Abstract
Immunoglobulin (Ig) E has been shown to be a major contributing factor for the development of bronchial hyperresponsiveness in asthma. An elevation in serum IgE levels contributes to asthma and is considered a potent predictor of the development of asthma. The objectives of the present study were to estimate the levels of total serum IgE in asthmatic and healthy control subjects and to investigate the relationship of various demographic and clinical characteristics with the total serum IgE level in asthmatics. We measured the levels of total serum IgE using the ELISA kits (AccuBind, Monobind Inc., USA). The relevant demographic and clinical data were obtained using the questionnaire. The results showed that asthmatic children had significantly elevated level of total serum IgE compared to that of the healthy controls. The levels of total IgE and IL-4 in sera of 44 asthmatic children showed a significant positive correlation. Total serum IgE >150 IU/mL was found to be significantly associated with the age, exposure to cigarette smoke, and raised eosinophil count in asthmatic children. In conclusion, the elevated level of total serum IgE may demonstrate the allergic etiology of asthma in the subjects studied.
References
Leung TF, Wong GWK, Ko FWS, Lam CWK, Fok TF. Clinical and atopic parameters and airway inflammatory markers in childhood asthma: a factor analysis. Thorax. 2005;60:822–6.
Burrows B, Martinez FD, Halonen M, Barbee RA, Cline MG. Association of asthma with serum IgE levels and skin test reactivity to allergens. New Engl J Med. 1989;320:270–7.
Borish L, Chipps B, Deniz Y, Gujrathi S, Zheng B, Dolan CM. Total serum IgE levels in a large cohort of patients with severe or difficult-to-treat asthma. Ann Allergy Asthma Immunol. 2005;95:247–53.
Anupama N, Sharma MV, Nagaraja HS, Bhat MR. The serum immunoglobulin E level reflects the severity of bronchial asthma. Thai J Physiol Sci. 2005;18:35–40.
Freidhoff LR, Marsh DG. Relationship among asthma, serum IgE levels, and skin test reactivity to inhaled allergens. Int Arch Allergy Appl Immunol. 1993;100:355–61.
Sears MR, Burrows B, Flannery EM, Herbison GP, Hewitt CJ, Holdaway MD. Relation between airway responsiveness and serum IgE in children with asthma and in apparently normal children. N Engl J Med. 1991;325:1067–71.
Lama M, Chatterjee M, Nayak CR, Chaudhuri TK. Increased interleukin-4 and decreased interferon-γ levels in serum of children with asthma. Cytokine. 2011;55:335–8.
Cline MG, Burrows B. Distribution of allergy in a population sample residing in Tucson, Arizona. Thorax. 1989;44:425–31.
Strachan DP, Cook DG. Parental smoking and allergic sensitisation in children. Thorax. 1998;53:117–23.
Satwani H, Rehman A, Ashraf S, Hassan A. Is serum IgE levels a good predictor of allergies in children? J Pak Med Assoc. 2009;59:698–702.
Mesinga TT, Schouten JP, Rijcken B, Weiss ST, van des Lende R. Host factors and environmental determinants associated with skin test reactivity and eosinophilia in a community-based population study. Ann Epidemiol. 1994;4:382–92.
Sandeep T, Roopakala MS, Silvia CRWD, Chandrashekara S, Rao M. Evaluation of serum immunoglobulin E levels in bronchial asthma. Lung India. 2010;27:138–40.
Sharma S, Kathuria PC, Gupta CK, Nordling K, Ghosh B, Singh AB. Total serum immunoglobulin E levels in a case–control study in asthmatic/allergic patients, their family members, and healthy subjects from India. Clin Exp Allergy. 2006;36:1019–27.
Afshari JT, Hosseini RF, Farahabadi SH, Heydarian F, Boskabady MH, Khoshnavaz R, et al. Association of the expression of IL-4 and IL-13 genes, IL-4 and IgE serum levels with allergic asthma. Iran J Allergy Asthma Immunol. 2007;6:67–72.
Del Prete G, Maggi E, Parronchi P, Chretien I, Tiri A, Macchia D, et al. IL-4 is an essential factor for the IgE synthesis induced in vitro by human T cell clones and their supernatants. J Immunol. 1988;140:4193–8.
Acknowledgments
Authors are thankful to the University Grants Commission (UGC), New Delhi, for the financial support provided to carry out this study. The authors are indebted to all the participants and their parents for their participation and cooperation. Further, authors would like to extend sincere thanks to medical officers of Pediatric Department, North Bengal Medical College and Hospital, Siliguri, for their kind help throughout the study.
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Lama, M., Chatterjee, M. & Chaudhuri, T.K. Total Serum Immunoglobulin E in Children with Asthma. Ind J Clin Biochem 28, 197–200 (2013). https://doi.org/10.1007/s12291-012-0247-2
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DOI: https://doi.org/10.1007/s12291-012-0247-2