OBJECTIVE: To study the changes and clinical significance of serum levels of 25-(OH)D3 and total IgE in children with asthma. METHODS: Thirty children with asthma, 40 children with asthmatic bronchitis, and 40 healthy children were enrolled. Double-antibody radioimmunoassay was used to detect the levels of serum 25-(OH)D3 and total IgE. RESULTS: Serum 25-(OH)D3 levels (18±3 ng/Ml)decreased significantly in the asthmatic group compared with those in the asthmatic bronchitis group (43±3 ng/mL) and the control group (43±3 ng/mL) (P<0.01). In contrast, serum total IgE levels (192±16 IU/mL) increased significantly in the asthmatic group compared with those in the asthmatic bronchitis group (123±14 IU/mL) and the control group (118±15 IU/mL) (P<0.01). Serum 25-(OH)D3 levels were negatively correlated with serum total IgE levels in asthmatic children (r=-0.783, P<0.01). There were no correlation between serum 25-(OH)D3 levels and serum total IgE level in the asthmatic bronchitis and the control groups. CONCLUSIONS: 25-(OH)D3 may play an important role in the pathogenesis of asthma. The increased serum 25-(OH)D3 level may inhibit total IgE expression, suggesting that increasing serum 25-(OH)D3 level might be a new option for the prevention and treatment of asthma.
Key words
Asthma /
Asthmatic bronchitis /
25-(OH)D3 /
Total IgE /
Child
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References
[1]张建华.支气管哮喘的流行病学及高危因素[J].实用儿科临床杂志,2008,23(4):241-243.
[2]杨锡强.小儿哮喘的免疫学发病机制及其对策[J].中国当代儿科杂志,2001,3(5):487-490.
[3]Barnes PJ.Immunology of asthma and chronic obstructive pulmonary disease[J].Nat Rev Immunol, 2008, 8(3): 183-192.
[4]邹宁,李晓环. 维生素D抵抗研究进展[J].中国儿童保健杂志,2009,17(2):186188.
[5]Matheu V, Bock O, Mondoc E, Issazadeh-Navikas S. Dual effects of vitamin D-induced alteration of Th1/Th2 cytokine expression: enhancing IgE production and decreasing airway eosinophilia in murine allergic airway disease[J].J Allergy Clin Immunol, 2003, 112(3): 585592.
[6]中华医学会儿科学分会呼吸学组,中华医学会《中华儿科杂志》编辑委员会.儿童支气管哮喘防治常规(试行)[J].中华儿科杂志,2004,42(2):100-106.
[7]赵凯,向伟.联合疗法治疗儿童哮喘临床观察[J].中国热带医学,2002,2(4):469-471.
[8]Camargo CA Jr, Rifas-Shiman SL, Litonjua AA, Rich-Edwards JW, Weiss ST, Gold DR, et al. Maternal intake of vitamin D during pregnancy and risk of recurrent wheeze in children at 3 y of age[J].Am J Clin Nutr, 2007, 85(3): 788-795.
[9]张巧玲,周小建,洪建国. 生命早期补充维生素D对哮喘大鼠白细胞介素10和细胞间黏附分子1表达的影响[J].中华儿科杂志,2009,47(10):735-739.
[10]蔡绍曦,高枫,丁彦青,赵海金,李文军,邹飞.维生素D3上调蛋白l在哮喘嗜酸粒细胞中的表达及其与细胞活化的关系[J].中国病理生理杂志,2007,23(6):1120-1124.
[11]范永琛.小儿哮喘与“喘息性支气管炎”的区别[J].中华儿科杂志,2006,44(1):68-70.
[12]Hypp-nen E, Berry DJ, Wjst M, Power C. Serum 25-hydroxyvitamin D and IgE-a significant but nonlinear relationship[J].Allergy, 2009, 64(4): 613-620.
[13]Brehm JM, Celedón JC, Soto-Quiros ME, Avila L, Hunninghake GM, Forno E, et al. Serum vitamin D levels and markers of severity of childhood asthma in Costa Rica[J].Am J Respir Crit Care Med, 2009, 179(9): 765-771.
[14]Daniel C, Sartory NA, Zahn N, Radeke HH, Stein JM. Immune modulatory treatment of trinitrobenzene sulfonic acid colitis with calcitriol is associated with a change of a T helper (Th) 1/Th17 to a Th2 and regulatory T cell profile[J]. J Pharmacol Exp Ther, 2008, 324(1): 23-33.
[15]谢克信,王先峰.支气管哮喘与慢性喘息性支气管炎的鉴别[J].中华现代中西医杂志,2005,3(17):1546.