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[儿童急性哮喘发作期血清嗜酸性粒细胞阳离子蛋白、尿嗜酸性粒细胞蛋白X及尿N-甲基组胺]

[Serum eosinophil cationic protein, urinary eosinophil protein X and urinary N-methylhistamine during acute asthma in children].

作者信息

Shirakawa S, Iwasaki E, Miyabayashi Y, Baba M

机构信息

Department of Pediatrics, Doai Memorial Hospital.

出版信息

Arerugi. 1998 Dec;47(12):1240-7.

Abstract

Serum eosinophil cationic protein (ECP), urinary eosinophil protein X (EPX) and urinary N-methylhistamine were investigated in 24 asthmatic children during acute asthma to determine the sequential variation in the parameters. Serum ECP levels and urinary EPX levels were high during acute asthma, and decreased gradually with improvement of acute asthma, however, these levels of eosinophil drived proteins were significantly higher than those in non-atopic children. There was no significant variation of urinary NMH levels. Significant inverse correlation was found between lung function and urinary EPX level. The present study suggests that serum ECP and urinary EPX may be useful for monitoring airway inflammation during acute asthma, and activation of eosinophils may persist after improvement of acute asthma.

摘要

对24名哮喘儿童在急性哮喘发作期间的血清嗜酸性粒细胞阳离子蛋白(ECP)、尿嗜酸性粒细胞蛋白X(EPX)和尿N-甲基组胺进行了研究,以确定这些参数的顺序变化。急性哮喘发作期间血清ECP水平和尿EPX水平较高,并随着急性哮喘的改善而逐渐下降,然而,这些嗜酸性粒细胞衍生蛋白的水平显著高于非特应性儿童。尿NMH水平没有显著变化。肺功能与尿EPX水平之间存在显著的负相关。本研究表明,血清ECP和尿EPX可能有助于监测急性哮喘发作期间的气道炎症,并且嗜酸性粒细胞的激活在急性哮喘改善后可能持续存在。

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