DIAGNOSTIC VALUE OF IMMUNOLOGICAL MARKERS OF ALLERGIC BRONCHOPULMONARY ASPERGILOSIS IN PATIENTS WITH ASTHMA

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Abstract

Allergic bronchopulmonary aspergillosis (ABPA) is a severe lung disease caused by hypersensitivity to Aspergillus spp. The search for new diagnostic markers is essential for early detection of the disease in patients at risk and identifying eff ective treatment strategies. 21 patients with ABPA, 37 patients with asthma and 16 healthy subjects were examined. The content of thymic stromal lymphopoietin (TSLP), thymus-associated regulatory chemokine (TARC), IL-8, eosinophil count, total IgE levels and specifi c IgE to Aspergillus fumigatus were determined in serum by ELISA. The positive correlation of the TARC level with the indicators of total IgE, sIgE to Aspergillus fumigatus, the number of eosinophils and the negative correlation relationship with the FEV1 value confi rms the important diagnostic value of this pro-infl ammatory chemokine in patients with ABPA.

About the authors

Y. I. Kozlova

North-Western State Medical University named after I. I. Mechnikov

Author for correspondence.
Email: kozlova510@mail.ru

PhD, Assistant - Professor of Department of Clinical Mycology, Allergology and Immunology,

Saint-Petersburg

Russian Federation

E. V. Frolova

North-Western State Medical University named after I. I. Mechnikov

Email: fake@neicon.ru

PhD, Head of the Laboratory of Immunology and Allergology Kashkin Research Institute of Medical Mycology,

Saint-Petersburg

Russian Federation

A. E. Uchevatkina

North-Western State Medical University named after I. I. Mechnikov

Email: fake@neicon.ru

PhD, Senior Researcher of Immunology and Allergology Kashkin Research Institute of Medical Mycology,

Saint-Petersburg

Russian Federation

L. V. Filippova

North-Western State Medical University named after I. I. Mechnikov

Email: fake@neicon.ru

PhD, Senior Researcher of Immunology and Allergology Kashkin Research Institute of Medical Mycology, 

Saint-Petersburg

Russian Federation

N. V. Vasileva

North-Western State Medical University named after I. I. Mechnikov

Email: fake@neicon.ru

PhD, director of Kashkin Research Institute of Medical Mycology,

Saint-Petersburg

Russian Federation

N. N. Klimko

North-Western State Medical University named after I. I. Mechnikov

Email: fake@neicon.ru

PhD, Head of Department of Clinical Mycology, Allergology and Immunology,

Saint-Petersburg

Russian Federation

References

  1. Carsin A., Romain T., Ranque S., Reynaud-Gaubert M., Dubus J.- C., Mège J.-L., Vitte J. Aspergillus fumigatus in cystic fibrosis: An update on immune interactions and molecular diagnostics in allergic bronchopulmonary aspergillosis. Allergy. 2017; 72(11), 1632–1642.
  2. Goh K. J., Yii A. C.A., Lapperre T. S., Chan A. K., Chew F. T., Chotirmall S. H., Koh M. S. Sensitization to Aspergillus species is associated with frequent exacerbations in severe asthma. J. Asthma Allergy. 2017; 21 (10), 131–140.
  3. Agarwal R. A., Chakrabarti A., Shah D., Gupta D., Meis J. F., Guleria R., Moss R., Denning D. W. For the ABPA complicating asthma ISHAM working group 2013. Allergic bronchopulmonary aspergillosis: review of literature and proposal of new diagnostic and classification criteria. Clinical & Experimental Allergy. 2013; 43, 850–873.

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Copyright (c) 2019 Kozlova Y.I., Frolova E.V., Uchevatkina A.E., Filippova L.V., Vasileva N.V., Klimko N.N.

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