• 제목/요약/키워드: Non-allergic asthma

검색결과 45건 처리시간 0.026초

The Roles of Innate Lymphoid Cells in the Development of Asthma

  • Woo, Yeonduk;Jeong, Dongjin;Chung, Doo Hyun;Kim, Hye Young
    • IMMUNE NETWORK
    • /
    • 제14권4호
    • /
    • pp.171-181
    • /
    • 2014
  • Asthma is a common pulmonary disease with several different forms. The most studied form of asthma is the allergic form, which is mainly related to the function of Th2 cells and their production of cytokines (IL-4, IL-5, and IL-13) in association with allergen sensitization and adaptive immunity. Recently, there have been many advances in understanding non-allergic asthma, which seems to be related to environmental factors such as air pollution, infection, or even obesity. Cells of the innate immune system, including macrophages, neutrophils, and natural killer T cells as well as the newly described innate lymphoid cells, are effective producers of a variety of cytokines and seem to play important roles in the development of non-allergic asthma. In this review, we focus on recent findings regarding innate lymphoid cells and their roles in asthma.

Effect of Asthma Management Education Program on Stress and Compliance of Patients with Allergic Asthma to House Dust Mite

  • Yoo Yang-Sook;Cho Ok-Hee;Kim Eun-Sin;Jeong Hye-Sun
    • 대한간호학회지
    • /
    • 제35권4호
    • /
    • pp.686-693
    • /
    • 2005
  • Purpose. This study was designed to examine the effect of asthma management education program applied to allergic asthma patients receiving immunotherapy due to house dust mite on their stress and compliance with health care regimens. Methods. A quasi experimental design with non-equivalent control group and non-synchronized design was used. The subjects of this study were 61 patients who were receiving immunotherapy at intervals of a week after their symptoms were diagnosed as house dust mite allergic asthma at the pulmonary department of a university hospital in Seoul. They were divided into an experimental group of 29 patients who received asthma management education and a control group of 32 patients. The asthma management education pro-gram was composed of group education (once) and reinforcement education (three times) with environmental therapy and immunotherapy to house dust mite. Results. Stress significantly decreased in the experimental group compared to that in the control group. Compliance with health care regimens significantly increased in the experimental group compared to that in the control group. Conclusions. The results suggested that the asthma management education program is effective for the management of stress and the improvement of compliance in patients with allergic asthma to house dust mite.

호흡기내과 의사를 위한 천식 리뷰 (Asthma Year in Review)

  • 김상하
    • Tuberculosis and Respiratory Diseases
    • /
    • 제69권6호
    • /
    • pp.411-417
    • /
    • 2010
  • This review highlights articles pertaining to the following 5 topics: the relationship between asthma, allergic and non-allergic rhinitis; the novel asthma phenotypes using cluster analysis; the diagnostic properties of inhaled dry-powder mannitol for the diagnosis of asthma; the value of mepolizumab therapy in exacerbations of refractory eosinophilic asthma; the role of bronchial thermoplasty in the treatment of severe asthma.

충남 지역 아토피 안심 초등학교 학생들의 식품알레르기 및 식생활 현황 (Current Status and Food Allergy Related-Dietary Behaviors of Atopy and Asthma-Friendly Elementary School Students in the Chungnam Area)

  • 정경진;이선영
    • 한국생활과학회지
    • /
    • 제24권1호
    • /
    • pp.123-135
    • /
    • 2015
  • In order to examine allergic disease experience rates of students at atopy and asthma friendly elementary schools located in Chungcheongnam-do and investigate their dietary behaviors, a survey on 250 parents of first to third grade students at four rural-type atopy and asthma friendly elementary schools was conducted. The number of students who had experienced allergic symptoms (allergic group) was 102 (40.8%). their breastfeeding duration was shorter than that of the non-allergic group (p<.001) and the former's weaning foods-feeding had started earlier than the latter's (p<.01). Regarding the eating habits, the non-allergic group was found to have breakfast and dinner better than the allergic group (p<.001). The number of students eating fruits as snacks was largest in the allergic group at 73 (71.6%), and as for the non-allergic group, their rate of eating fruits, milk and dairy products, and cookies and fries was at 25.7%, 22.3%, and 20.3%, respectively. A high percentage of the allergic group ate three times or less per month the animal food groups and dairy products (p<.001). Accordingly, for improvement in dietary behaviors of students who have allergy against food, nutrition education on regular eating, balanced intake of food, adequate intake of snacks and meals for proper growth and development and precise diagnosis of allergy-triggering food are necessary. In particular, as education on food allergy, implementation of practical education such as appropriate nutrition counseling by nutrition teachers is urgent beyond the one-way educational method of school newsletters.

Elafibranor PPARα/δ Dual Agonist Ameliorates Ovalbumin-Induced Allergic Asthma

  • Ye-Eul Lee;Dong-Soon Im
    • Biomolecules & Therapeutics
    • /
    • 제32권4호
    • /
    • pp.460-466
    • /
    • 2024
  • Asthma is characterized by chronic inflammation and respiratory tract remodeling. Peroxisome proliferator-activated receptors (PPARs) play important roles in the pathogenesis and regulation of chronic inflammatory processes in asthma. The role of PPARγ has been studied using synthetic PPARγ agonists in patients with asthma. However, involvement of PPARα/δ has not been studied in asthma. In the present study, we investigated if elafibranor, a PPARα/δ dual agonist, can modulate ovalbumin (OVA)-induced allergic asthma, which is a potential drug candidate for non-alcoholic fatty liver in obese patients. Elafibranor suppresses antigen-induced degranulation in RBL-2H3 mast cells without inducing cytotoxicity in vitro. In mice with OVA-induced allergic asthma, the administration of elafibranor suppressed OVA-induced airway hyper-responsiveness at a dose of 10 mg/kg. Elafibranor also suppressed the OVA-induced increase in immune cells and pro-inflammatory cytokine production in the bronchoalveolar lavage fluid (BALF). Histological studies suggested that elafibranor suppressed OVA-induced lung inflammation and mucin hyper-production in the bronchial airways. In addition, elafibranor suppressed OVA-induced increases in serum immunoglobulin E and IL-13 levels in BALF. Conversely, the present study suggests that elafibranor has the potential for use in patients with allergic asthma.

Associations of dietary vitamin A and C intake with asthma, allergic rhinitis, and allergic respiratory diseases

  • Carolina Garcia-Garcia;Minju Kim;Inkyung Baik
    • Nutrition Research and Practice
    • /
    • 제17권5호
    • /
    • pp.997-1006
    • /
    • 2023
  • BACKGROUND/OBJECTIVES: Asthma and allergic rhinitis (AR) are closely related and considered as allergic respiratory diseases (ARD), and their prevalence has recently increased. Data on the association of dietary antioxidant vitamin intake with asthma and AR in adults are limited. The present study aimed to investigate the associations of vitamin A and C intake with asthma, AR, and all cases of both diseases in young adults who participated in a cross-sectional national survey, with the use of high-sensitivity C-reactive protein (hs-CRP) level as an effect modifier. SUBJECTS/METHODS: This study included 6,293 male and female adults aged 20-49 years from the Korea National Health and Nutrition Examination Survey (KNHANES) conducted between 2016 and 2018. The questionnaire-based reports on asthma and AR diagnosis were used to determine outcome variables. Further, 24-h recall data on dietary vitamin A and C, carotene, and retinol intake were acquired. Logistic regression analysis was performed to calculate odds ratios (ORs) and 95% confidence interval (CI). RESULTS: Dietary vitamin C intake was inversely associated with asthma prevalence among participants with hs-CRP levels (≥ 1 mg/L); the OR of asthma prevalence was 0.27 (95% CI, 0.08-0.84) for participants with vitamin C consumption ≥ 75 mg/day compared with those consuming < 20 mg/day. Similar association analyses limiting to non-users of dietary supplements were performed to rule out the potential effects of supplement intake on the outcomes; results showed a stronger association. However, the association between vitamin C and asthma was not significant in participants with hs-CRP levels < 1 mg/L; the OR of asthma was 1.44 (95% CI, 0.66-3.16) for participants with vitamin C consumption ≥ 75 mg/day compared with those consuming < 20 mg/day. Vitamin C intake was not associated with AR. Moreover, there was no association between vitamin A intake and neither asthma nor AR. CONCLUSIONS: These findings suggest that higher vitamin C intake may play a potential role in reducing asthma prevalence. Nevertheless, further studies should be conducted to evaluate whether this association is causal.

래복자(萊?子)가 알러지성 천식(喘息) 동물모형(動物模型)에서 면역반응(免疫反應)에 미치는 영향(影響) (Effects of Raphani Semen on Immuno-response in the Mouse Model of allergi Asthma)

  • 박기철;박재영;박희수
    • 대한약침학회지
    • /
    • 제5권1호
    • /
    • pp.135-151
    • /
    • 2002
  • Objective: This study was eanied out to investigate the effects of Raphani Semen on immuno-response in the mouse model of allergic asthma. Methods: In this study, BALB/C mice were divided into 6 groups: Normal (Non-treated group), Control (Group with not treated after allergic sensitization and induction by ovalbumin), Treat I (Group with the oral administration of saline after allergic sensitization and induction by ovalbumin), Treat n (Allergic asthma group treated with acupuncture (BL 13)), Treat III (Allergic asthma group treated with the oral administration of Raphani Semen) and Treat lV (Allergic asthma group treated with the herbal-acupuncture of Raphani Semen (BL 13)). The effect on cytokine was assessed by measuring cytokine (lL-2, IL-4, IL-5, IL-10, IL-12, IFN-r) in bronchoalveoar lavage fluid(ELISA). ResuJts : The results obtained as follows: 1. The production of Interleukin-2 was decreased significantly in Treat I group, Treat n group and Treat IV group as compared with Control group. 2. The production of Interleukin-4 was decreased significantly in Treat I group, Treat II group and Treat IV group as compared with Control group. Among them. the production of Interleukin-4 was decreased remarkably in Treat IV group as compared with other groups. 3. The production of Interleukin-5 was decreased significantly in Treat I group and Treat IV group as compared with Control group. 4. The production of Interleukin-10 was decreased significantly in Treat I group and Treat III group as compared with Control group. 5. The production of Interleukin-12 was all decreased significantly in Treat I group, Treat n group, Treat m group and Treat IV group as compared with Control group. 6. The production of Intelferon- showed no significant changes in Treat I group, Treat n group. Treat m group and Treat Ⅳ group as compared with Control group. Conclusion: These results show that the production of Interleukin-4, 5 was decreased significantly in aJlergic asthma group treated with the herbal-acupuncture of Raph Semen (BL 13), It is known that inactivity of Th2 cell constrained the revelation and controlled hypersenstive action. As to this mechanism, it is suggested that the herbal-acupuncture of Raphani Semen(BL 13) constrained the revelation of allergic asthma.

온위탕(溫衛湯)이 ovalbumin에 의하여 유발된 allergic rat의 면역기능에 미치는 영향(影響) (Influences on Immune Function of Allergic Rat induced by Ovalbumin of Onweetang(OWT))

  • 한진근;김종한;박수연;최정화
    • 한방안이비인후피부과학회지
    • /
    • 제18권1호
    • /
    • pp.61-70
    • /
    • 2005
  • Objective : This study was performed to investigate the effects of OWT on allergic bronchial asthma. Methods : The mice were divided into 4 groups induced the allergic bronchial asthma : Three groups(OWT-1, OWT-2, OWT-3) treated OWT and non-treated group(Control). Three oral administration of the herbal solution of OWT were carried out 1 lime a day for 2 weeks before antigen sensitization. 2 days later, the mice were sensitized with a subcutaneous injection of ovalbumin(OA) and then 13 days later they were provoked with OA aerosols. Then the cell numbers in bronchoalveolar lavage fluid(BALF), serum level of IgE, WBC, RBC and HCB were measured. Results : 1. On the neutrophil in BALF, OWT-1 group is significantly increased compared with the control group. 2. On the eosinophil in BALF, OWT-1 group tends to decrease compared with the control group but insignificant. 3. On the lymphocyte in BALF, OWT-2 group is significantly decreased compared with the control group. 4. On the macrophage in BALF, OWT-2 group is significantly increased compared with the control group. 5. On the serum IgE, groups OWT-1, OWT-2 and OWT-3 are significantly decreased compared with the control group. 6. On WBC in blood, OWT-1 group is significantly decreased compared with the control group. Conclusions : Based on the above results, it is assumed that the oral administration of OWT can help the treatment of allergic bronchial asthma.

  • PDF

선여택통기탕(仙麗澤通氣湯)이 ovalbumin에 의하여 유발된 allergic mouse의 면역기능에 미치는 영향(影響) (Influences on Immune Function of Allergic Mouse induced by Ovalbumin of Yeotaectonggitang(YTT))

  • 고정순;김종한;박수연;최정화
    • 한방안이비인후피부과학회지
    • /
    • 제18권1호
    • /
    • pp.94-103
    • /
    • 2005
  • Objective: This study was performed to investigate the effects of YTT on allergic bronchial asthma. Methods: The mice were divided into 4 groups induced the allergic bronchial asthma : Three groups(YTT-1, YTT-2, YTT-3) treated YTT and non-treated group(Control). Three oral administration of the herbal solution of YTT were carried out 1 time a day for 2 weeks before antigen sensitization. 2 days later, the mice were sensitized with a subcutaneous injection of ovalbumin(OA) and then 13 days later they were provoked with OA aerosols. Then the cell numbers in bronchoalveolar lavage fluid(BALF), serum level of IgE, WBC, RBC and HGB were measured. Results: 1. On the neutrophil in BALF, groups of YTT-2 and YTT-3 are significantly increased compared with the control group. 2. On the eosinophil in BALF, groups of YTT-1 and YTT-3 are significantly decreased compared with the control group. 3. On the lymphocyte in BALF, YTT-3 group is significantly increased compared with the control group. 4. On the macrophage in BALF, groups of YTT-1 and YTT-3 groups tend to increase. 5. On the serum IgE, groups YTT-1, YTT-2 and YTT-3 are significantly decreased compared with the control group. 6. On WBC in blood, groups of YTT-2, YTT-3 are significant1y decreased compared with the control group. Conclusions: Based on the above results, it is assumed that the oral administration of YTT can help the treatment of allergic bronchial asthma.

  • PDF

천식 및 알레르기성 비염 환아에서의 호기 일산화질소 농도 : 아토피 및 기도과민성과의 연관성 (Exhaled Nitric Oxide Concentration in Children with Asthma and Allergic Rhinitis : Association with Atopy and Bronchial Hyperresponsiveness)

  • 나규민;박양;강은경;강희;고영률;이선화;백도명
    • Clinical and Experimental Pediatrics
    • /
    • 제46권3호
    • /
    • pp.284-290
    • /
    • 2003
  • 목 적 : 호기 NO 농도는 비침습적인 하기도 염증의 지표로 주목받고 있으며 기도과민성과 아토피와의 관련성이 보고되고 있다. 이에 저자들은 만성천식 및 알레르기성 비염 환아에서 호기 NO 농도를 측정하고 기도과민성과 아토피 여부에 따른 차이를 분석하였다. 방 법 : 기관지 천식(n=55), 알레르기성 비염(n=17)으로 진단 된 환아 및 대조군(n=14)을 대상으로 2001년 1월부터 4월까지 호기 NO 농도를 측정하여 비교하였으며 다시 천식환아군은 아토피성(n=37) 및 비아토피성 천식군(n=18)으로 나누어 비교하였고 알레르기성 비염군은 기도과민성 유무에 따라 나누어 비교하였다(각각, n=7, n=10). 또한 천식군과 알레르기성 비염군을 대상으로 각각 피부 단자시험에서 양성항원 수 및 메타콜린 $PC_{20}$과 호기 NO 농도의 상관관계를 분석하였다. 결 과 : 호기 NO 농도는 천식군과 알레르기성 비염군이 대조군보다 유의하게 높았으며(P<0.01), 아토피성 천식군이 비아토피성 천식군보다, 비아토피성 천식군은 대조군보다 유의하게 높았다(P<0.01). 알레르기성 비염군은 기도과민성 유무에 따른 차이는 없었다(P=0.50). 천식군에서는 피부 단자시험에서 양성항원 수 및 메타콜린 $PC_{20}$과 호기 NO 농도간에 유의한 상관관계가 있었으나 (r=0.32, P=0.02; r=-0.38, P<0.01), 알레르기성 비염군에서는 유의한 상관관계가 없었다(r=0.42, P=0.09; r=-0.06, P=0.83). 결 론 : 호기 NO 농도는 천식환자에서 아토피에 의한 병태생리와 연관성이 있으며 기도과민성과 유의한 상관관계가 있다. 그러나 알레르기성 비염에서는 기도과민성 이외의 다른 인자가 호기 NO 농도와 관련성을 가질 것으로 추정되며 향후 이에 대한 연구가 필요하다.