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酶联免疫吸附测定法检测血清嗜酸性粒细胞衍生神经毒素(EDN)在幼儿哮喘中的应用价值。

Utility of serum eosinophil-derived neurotoxin (EDN) measurement by ELISA in young children with asthma.

作者信息

Kim Chang-Keun, Callaway Zak, Park Jin-Sung, Kwon Eunmi

机构信息

Asthma and Allergy Center, Department of Pediatrics, Inje University Sanggye Paik Hospital, Seoul, South Korea.

Asthma and Allergy Center, Department of Pediatrics, Inje University Sanggye Paik Hospital, Seoul, South Korea; School of Biological Sciences, University of Ulsan, Ulsan, South Korea.

出版信息

Allergol Int. 2017 Jan;66(1):70-74. doi: 10.1016/j.alit.2016.05.008. Epub 2016 Jun 18.

Abstract

BACKGROUND

This study was done to compare the efficacy of a recently developed eosinophil-derived neurotoxin (EDN) ELISA kit ("BioTracer™ K EDN ELISA Kit") to a commercially available EDN ELISA kit ("MBL EDN ELISA Kit") and demonstrate the usefulness of serum EDN measurement in young asthmatic children.

METHODS

Forty-eight children with physician-diagnosed asthma (Asthma group) and 31 age-matched normal controls (Control group) were recruited from the Asthma and Allergy Center at Inje University Sanggye Paik Hospital, Seoul, Korea from January 2010 to September of 2012. EDN levels in each serum specimen were measured 2 times using the: 1) BioTracer™ K EDN ELISA Kit and 2) MBL EDN ELISA Kit at the Inje University Sanggye Paik Hospital laboratory. EDN level measurements in each serum specimen were compared.

RESULTS

EDN measurements from the BioTracer™ K EDN ELISA Kit correlated well with those from the MBL EDN ELISA Kit: r = 0.9472 at the Inje University Sanggye Paik Hospital laboratory. These r values were considered both clinically relevant (i.e., r > 0.85) and statistically significant (p < 0.0001). EDN measurements from both kits positively correlated with asthma symptom severity (p < 0.0001). No serious adverse events occurred during the study.

CONCLUSIONS

The BioTracer™ K EDN ELISA Kit was accurate and useful in measuring EDN levels in young asthma patient serum. Because of our kit's distinct advantages and utility, we suggest this kit can be used for the timely diagnosis, treatment, and monitoring of asthma in asthma patients of all ages, especially those too young to perform pulmonary function tests.

摘要

背景

本研究旨在比较一种新开发的嗜酸性粒细胞衍生神经毒素(EDN)酶联免疫吸附测定试剂盒(“BioTracer™ K EDN ELISA试剂盒”)与市售的EDN酶联免疫吸附测定试剂盒(“MBL EDN ELISA试剂盒”)的功效,并证明血清EDN检测在哮喘患儿中的实用性。

方法

2010年1月至2012年9月,从韩国首尔仁济大学桑格白医院哮喘与过敏中心招募了48名经医生诊断为哮喘的儿童(哮喘组)和31名年龄匹配的正常对照儿童(对照组)。在仁济大学桑格白医院实验室使用以下两种方法对每个血清样本中的EDN水平进行了2次测量:1)BioTracer™ K EDN ELISA试剂盒;2)MBL EDN ELISA试剂盒。比较了每个血清样本的EDN水平测量结果。

结果

在仁济大学桑格白医院实验室,BioTracer™ K EDN ELISA试剂盒测得的EDN结果与MBL EDN ELISA试剂盒测得的结果相关性良好:r = 0.9472。这些r值被认为具有临床相关性(即r > 0.85)且具有统计学意义(p < 0.0001)。两种试剂盒测得的EDN结果均与哮喘症状严重程度呈正相关(p < 0.0001)。研究期间未发生严重不良事件。

结论

BioTracer™ K EDN ELISA试剂盒在测量哮喘患儿血清中的EDN水平方面准确且有用。由于我们的试剂盒具有明显优势和实用性,我们建议该试剂盒可用于各年龄段哮喘患者哮喘的及时诊断、治疗和监测,尤其是那些年龄太小无法进行肺功能测试的患者。

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