Measurement of eosinophils and interleukin-17 in nasopharyngeal secretions of children under 5 years old with wheezing

WANG Xiu-Fang, YANG Jin-Ling, QIAO Jun-Ying, ZHANG Yan-Li

Chinese Journal of Contemporary Pediatrics ›› 2010, Vol. 12 ›› Issue (2) : 113-116.

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Chinese Journal of Contemporary Pediatrics ›› 2010, Vol. 12 ›› Issue (2) : 113-116.
CLINICAL RESEARCH

Measurement of eosinophils and interleukin-17 in nasopharyngeal secretions of children under 5 years old with wheezing

  • WANG Xiu-Fang, YANG Jin-Ling, QIAO Jun-Ying, ZHANG Yan-Li
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Abstract

OBJECTIVE: To study the value of eosinophils (EOS) and interleukin-17 (IL-17) in nasopharyngeal secretions in the evaluation of progress of wheezing in children under 5 years old. METHODS: Fifty-three children under five years old who had recurrent wheezing were classified into two groups: wheezing group I with atopic body (n=27) and wheezing group II without atopic body (n=26). Twenty pre-surgical children with non-infectious disease were used as the control group. Nasopharyngeal secretions were collected. Inflammatory cells in nasopharyngeal secretions were counted under the microscope. IL-17 levels in supernatants were measured using ELISA. RESULTS: EOS counts in nasopharyngeal secretions in wheezing group I were significantly higher than those in wheezing group II and the control group (P<0.05, P<0.01, respectively). There were no significant differences in EOS counts between wheezing II and the control groups. The IL-17 levels in both wheezing groups were significantly higher than those in the control group (P<0.01), and the wheezing group I had increased IL-17 levels than wheezing group II (1 474±974 pg/mL vs 788±132 pg/mL; P<0.05). The IL-17 level was positively correlated with the EOS counts in wheezing group I (r=0.62, P<0.05). CONCLUSIONS: EOS counts and IL-17 levels in nasopharyngeal secretions may be used as indices for identifying the tendency to develop asthma in children under 5 years old with wheezing.[Chin J Contemp Pediatr, 2010, 12 (2):113-116]

Key words

Wheezing / Nasopharyngeal secretion / Interleukin-17 / Eosinophil / Child

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WANG Xiu-Fang, YANG Jin-Ling, QIAO Jun-Ying, ZHANG Yan-Li. Measurement of eosinophils and interleukin-17 in nasopharyngeal secretions of children under 5 years old with wheezing[J]. Chinese Journal of Contemporary Pediatrics. 2010, 12(2): 113-116

References

[1]中华医学会儿科学会呼吸学组,《中华儿科杂志》编辑委员会.儿童支气管哮喘诊断与防治指南[J].中华儿科杂志,2008,46(10):745-753.
[2]Amado MC, Portnoy JM. Diagnosing in asthma in young children[J]. Curr Opin  Allergy Clin Immunol, 2006, 6(2):101-105.
[3]Moore WC, Peters SP. Severe asthma: an overview[J].J Allergy Clin Immunol, 2006, 117(3):487-494.
[4]Gibson PG, Henry RL, Thomas P. Noninvasive assessment of airway inflammation in children: induced sputun, exhaled nitric oxide, and breath condensate[J]. Eur Respir J, 2000, 16(5):1008-1015.
[5]Wilson NM, Bridge P, Spanevello A, Silverman M. Induced sputun in children: feasibility, repeatability and relation of findings to asthma severity[J]. Thorax, 2000, 55(9): 768-774.
[6]李素芬,彭子军,刘传合.哮喘儿童鼻咽分泌物嗜酸性粒细胞的变化及其临床意义[J].广西医科大学学报,2008, 25(2):260-261.
[7]Henness S, van Thoor E, Ge Q, Armour CL, Hughes JM, Ammit AJ. IL-17A act via p38 MAPK to increase stability of TNF-alpa-induced Il-8 mRNA in human ASM[J].Am J Physiol Lung cell Mol Physiol, 2006, 290(6):L1283-1290.
[8]Murphy KR, Berger WE. The variability of asthma[J].Curr Med Res Opin, 2005, 21(10):1519-1526.
[9]Nagayama Y, Tsubaki T, Toba T, Nakayama S, Kiyofumi O. Analysis of sputun taken from wheezy and asthmatic infants and children, with special reference to respiratory infections[J].Pediatr Allergy Immunol, 2001, 12(6):318-326.
[10]Castro-Rodriguez  JA, Ramirez  AM, Toche  P, Pavon D, Perez MA, Girardi G, et al. Clinical, functional, and epidemiological differences between atopic and nonatopic asthmatic children from a tertiary care hospital in a developing country[J]. Ann Allergy Asthma Immunol, 2007, 98(3):239-244.
[11]Molet S, Hamid Q, Davoine F, Nutku E, Taha R, Page N, et al. IL-17 is increased in asthmatic airways and induces human bronchial fibroblasts to produce cytokines[J].J Allergy Clin Immunol, 2001, 108(3):430-438.
[12]Yasui K, Kobayashi N, Yamazaki T, Koike K, Fukushima K, Taniuchi S, et al. Neutrophilis inflammation in childhood bronchial asthma[J]. Thorax, 2005, 60(8):704-707.
[13]Jarjour NN, Gern JE, Kelly EA, Swenson CA, Dick CR, Busse WW. The effect of an experimental rhinovirus 16 infection on bronchial lavage neutrophils[J]. J Allergy Clin Immunol, 2000, 105(6 Pt 1):1169-1177.
[14]易阳,周国平,钟闻艳,钱金强,李春华,郭宁,等.中性粒细胞、白介素-8和弹性蛋白酶在急性毛细支气管炎发病中的作用[J].临床儿科杂志, 2009, 27(2):148-151.
[15]Wiehler S, Proud D.Interleukin-17A modulates human airway epithelial responses to human rhinovirus infection[J]. Am J Physiol Lung Cell Mol Physiol, 2007, 293(2):L505-515.

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