Peculiarities of inflammatory process and markers of inflammation in patients with bronchial asthma and COPD

Autor: V G Timchik, N A Filippova, K V Negrutsa, E V Gorovneva, V I Trofimov, G B Fedoseev, K N Kryakunov, V A Alexandrin, T S Razumovskaya, I V Birulya
Rok vydání: 2014
Předmět:
Zdroj: Russian Journal of Allergy. 11:44-58
ISSN: 2686-682X
1810-8830
DOI: 10.36691/rja514
Popis: The investigation concerned the diagnostic value of following inflammation markers in patients with mild or moderate bronchial asthma (BA), chronic obstructive pulmonary disease (COPD), chronic bronchitis and pneumonia: expired air nitric oxide (Feno) and serum levels of α 1-antitripsin and neutrophilic elastase. 93 patients were included: 6 with mild BA, 11 - with moderate BA, 17 - with mild BA and chronic bronchitis, 25 - with moderate BA and COPD, 25 - with COPD, 9 - with pneumonia. The control group consisted of 21 healthy donors. We revealed that Feno, α 1-antitripsin and neutrophilic elasthase indicate the presence of the inflammation: Feno elevation mostly related to allelrgic one, α 1-antitripsin and neutrophilic elasthase - to infection-dependent inflammation. Treatmentinduced remission of the disease leads to the decrease of α 1-antitripsin and neutrophilic elasthase, but levels are not reaching the normal values. This confirms the presence of airways inflammation during clinical remission of the disease. Elevated levels of α 1-antitripsin and neutrophilic elasthase are associated with the decreased forced expiratory volume during the first second (FEV 1 - % to the predicted values).
Databáze: OpenAIRE