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Club cell 10-kDa protein (CC10) as a surrogate for identifying type 2 asthma phenotypes

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单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Key Lab Pulm Dis,Hlth Minist,Dept Resp & Crit Care Med,Natl Clin Res Ctr Resp,Wuhan 430030,Hubei,Peoples R China [2]Henan Univ Sci & Technol, Dept Resp & Crit Care Med, Affiliated Hosp 1, Luoyang, Peoples R China [3]Wuhan Hosp Tradit Chinese & Western Med, Wuhan 1 Hosp, Dept Resp & Crit Care Med, Wuhan, Peoples R China
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关键词: Asthma biomarker T2-high asthma T2-low asthma phenotypes

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Objective: Club cell 10-kDa protein (CC10) is a documented biomarker for airway obstructive diseases. Primarily produced by nonciliated club cells in the distal airway and in nasal epithelial cells, CC10 suppresses Th2 cell differentiation and Th2 cytokine production. In this study, we aimed to determine whether CC10 can also be used as an alternative biomarker for identifying Type 2 (T2) asthma. Methods: 74 patients with asthma, and 24 healthy controls were enrolled in the study. T2-high asthma was defined as elevation in two or more biomarkers, such as sputum eosinophilia >= 3%, high blood eosinophils >= 300/mu L, or high FeNO >= 30 ppb. T2-low asthma was defined as no elevation in biomarkers. Enzyme-linked immunosorbent assay (ELISA) was used to assess the CC10 levels in plasma. Results: The plasma CC10 level in patients with T2-high asthma was lower than that of patients with T2-low asthma and healthy controls (P < 0.05). To distinguish between T2-high and T2-low phenotype in patients with asthma, a receiver-operating characteristic (ROC) analysis was performed. It showed a sensitivity of 58.1% and specificity of 78.0% when using 22.74 ng/ml of plasma CC10. Correlation analysis indicated that the plasma CC10 level was inversely correlated with sputum eosinophil, blood eosinophil, and FeNO, and positively correlated with log PD20. However, no correlation with sputum neutrophil percentages, macrophage percentages, IgE, or lung function was found. Conclusions: Plasma CC10 is potentially useful in predicting T2-high and T2-low asthma. Lower plasma CC10 was associated with enhanced airway hyperresponsiveness, and Type 2 inflammation.

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出版当年[2022]版:
大类 | 4 区 医学
小类 | 4 区 过敏 4 区 呼吸系统
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大类 | 4 区 医学
小类 | 4 区 过敏 4 区 呼吸系统
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Q4 ALLERGY Q4 RESPIRATORY SYSTEM
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Q3 ALLERGY Q3 RESPIRATORY SYSTEM

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第一作者单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Key Lab Pulm Dis,Hlth Minist,Dept Resp & Crit Care Med,Natl Clin Res Ctr Resp,Wuhan 430030,Hubei,Peoples R China
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