Circulating adhesion molecules in sera of asthmatic children before and after steroid therapy
Authors: Kose, Suna1; Karaman, Ozkan1; Islekel, Huray2; Uzuner, Nevin1; Babayigit, Arzu1; Olmez, Duygu1; Altun, Zekiye2; Turgut, Sule1; Tezcan, Dilek1
Source: Allergy and Asthma Proceedings, Volume 28, Number 2, March-April 2007 , pp. 199-203(5)
Publisher: OceanSide Publications, Inc
Abstract:
The aim of this study was to evaluate respiratory function tests, total eosinophil counts, serum immune globulin E (IgE), and serum concentrations of soluble intercellular adhesion molecule (sICAM)1, soluble vascular cell adhesion molecule (sVCAM) 1, and soluble P-selectin (sP-selectin) levels in the children with mild and/or moderate asthma before and 3 months after inhaled steroids and to determine whether adhesion molecule levels showed any difference between asthmatic and healthy children and whether these levels changed with disease activity. A total of 28 children with bronchial asthma and 24 children as a control group were included in the study. All of the patients in the study group were administered inhaled budesonide treatment. The patients were reevaluated 3 months later. Respiratory functions tests were performed and total eosinophil count and serum total IgE level were determined. Serum levels of sICAM-1, sVCAM-1, and sP-selectin were determined and skin-prick tests were performed. Significant difference paralleled to clinical improvement was found in the study group for respiratory function tests, total eosinophil count, serum IgE level, and sICAM-1 levels determined before and after the treatment. However, no significant difference was found for sP-selectin and sVCAM-1 levels before and after the treatment. The higher level of sICAM-1 before the treatment suggests that leukocyte-endothelial adhesion have a role in bronchial asthma, which is an inflammatory airway disease. Reduction in the level of sICAM-1 after the treatment may be related to the decreased inflammation in response to therapy. However, no strong relationships were found between the determinants representing the inflammation and respiratory function tests.Keywords: ADHESION MOLECULE; ASTHMA; CHILDREN; ICAM-1; INHALED STEROID; VCAM-1; P-SELECTIN
Document Type: Research article
DOI: 10.2500/aap.2007.28.2944
Affiliations: 1: Department of Pediatrics, Division of Allergy, Dokuz Eylul University Medical Faculty, Izmir, Turkey 2: Department of Biochemistry, Dokuz Eylul University Medical Faculty, Izmir, Turkey

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