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KMID : 1143120220120030025
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Asia Pacific Allergy
2022 Volume.12 No. 3 p.25 ~ p.25
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Increase in eosinophil-derived neurotoxin level in school children with allergic disease
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Kim Chang-Keun
Kang Dong-Yoon
Callaway Zak
Kim Kyoung-Soo
Kwon Eun-Mi
Yamaide Fumiya
Nakano Taiji
Suzuki Yoichi
Mashimo Yoichi
Hata Akira
Okamoto Yoshitaka
Shimojo Naoki
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Abstract
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Background: Eosinophils are major effector cells of allergic disease and excellent markers of eosinophilic inflammation. Accurate and reliable biomarkers are helpful in the diagnosis, treatment, and control of allergic disease.
Objective: This study aimed to investigate an alternate marker of eosinophilic inflammation, eosinophil-derived neurotoxin (EDN), in a number of allergic diseases.
Methods: Three hundred ninety-six elementary school-age children with various allergic conditions were recruited for this study. Subgroups included food allergies (FAs), atopic dermatitis (AD), bronchial asthma (BA), and allergic rhinitis (AR). EDN levels in these groups were compared to those in 93 healthy controls (HC).
Results: All subjects with allergic disease had elevated levels of serum EDN (median [interquartile range]: FA, 124.2 ng/mL [59.13?160.5 ng/mL]; AD, 110.8 ng/mL [57.52?167.9 ng/mL]; BA, 131.5 ng/mL [60.60?171.0 ng/mL]; AR, 91.32 ng/mL [46.16?145.0 ng/mL]) compared to HC (38.38 ng/mL [32.40?55.62 ng/mL]) (p < 0.0001). These elevated levels were consistent throughout the age range (6?12 years) of the healthy study subjects (p = 0.0679). EDN levels also correlated well with total immunoglobulin E (Rs = 0.5599, p < 0.0001). Looking at all individuals with an allergic disease, the area under the curve was 0.790.
Conclusions: Direct measures of eosinophilic inflammation are needed for accurate diagnosis, treatment, and monitoring of allergic diseases. EDN may be a worthy biomarker of eosinophil activity and a useful screening tool for allergic diseases including FA, AD, BA, and AR.
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KEYWORD
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Food allergy, Atopic dermatitis, Bronchial asthma, Allergic rhinitis, Biomarkers, Eosinophil-derived neurotoxin
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