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2016 ; 2016
(ä): 4503267
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
The Mechanisms of the Regulation of Immune Response in Patients with Comorbidity
of Chronic Obstructive Pulmonary Disease and Asthma
#MMPMID27660519
Kalinina EP
; Denisenko YK
; Vitkina TI
; Lobanova EG
; Novgorodtseva TP
; Antonyuk MV
; Gvozdenko TA
; Knyshova VV
; Nazarenko AV
Can Respir J
2016[]; 2016
(ä): 4503267
PMID27660519
show ga
Background. Comorbidity of chronic obstructive pulmonary disease (COPD) and
asthma (asthma COPD overlap syndrome, ACOS) is a significant problem in pulmonary
practice, whose pathogenetic issues are not clarified yet. Objective. To study
the features of the regulation of immune response in patients with comorbid COPD
and asthma. Methods. We assessed the levels of CD3(+), CD4(+), CD8(+),
CD4(+)/CD8(+), CD19(+), CD25(+), HLA-DR, total IgE, TNF-?, IL-4, IFN-?, TXB(2),
and LTB(4) in patients with comorbid COPD and asthma. Results. The study involved
44 people with COPD, 39 people with asthma, and 12 people with comorbid COPD and
asthma. The specific features in comorbid COPD and asthma were lymphocytosis,
increased absolute count of T-helper cells, increased cytotoxic T-lymphocytes in
relative and absolute count, increased relative and absolute numbers of
B-lymphocytes, and high levels of total IgE. The elevated levels of TNF-? and
IL-4 and inhibition of IFN-? production were detected. The content of LTB(4) was
maximal; TXB(2) levels were higher than in control group but lower than in COPD
and asthma. Conclusion. In comorbid COPD and asthma inflammation increased even
during stable period. High levels of eicosanoids, low production of Th1-type
cytokines, and active synthesis of opposition IL-4, along with increased IgE,
indicate the activation of Th2-type immune response.