Department of Pediatrics, Unit of Pediatric Genetics and Immunology, University of Messina, Messina, Italy.
Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Cytokine. 2017 Nov;99:43-49. doi: 10.1016/j.cyto.2017.07.002. Epub 2017 Jul 10.
Although several studies suggest a possible link between dyslipidemia and atopy, literature findings are still unclear.
The aim of the study was to investigate the relationship between dyslipidemia and atopy in a pediatric population affected by dyslipidemia or dyslipidemia/atopic predisposition.
Children with dyslipidemia, dyslipidemia and atopy as well as healthy children were recruited. Serum total IgE, IL-10, IL-17, and IL-23 levels as well as fasting lipid values (total cholesterol, LDL, HDL and triglycerides) were performed on all enrolled children.
The present study evaluated 23 patients affected by dyslipidemia, 26 patients affected by atopy and dyslipidemia and, 22healthy children. Serum total IgE levels significantly related also with serum cholesterol levels: positively with total cholesterol (p<0.05), LDL (p<0.05), and tryglicerides (p<0.001), but negatively with HDL (p<0.05). Serum levels of IL-10 were lower in children with atopy and dyslipidemia than patients with dyslipidemia (p<0.001). Serum IL-10 levels significantly related also with serum cholesterol levels: negatively with total cholesterol (p<0.001), LDL (p<0.05), and triglycerides (p<0.05), but positively with HDL (p<0.05). Serum IL-17 and IL-23 levels showed the same trend. They were significantly higher in children with atopy and dyslipidemia than patients with dyslipidemia (p<0.001). In particular, serum IL-17 and IL-23 values positively correlated with serum total IgE levels (p<0.05); serum total cholesterol levels (p<0.001); serum LDL levels (p<0.001); serum triglycerides levels (p<0.05). Although not statistically significant, an inverse correlation has been noted between serum IL-17, IL-23 and HDL levels.
These findings support the notion that dyslipidemia and atopic predisposition share the same immune pathways as well as they offer new insights in the complex crosstalk between hyperlipidemia and atopy.
尽管有几项研究表明血脂异常与特应性之间可能存在关联,但文献结果仍不清楚。
本研究旨在调查血脂异常儿童以及血脂异常/特应性倾向儿童中血脂异常与特应性之间的关系。
招募了血脂异常、血脂异常和特应性以及健康儿童。对所有入组儿童进行血清总 IgE、IL-10、IL-17 和 IL-23 水平以及空腹血脂值(总胆固醇、LDL、HDL 和甘油三酯)。
本研究评估了 23 例血脂异常患儿、26 例血脂异常和特应性患儿和 22 例健康儿童。血清总 IgE 水平与血清胆固醇水平呈正相关:与总胆固醇(p<0.05)、LDL(p<0.05)和甘油三酯(p<0.001),但与 HDL(p<0.05)呈负相关。特应性和血脂异常患儿的血清 IL-10 水平低于血脂异常患儿(p<0.001)。血清 IL-10 水平与血清胆固醇水平呈负相关:与总胆固醇(p<0.001)、LDL(p<0.05)和甘油三酯(p<0.05),但与 HDL(p<0.05)呈正相关。血清 IL-17 和 IL-23 水平呈相同趋势。特应性和血脂异常患儿的血清 IL-17 和 IL-23 水平明显高于血脂异常患儿(p<0.001)。特别是,血清 IL-17 和 IL-23 值与血清总 IgE 水平(p<0.05);血清总胆固醇水平(p<0.001);血清 LDL 水平(p<0.001);血清甘油三酯水平(p<0.05)呈正相关。尽管没有统计学意义,但观察到血清 IL-17、IL-23 与 HDL 水平之间存在负相关。
这些发现支持这样一种观点,即血脂异常和特应性倾向具有相同的免疫途径,并为高脂血症和特应性之间的复杂相互作用提供了新的见解。