Serum eosinophil-derived neurotoxin: correlation with persistent airflow limitation in adults with house-dust mite allergic asthma.

Abstract

BACKGROUND:

The serum level of eosinophil-derived neurotoxin (EDN), a protein present in eosinophil granules, correlates with the severity of childhood asthma. However, the relationship between the serum EDN level and the severity of adult asthma has not been sufficiently investigated.

OBJECTIVE:

This study aimed to elucidate the correlation between the serum EDN level and markers of severity in adult asthma.

METHODS:

The subjects comprised 83 adult patients who had asthma and who were undergoing treatment. Of these patients, 40 were positive for house-dust-specific immunoglobulin E (IgE) antibodies; 9 patients with severe adult asthma who were treated with omalizumab were included in the study. We measured the blood eosinophil count, serum EDN, and eosinophil cationic protein levels before investigating the correlations of these parameters with lung function and symptom score.

RESULTS:

There were no significant correlations between the blood eosinophil count or serum EDN or eosinophil cationic protein level with lung function and the symptom score in patients with asthma. However, serum EDN level was inversely correlated with the decrease percentage forced expiratory volume in 1 second (%FEV1) in patients positive for house-dust-specific IgE antibody (R = -0.54; p < 0.05), whereas no such correlation was observed in patients with negative results for house-dust-specific IgE antibody (R = 0.11; p = 0.468). A significant correlation was observed between a decrease in serum EDN level from baseline and lung function improvement after 8 weeks of omalizumab therapy (R = -0.77; p = 0.015).

CONCLUSION:

Serum EDN level may be a useful marker for monitoring persistent airflow limitation in adult patients with asthma who had positive results for house-dust-specific IgE antibodies.

• Authors: Yasuhiro Gon, Reiko Ito, Tomohiro Hattori, Hisato Hiranuma, Fumio Kumasawa, Yutaka Kozu, Daisuke Endo, Daisuke Koyama, Yoshitaka Shintani, Tsuboi Eriko, Kaori Soda, Shuichiro Maruoka, Shu Hashimoto
• Journal: Allergy and asthma proceedings (Allergy Asthma Proc) 2015 Nov-Dec Vol. 36 Issue 6 Pg. e113-20 ISSN: 1539-6304 [Electronic] United States
• PMID: 26534742 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Anti-Asthmatic Agents
• Biomarkers
• Omalizumab
• Eosinophil-Derived Neurotoxin
• Eosinophil Cationic Protein

Topics

• Animals
• Anti-Asthmatic Agents (therapeutic use)
• Asthma (blood, diagnosis, etiology, physiopathology, therapy)
• Biomarkers
• Cross-Sectional Studies
• Eosinophil Cationic Protein (blood)
• Eosinophil-Derived Neurotoxin (blood)
• Female
• Humans
• Male
• Middle Aged
• Omalizumab (therapeutic use)
• Pyroglyphidae (immunology)
• Respiratory Function Tests
• Risk Factors
• Severity of Illness Index
• Treatment Outcome