Functional analysis and evaluation of respiratory cilia in healthy Chinese children.


Journal

Respiratory research
ISSN: 1465-993X
Titre abrégé: Respir Res
Pays: England
ID NLM: 101090633

Informations de publication

Date de publication:
09 Oct 2020
Historique:
received: 09 06 2020
accepted: 10 09 2020
entrez: 10 10 2020
pubmed: 11 10 2020
medline: 6 8 2021
Statut: epublish

Résumé

To aid in the diagnosis of Primary Ciliary Dyskinesia (PCD) and to evaluate the respiratory epithelium in respiratory disease, normal age-related reference ranges are needed for ciliary beat frequency (CBF), beat pattern and ultrastructure. Our aim was to establish reference ranges for healthy Chinese children. Ciliated epithelial samples were obtained from 135 healthy Chinese children aged below 18 years by brushing the inferior nasal turbinate. CBF and beat pattern were analysed from high speed video recordings. Epithelial integrity and ciliary ultrastructure were assessed using transmission electronic microscopy. The mean CBF from 135 children studied was 10.1 Hz (95% CI 9.8 to 10.4). Approximately 20% (ranged 18.0-24.2%) of ciliated epithelial edges were found to have areas of dyskinetically beating cilia. Normal beat pattern was observed in ciliated epithelium from all subjects. We did not find any effect of exposure to second hand smoke on CBF in our subjects. Microtubular defects were found in 9.3% of all of the cilia counted in these children, while other ciliary ultrastructural defects were found in less than 3%. We established the reference range for CBF, beat pattern and ultrastructure in healthy Chinese children. Using similar methodology, we found a lower overall mean CBF than previously obtained European values. This study highlights the need to establish normative data for ciliary function in different populations.

Sections du résumé

BACKGROUND BACKGROUND
To aid in the diagnosis of Primary Ciliary Dyskinesia (PCD) and to evaluate the respiratory epithelium in respiratory disease, normal age-related reference ranges are needed for ciliary beat frequency (CBF), beat pattern and ultrastructure. Our aim was to establish reference ranges for healthy Chinese children.
METHODS METHODS
Ciliated epithelial samples were obtained from 135 healthy Chinese children aged below 18 years by brushing the inferior nasal turbinate. CBF and beat pattern were analysed from high speed video recordings. Epithelial integrity and ciliary ultrastructure were assessed using transmission electronic microscopy.
RESULTS RESULTS
The mean CBF from 135 children studied was 10.1 Hz (95% CI 9.8 to 10.4). Approximately 20% (ranged 18.0-24.2%) of ciliated epithelial edges were found to have areas of dyskinetically beating cilia. Normal beat pattern was observed in ciliated epithelium from all subjects. We did not find any effect of exposure to second hand smoke on CBF in our subjects. Microtubular defects were found in 9.3% of all of the cilia counted in these children, while other ciliary ultrastructural defects were found in less than 3%.
CONCLUSIONS CONCLUSIONS
We established the reference range for CBF, beat pattern and ultrastructure in healthy Chinese children. Using similar methodology, we found a lower overall mean CBF than previously obtained European values. This study highlights the need to establish normative data for ciliary function in different populations.

Identifiants

pubmed: 33036612
doi: 10.1186/s12931-020-01506-w
pii: 10.1186/s12931-020-01506-w
pmc: PMC7545929
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

259

Subventions

Organisme : Health and Medical Research Fund
ID : HMRF No.02133316

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Auteurs

So-Lun Lee (SL)

Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, HKSAR, China. slleem@hku.hk.
Department of Paediatrics and Adolescent Medicine, Duchess of Kent Children's Hospital, HKSAR, China. slleem@hku.hk.

Christopher O'Callaghan (C)

Respiratory, Critical Care and Anaesthesia, UCL Great Ormond Street Institute of Child Health and GOSH NIHR BRC, London, UK.

Yu-Lung Lau (YL)

Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, HKSAR, China.

Chun-Wai Davy Lee (CD)

Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, HKSAR, China.

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Classifications MeSH