Leukotriene mechanisms of allergic enterocolitis pathogenesis in young children

Purpose of the study was to determine the parameters of lipid mediators of allergic inflammation (cysteinyl leukotrienes C4, D4, E4) by enzyme immunoassay in serum, saliva, urine of young children with allergic enterocolitis.Materials and methods. 40 patients aged from 3 months to 3 years (mean age...

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Main Authors: O. H. Shadrin, H. A. Haiduchyk
Format: Article
Language:English
Published: Zaporizhzhia State Medical and Pharmaceutical University 2018-12-01
Series:Zaporožskij Medicinskij Žurnal
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Online Access:http://zmj.zsmu.edu.ua/article/view/146750/148557
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author O. H. Shadrin
H. A. Haiduchyk
author_facet O. H. Shadrin
H. A. Haiduchyk
author_sort O. H. Shadrin
collection DOAJ
description Purpose of the study was to determine the parameters of lipid mediators of allergic inflammation (cysteinyl leukotrienes C4, D4, E4) by enzyme immunoassay in serum, saliva, urine of young children with allergic enterocolitis.Materials and methods. 40 patients aged from 3 months to 3 years (mean age - (19.9 ± 2.7) months) were examined, among them 20 children with allergic enterocolitis, 10 patients with asthma at the acute stage and 10 healthy babies. Clinical, allergological, endoscopic examination and concentrations of cysteinyl leukotrienes (LTB4, LTC4, LTE4) determination in the biological fluids (blood serum, saliva, urine) using the enzyme immunoassay kits (Enzo Life Science, USA) on a Multiskan photometer Plus “Labsystems” were conducted. The obtained data results were processed statistically. Significance of differences was assessed using Student's t-test and Kendall's tau rank correlation analysis. Difference with a p value <0.05 was considered statistically significant.Results. A significant increase in cysteinyl leukotrienes (C4, D4, E4) concentration in the blood, urine and saliva of young children with allergic enterocolitis and bronchial asthma was observed during the disease manifestation, compared with the control group. Comparative characteristics of the leukotrienes concentration in urine and saliva of children with allergic enterocolitis and asthma did not reveal significant differences, however their concentration was significantly higher (703.9 ± 68.7) pg/ml in the serum of patients with asthma, than in children with allergic enterocolitis (509.3 ± 57.4) pg/ml. According to the results of the Kendall’s tau correlation analysis, there was no significant rank correlation between the concentrations of cysteinyl leukotrienes in blood and urine - τ = 0.14 (P > 0.05), blood and saliva τ = 0.07 (p>0.05), urine and saliva τ = -0.52 (P > 0.05).Conclusions. An increase in cysteinyl leukotrienes concentration in blood serum, urine, saliva was found in young children with allergic enterocolitis in comparison with the control group. The absence of a significant rank correlation between leukotrienes concentration in the blood and urine, blood and saliva, saliva and urine indicates that any biological fluid, in particular saliva or urine, could be selected as a non-invasive method for determination of leukotrienes concentration to monitor the activity of allergic inflammation.
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spelling doaj-art-33697224aca34c7193022a8a4dc048902025-08-20T03:55:15ZengZaporizhzhia State Medical and Pharmaceutical UniversityZaporožskij Medicinskij Žurnal2306-41452310-12102018-12-0120681782110.14739/2310-1210.2018.6.146750Leukotriene mechanisms of allergic enterocolitis pathogenesis in young childrenO. H. ShadrinH. A. HaiduchykPurpose of the study was to determine the parameters of lipid mediators of allergic inflammation (cysteinyl leukotrienes C4, D4, E4) by enzyme immunoassay in serum, saliva, urine of young children with allergic enterocolitis.Materials and methods. 40 patients aged from 3 months to 3 years (mean age - (19.9 ± 2.7) months) were examined, among them 20 children with allergic enterocolitis, 10 patients with asthma at the acute stage and 10 healthy babies. Clinical, allergological, endoscopic examination and concentrations of cysteinyl leukotrienes (LTB4, LTC4, LTE4) determination in the biological fluids (blood serum, saliva, urine) using the enzyme immunoassay kits (Enzo Life Science, USA) on a Multiskan photometer Plus “Labsystems” were conducted. The obtained data results were processed statistically. Significance of differences was assessed using Student's t-test and Kendall's tau rank correlation analysis. Difference with a p value <0.05 was considered statistically significant.Results. A significant increase in cysteinyl leukotrienes (C4, D4, E4) concentration in the blood, urine and saliva of young children with allergic enterocolitis and bronchial asthma was observed during the disease manifestation, compared with the control group. Comparative characteristics of the leukotrienes concentration in urine and saliva of children with allergic enterocolitis and asthma did not reveal significant differences, however their concentration was significantly higher (703.9 ± 68.7) pg/ml in the serum of patients with asthma, than in children with allergic enterocolitis (509.3 ± 57.4) pg/ml. According to the results of the Kendall’s tau correlation analysis, there was no significant rank correlation between the concentrations of cysteinyl leukotrienes in blood and urine - τ = 0.14 (P > 0.05), blood and saliva τ = 0.07 (p>0.05), urine and saliva τ = -0.52 (P > 0.05).Conclusions. An increase in cysteinyl leukotrienes concentration in blood serum, urine, saliva was found in young children with allergic enterocolitis in comparison with the control group. The absence of a significant rank correlation between leukotrienes concentration in the blood and urine, blood and saliva, saliva and urine indicates that any biological fluid, in particular saliva or urine, could be selected as a non-invasive method for determination of leukotrienes concentration to monitor the activity of allergic inflammation.http://zmj.zsmu.edu.ua/article/view/146750/148557cysteinyl leukotrieneschildren of early ageallergic enterocolitispathogenesis
spellingShingle O. H. Shadrin
H. A. Haiduchyk
Leukotriene mechanisms of allergic enterocolitis pathogenesis in young children
Zaporožskij Medicinskij Žurnal
cysteinyl leukotrienes
children of early age
allergic enterocolitis
pathogenesis
title Leukotriene mechanisms of allergic enterocolitis pathogenesis in young children
title_full Leukotriene mechanisms of allergic enterocolitis pathogenesis in young children
title_fullStr Leukotriene mechanisms of allergic enterocolitis pathogenesis in young children
title_full_unstemmed Leukotriene mechanisms of allergic enterocolitis pathogenesis in young children
title_short Leukotriene mechanisms of allergic enterocolitis pathogenesis in young children
title_sort leukotriene mechanisms of allergic enterocolitis pathogenesis in young children
topic cysteinyl leukotrienes
children of early age
allergic enterocolitis
pathogenesis
url http://zmj.zsmu.edu.ua/article/view/146750/148557
work_keys_str_mv AT ohshadrin leukotrienemechanismsofallergicenterocolitispathogenesisinyoungchildren
AT hahaiduchyk leukotrienemechanismsofallergicenterocolitispathogenesisinyoungchildren