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Nasal upregulation of CST1 in dog-sensitised children with severe allergic airway disease

Title: Nasal upregulation of CST1 in dog-sensitised children with severe allergic airway disease
Authors: Kack, U; Einarsdottir, E; van Hage, M; Asarnoj, A; James, A; Nopp, A; Krjutskov, K; Katayama, S; Kere, J; Lilja, G; Soderhall, C; Konradsen, JR
Contributors: STEMM - Stem Cells and Metabolism Research Program; Doctoral Programme in Integrative Life Science; Doctoral Programme in Biomedicine; Juha Kere / Principal Investigator; Research Programs Unit
Publisher Information: European respiratory society
Publication Year: 2021
Collection: Helsingfors Universitet: HELDA – Helsingin yliopiston digitaalinen arkisto
Subject Terms: ASTHMA; CHILDHOOD; MECHANISMS; SYMPTOMS; General medicine; internal medicine and other clinical medicine
Description: Background: The clinical presentation of children sensitised to dog dander varies from asymptomatic to severe allergic airway disease, but the genetic mechanisms underlying these differences are not clear. The objective of the present study was to investigate nasal transcriptomic profiles associated with dog dander sensitisation in school children and to reveal clinical symptoms related with these profiles. Methods: RNA was extracted from nasal epithelial cell brushings of children sensitised to dog dander and healthy controls. Blood sample analyses included IgE against dog dander, dog allergen molecules, other airborne and food allergens, basophil activation and white blood cell counts. Clinical history of asthma and rhinitis was recorded, and lung function was assessed (spirometry, methacholine provocation and exhaled nitric oxide fraction). Results: The most overexpressed gene in children sensitised to dog dander compared to healthy controls was CST1, coding for Cystatin 1. A cluster of these children with enhanced CST1 expression showed lower forced expiratory volume in 1 s, increased bronchial hyperreactivity, pronounced eosinophilia and higher basophil allergen threshold sensitivity compared with other children sensitised to dog dander. In addition, multi-sensitisation to lipocalins was more common in this group. Conclusions: Overexpression of CST1 is associated with more severe allergic airway disease in children sensitised to dog dander. CST1 is thus a possible biomarker of the severity of allergic airway disease and a possible therapeutic target for the future treatment of airborne allergy. ; Peer reviewed
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
Relation: RIS: urn:410E2028B57EB27964D190E45134AF3A; https://hdl.handle.net/10138/336787; 000642409600018
Availability: https://hdl.handle.net/10138/336787
Rights: cc_by ; info:eu-repo/semantics/openAccess ; openAccess
Accession Number: edsbas.DD45F321
Database: BASE