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[哮喘患儿血清和痰液中半乳糖凝集素-7水平]

[Levels of Galectin-7 in serum and sputum in children with asthma].

作者信息

Xu Y L, Liu C H, Liu J R, Tian J, Zhao S Y

机构信息

Department Ⅱ of Respiratory Medicine, National Clinical Research Center for Respiratory Diseases, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China.

Department of Allergy, Children's Hospital, Capital Institute of Pediatrics, Beijing 100020, China.

出版信息

Zhonghua Er Ke Za Zhi. 2024 Jun 2;62(6):542-547. doi: 10.3760/cma.j.cn112140-20240126-00077.

Abstract

To observe the expression of Galectin-7 in the serum and sputum of asthmatic children and to explore its significance in asthmatic children. The study prospectively case-control selected 183 children diagnosed with bronchial asthma at Department Ⅱ of Respiratory Medicine, National Clinical Research Center for Respiratory Diseases, Beijing Children's Hospital of Capital Medical University. The control group consisted of 41 children with other bronchial diseases and 43 healthy children. Children in the asthma group were divided into acute and non-acute exacerbation groups. Acute exacerbation group was divided as mild acute, moderate acute and severe acute groups; non-acute exacerbation group was divided as mild persistent, moderate persistent and severe persistent groups. Children without acute exacerbation asthma in the asthma group were divided into high and low Galectin-7 groups based on median serum Galectin-7 levels. Serum and sputum were collected, Galectin-7 levels were measured using enzyme-linked immunosorbent assay. The study compared and analyzed the differences in Galectin-7 levels between children with asthma and the control groups using Mann-Whitney test or the Kruskal-Wallis or the Chi-square test for inter-group comparisons. Among 183 children, 61 cases had acute asthma exacerbation, and 122 cases had persistent asthma without acute exacerbation. The asthma group comprised 110 males and 73 females. The control group consisted of 41 children with other bronchial diseases, including 24 cases of bronchiectasis and 17 cases of obliterans bronchitis. The control group comprised 26 males and 15 females. Forty-three healthy children who underwent physical examination, including 22 males and 21 females. The levels of Galectin-7 in serum were significantly higher in children with an acute asthma exacerbation than that of healthy children (0.1 (0, 0.7) . 0 (0, 0.2) μg/L, =2.09, =0.001). Galectin-7 levels in sputum were higher in children with an acute asthma exacerbation than that in children with other bronchial diseases (1.2 (0.1,3.7) . 0.4 (0.1, 1.5) μg/L, =2.20, <0.001). Serum Galectin-7 levels were significantly higher in children with persistent asthma compared to children with other bronchial diseases and healthy children (0.6 (0.3, 1.2) . 0.1 (0, 0.5) and 0 (0, 0.2) μg/L, =-6.127.63, both <0.001), and the levels were significantly and positively correlated with asthma severity (=0.77, <0.001), disease duration (=0.34, =0.001), and number of previous attacks (=0.51, <0.001). There were 61 children in the high-Galectin-7 group and 61 children in the low-Galectin-7 group. Children with high Galectin-7 had more asthma triggers, a greater proportion with a positive family history, more previous asthma attacks, longer duration of asthma, and higher serum total IgE levels compared to those with low Galectin-7 (=9.30, 22.46, =5.06, 3.57, 2.31, all <0.05). The expression of Galectin-7 is found to be elevated in the serum and sputum of asthmatic children and correlated with asthma conditions.

摘要

观察哮喘儿童血清和痰液中半乳糖凝集素-7(Galectin-7)的表达,并探讨其在哮喘儿童中的意义。本研究前瞻性病例对照选取了首都医科大学附属北京儿童医院国家呼吸系统疾病临床医学研究中心呼吸二科诊断为支气管哮喘的183例儿童。对照组包括41例其他支气管疾病患儿和43例健康儿童。哮喘组患儿分为急性加重组和非急性加重组。急性加重组又分为轻度急性、中度急性和重度急性组;非急性加重组分为轻度持续、中度持续和重度持续组。哮喘组中无急性加重的哮喘患儿根据血清Galectin-7水平中位数分为高Galectin-7组和低Galectin-7组。收集血清和痰液,采用酶联免疫吸附测定法检测Galectin-7水平。本研究采用Mann-Whitney检验、Kruskal-Wallis检验或卡方检验对哮喘患儿与对照组之间Galectin-7水平的差异进行组间比较分析。183例患儿中,61例有哮喘急性发作,122例为无急性发作的持续性哮喘。哮喘组男110例,女73例。对照组包括41例其他支气管疾病患儿,其中支气管扩张症24例,闭塞性细支气管炎17例。对照组男26例,女15例。43例健康体检儿童,男22例,女21例。哮喘急性发作患儿血清Galectin-7水平显著高于健康儿童(0.1(0,0.7)μg/L对0(0,0.2)μg/L,Z = 2.09,P = 0.001)。哮喘急性发作患儿痰液中Galectin-7水平高于其他支气管疾病患儿(1.2(0.1,3.7)μg/L对0.4(0.1,1.5)μg/L,Z = 2.20,P < 0.001)。持续性哮喘患儿血清Galectin-7水平显著高于其他支气管疾病患儿和健康儿童(0.6(0.3,1.2)μg/L对0.1(0,0.5)μg/L和0(0,0.2)μg/L,Z = -6.12、Z = 7.63,P均< 0.001),且其水平与哮喘严重程度(r = 0.77,P < 0.001)、病程(r = 0.34,P = 0.001)及既往发作次数(r = 0.51,P < 0.001)呈显著正相关。高Galectin-7组和低Galectin-7组各61例患儿。与低Galectin-7患儿相比,高Galectin-7患儿有更多的哮喘诱发因素、更高比例的阳性家族史、更多的既往哮喘发作、更长的哮喘病程及更高的血清总IgE水平(χ² = 9.30、χ² = 22.46、Z = 5.06、Z = 3.57、Z = 2.31,P均< 0.05)。研究发现哮喘儿童血清和痰液中Galectin-7表达升高,且与哮喘病情相关。

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