PMID- 21838623 OWN - NLM STAT- MEDLINE DCOM- 20111024 LR - 20110822 IS - 1532-4303 (Electronic) IS - 0277-0903 (Linking) VI - 48 IP - 7 DP - 2011 Sep TI - sICAM-1 and TNF-alpha in asthma and rhinitis: relationship with the presence of atopy. PG - 660-6 LID - 10.3109/02770903.2011.604886 [doi] AB - BACKGROUND: A genetically determined overproduction of specific immunoglobulin E (IgE) underlies many diseases like asthma or allergic rhinitis. IgE as well as tumor necrosis factor-alpha (TNF-alpha), and intercellular adhesion molecule-1 (ICAM-1) play a critical role in the induction and maintenance of inflammation. While the correlation between IgE and atopy is inseparable, little is known about the correlation of atopy with markers of inflammation. OBJECTIVE: We investigated the relationship between the serum concentrations of TNF-alpha, soluble ICAM-1 (sICAM-1), and the presence of atopy in patients with persistent rhinitis or asthma. METHODS: Serum concentrations of sICAM-1, TNF-alpha, and total IgE were investigated in 64 adults with persistent allergic rhinitis, 17 subjects with nonatopic rhinitis, 90 patients with asthma, and 21 healthy individuals. Atopy was diagnosed on the basis of positive family history, skin prick tests, and serum IgE concentration. RESULTS: Total IgE concentration was significantly higher in patients with atopic rhinitis or asthma when compared with nonatopic patients and healthy individuals and was the highest in patients suffering from severe atopic asthma who were not treated with systemic glucocorticosteroids. Although there were marked alterations in IgE in atopic and nonatopic patients, there were no significant differences between atopic and corresponding groups of nonatopic rhinitic and asthmatic patients in sICAM-1 and TNF-alpha concentrations. (sICAM-1 in rhinitis: atopic vs. nonatopic patients: 224.02 and 221.08 ng/ml, respectively, p > .05; in mild/moderate asthma: atopic vs. nonatopic: 306.22 and 326.39 ng/ml, respectively, p > .05; severe asthma without oral corticosteroids therapy: atopic vs. nonatopic: 418.03 and 468.09 ng/ml, respectively, p > .05; and severe asthma with oral corticosteroids therapy: atopic vs. nonatopic: 320.66 and 308.09 ng/ml, respectively, p > .05). CONCLUSIONS: Concentrations of sICAM-1 and TNF-alpha are significantly higher in patients with asthma compared with those observed in patients with rhinitis, but they are independent of the presence of atopy. FAU - Ciebiada, Maciej AU - Ciebiada M AD - Department of Pneumonology and Allergy, Medical University of Lodz, Lodz, Poland. maciej_ciebiada@op.pl FAU - Gorska-Ciebiada, Malgorzata AU - Gorska-Ciebiada M FAU - Gorski, Pawel AU - Gorski P LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110815 PL - England TA - J Asthma JT - The Journal of asthma : official journal of the Association for the Care of Asthma JID - 8106454 RN - 0 (Tumor Necrosis Factor-alpha) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adult MH - Asthma/blood/*immunology MH - Case-Control Studies MH - Female MH - Humans MH - Immunoglobulin E/*blood MH - Intercellular Adhesion Molecule-1/*blood MH - Male MH - Middle Aged MH - Rhinitis, Allergic, Perennial/blood/*immunology MH - Tumor Necrosis Factor-alpha/*blood EDAT- 2011/08/16 06:00 MHDA- 2011/10/25 06:00 CRDT- 2011/08/16 06:00 PHST- 2011/08/16 06:00 [entrez] PHST- 2011/08/16 06:00 [pubmed] PHST- 2011/10/25 06:00 [medline] AID - 10.3109/02770903.2011.604886 [doi] PST - ppublish SO - J Asthma. 2011 Sep;48(7):660-6. doi: 10.3109/02770903.2011.604886. Epub 2011 Aug 15.