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Published on: August 7, 2017
Serum CDC42 reflects the exacerbation risk and severity, Th1/2 cell imbalance and inflammation in asthmatic children
Ning Yang1, Jielin Gao2, Yanjun Han1
1Department of Pediatrics, Infection & Digestion, Xingtai People's Hospital, Xingtai, Hebei, 054031, China.
Insights
Serum CDC42 levels are elevated in children with asthma, particularly during exacerbations. Higher CDC42 indicates increased asthma severity, inflammation, and a skewed Th1/Th2 immune response.
Area of Science:
- Immunology
- Pediatric Pulmonology
- Molecular Biology
Background:
- Asthma is a chronic respiratory disease characterized by airway inflammation and immune dysregulation.
- Cell division control protein 42 (CDC42) is involved in cellular signaling pathways relevant to immune responses.
- Understanding biomarkers for asthma exacerbations and immune status in children is crucial for effective management.
Purpose of the Study:
- To investigate the clinical significance of serum CDC42 levels in pediatric asthma.
- To correlate CDC42 concentrations with asthma exacerbation status, severity, and immune profiles in children.
Main Methods:
- Enzyme-linked immunosorbent assay (ELISA) was used to quantify serum CDC42 levels.
- Study included 80 asthmatic children during exacerbation, 80 in remission, and 40 healthy controls.
- Correlations were analyzed between CDC42 levels and clinical parameters, including exacerbation severity and Th1/Th2 cytokine profiles.
Main Results:
- Serum CDC42 levels were significantly higher in asthmatic children experiencing exacerbation, followed by those in remission, and healthy controls (p < 0.001).
- In exacerbating asthmatic children, CDC42 positively correlated with exacerbation severity, Th2, TNF-α, IL-6, and IL-8, and negatively with the Th1/Th2 ratio.
- In children with asthma in remission, CDC42 correlated with a lower Th1/Th2 ratio and higher TNF-α.
Conclusions:
- Circulating CDC42 serves as a potential biomarker reflecting exacerbation risk in pediatric asthma.
- Serum CDC42 levels are associated with Th1/Th2 immune imbalance and systemic inflammation in asthmatic children.
- CDC42 may play a role in the pathogenesis or reflect the inflammatory state of childhood asthma.
Abstract:
Aim: To explore the clinical implication of serum CDC42 in asthmatic children. Materials & methods: Serum CDC42 from 80 asthmatic children experiencing exacerbation, 80 asthmatic children in remission and 40 healthy controls was detected by ELISA. Results: CDC42 was highest in asthmatic children experiencing exacerbation followed by asthmatic children in remission and healthy controls (p < 0.001). Among asthmatic children experiencing exacerbation, CDC42 positively correlated with exacerbation severity (p = 0.011), Th2 (p = 0.017), TNF-α (p < 0.001), IL-6 (p = 0.009) and IL-8 (p = 0.008) and negatively correlated with Th1/Th2 ratio (p = 0.028). In asthmatic children in remission, CDC42 correlated with lower Th1/Th2 ratio (p = 0.028) and higher TNF-α (p = 0.026). In healthy controls, CDC42 showed no correlation with Th1/2 or inflammatory cytokines. Conclusion: Circulating CDC42 reflects exacerbation risk, Th1/2 imbalance and inflammation in asthmatic children.
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