IDENTIFICATION OF ANTIGEN-SPECIFIC HORMONE-RESISTANT BLOOD LYMPHOCYTES TO PREDICT EFFICIENCY OF GLUCOCORTICOID THERAPY IN BRONCHIAL ASTHMA

Autor: A. A. Kalashnikova, N. V. Bychkova, N. I. Davydova, M. V. Zhdanova, M. K. Evloeva, G. A. Novik
Jazyk: ruština
Rok vydání: 2014
Předmět:
Zdroj: Медицинская иммунология, Vol 13, Iss 2-3, Pp 155-166 (2014)
Druh dokumentu: article
ISSN: 1563-0625
2313-741X
DOI: 10.15789/1563-0625-2011-2-3-155-166
Popis: Abstract. At present time, the main therapeutic goal in bronchial asthma treatment is to achieve complete control of the disease. Appropriate medical evaluation involves a complex system of clinical criteria and functional parameters obtained by instrumental and laboratory techniques. Wide application of inhalatory glucocorticosteroids (IGCS) in childhood bronchial asthma treatment, requirements for a long-term therapy, and common IGCS dose-escalation regimens determine an importance of searching novel objective criteria to predict efficiency of the therapy preformed. In present work, we propose a method aimed to identify glucocorticosteroid-resistant lymphocytes in peripheral blood of the patients with bronchial asthma undergoing IGCS therapy. The results of this study have shown that clinical efficiency of such treatment of bronchial asthma patients, independently on the IGCS dosage, may be evaluated by the degree of steroid-induced suppression of in vitro lymphocyte proliferation caused by a domestic dust antigen. The data obtained may be used in clinical settings to predict efficiency of IGCS therapy and adjust treatment regimens in bronchial asthma patients. (Med. Immunol., 2011, vol. 13, N 2-3, pp 157-166)
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