 5, 2026

Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels
Published on: August 7, 2017
IL-23 Gene and Protein Expression in Childhood Asthma
Soheila Alyasin1, Reza Amin, Ali Fazel
1Department of Allergy and Clinical Immunology, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Interleukin-23 (IL-23) serum levels and gene expression were significantly elevated in children with persistent asthma compared to healthy controls. This suggests IL-23 may serve as a diagnostic biomarker for pediatric asthma.
Area of Science:
- Pediatric Pulmonology
- Immunology
- Biomarker Discovery
Background:
- Asthma involves chronic airway inflammation driven by T helper 2 cell cytokines.
- Interleukin-23 (IL-23) is increasingly recognized for its role in adult allergic asthma pathogenesis.
Purpose of the Study:
- To investigate serum IL-23 levels and gene expression in young children with persistent asthma.
- To compare these levels against a control group of healthy children.
Main Methods:
- Enzyme-linked immunosorbent assay (ELISA) and real-time quantitative PCR were used.
- Blood samples from 40 children with persistent asthma (mild/severe) and 34 healthy children were analyzed.
Main Results:
- Significantly higher IL-23 gene expression was observed in children with persistent asthma versus controls (p=0.001).
- IL-23 serum levels were also significantly elevated in asthmatic children compared to controls (p=0.002).
- No significant difference in IL-23 gene expression was found between mild and severe asthma groups.
Conclusions:
- Elevated IL-23 serum levels show potential as an auxiliary diagnostic biomarker for asthma in pre-school children.
- This is particularly relevant when spirometry testing is not feasible.
Related Concept Videos
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma: Pathogenesis and Management
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.
Antiasthma Drugs: Leukotriene Modifiers
Leukotriene modifiers work through two distinct mechanisms:
Asthma-I: Introduction
T Cell Types and Functions
Th1 cells stimulate dendritic cells to express necessary co-stimulatory molecules on their surfaces for...
Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs
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...

