Type 2 Inflammatory Biomarker Response After Exercise Challenge Testing.

asthma biomarkers exercise inflammation

Journal

Journal of asthma and allergy
ISSN: 1178-6965
Titre abrégé: J Asthma Allergy
Pays: New Zealand
ID NLM: 101543450

Informations de publication

Date de publication:
2020
Historique:
received: 16 04 2020
accepted: 23 06 2020
entrez: 9 9 2020
pubmed: 10 9 2020
medline: 10 9 2020
Statut: epublish

Résumé

Exercise-induced bronchoconstriction is due to osmotic stimulus of the airway epithelium and leads to a cascade of biomarker release from several inflammatory cells. Several type 2 (T2) mediators have been linked to exercise-induced bronchoconstriction, but the T2 response per se has not been described during exercise. The aim of this study was therefore to investigate T2 biomarkers in plasma and urine from subjects with asthma and healthy controls before and after an exercise challenge. Twenty-two subjects with mild asthma and 18 healthy controls performed an exercise challenge test on a treadmill, and fractional exhaled NO (FeNO) was measured at baseline. Blood and urine samples were collected repeatedly during 60 min after the test and Interleukin-13 (IL-13), thymus and activation-related chemokine (TARC), periostin and leukotrienes were measured. Asthmatics and controls showed similar levels of IL-13, TARC, periostin and Cys-LT in plasma at baseline, and there were no differences in baseline levels between subjects with a negative and positive exercise challenge. After exercise, there was an overall increase in interleukin-13 (IL-13) in plasma in all subjects (p<0.001), with a peak at 10 min after the exercise challenge in both the asthmatic and control group. An increase in TARC in plasma was also seen (p<0.001), but only in the control subjects. In contrast, Cys-LT in plasma showed an overall decrease in all subjects (p<0.001), while periostin in plasma did not change. In conjunction with plasma, the level of IL-13 was increased in urine 30 min after the exercise challenge (p=0.002) and decreased again at 60 min (p=0.004). Similarly, leukotriene E In conclusion, circulating levels of IL-13 are increased after exercise to the same extent in asthmatics and healthy control subjects, which indicates a physiological rather than a pathophysiological response. Also, the levels of TARC and leukotrienes were affected after exercise.

Identifiants

pubmed: 32904520
doi: 10.2147/JAA.S258561
pii: 258561
pmc: PMC7455603
doi:

Types de publication

Journal Article

Langues

eng

Pagination

269-274

Informations de copyright

© 2020 Tufvesson et al.

Déclaration de conflit d'intérêts

None of the authors have any conflicts of interest related to the manuscript content.

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Auteurs

Ellen Tufvesson (E)

Respiratory Medicine and Allergology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.

Henning Stenberg (H)

Respiratory Medicine and Allergology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.

Jaro Ankerst (J)

Respiratory Medicine and Allergology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.

Leif Bjermer (L)

Respiratory Medicine and Allergology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.

Classifications MeSH