IMMUNOLOGICAL MARKERS OF INFLAMMATION IN PATIENTS WITH ASTHMA WITH SENSITIZATION TO ASPERGILLUS SPP.
DOI: https://doi.org/10.29296/25877305-2021-10-15
Issue:
10
Year:
2021
Objective. To assess the level of traditional and additional markers of inflammation and to
determine the features of the regulation of the immune response in patients with asthma with sensitization
to Aspergillus spp. Materials and methods. The study included 57 patients with asthma without sensitization
to Aspergillus spp., 36 patients with asthma with sensitization to Aspergillus spp., 25 patients with
allergic bronchopulmonary aspergillosis (ABPA), 30 conditionally healthy individuals. The content of thymic
stromal lymphopoietin (TSLP), thymus-associated regulatory chemokine (thymus andactivation-regulated
chemokine; TARC), periostin, IL-8, levels of total IgE and specific IgE to Aspergillus spp. it was
determined in the blood serum by the enzyme immunoassay. Results. In patients with asthma with sensitization
to Aspergillus spp. significantly higher values of total IgE, sIgE to Aspergillus spp., and TARC levels in
blood serum were established in comparison with patients with asthma. In the group of patients with ABPA,
the values of the number of eosinophils, the levels of total IgE, sIgE to Aspergillus spp., TARC, periostin
and IL-8 in the blood serum were significantly higher compared to patients with asthma. Significant
differences in TARC levels were found in ABPA patients and asthma patients with Aspergillus spp
sensitization. TSLP concentrations in the blood serum of the examined groups did not differ. Positive
correlation of sIgE level to Aspergillus spp. with the content of TARC, periostin, IL-8 and the number of
eosinophils, it confirms the importance of these markers in the development of allergic inflammation in
patients with fungal sensitization. Conclusion. Increased levels of TARC and periostin, along with
traditional biomarkers of eosinophilic inflammation, indicate activation of the Th2 type of immune response
in asthma patients with Aspergillus spp sensitization.
Keywords:
pulmonology
markers
Aspergillus spp.
allergic bronchopulmonary aspergillosis
asthma
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