PMID- 30210590 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220408 IS - 1792-0981 (Print) IS - 1792-1015 (Electronic) IS - 1792-0981 (Linking) VI - 16 IP - 3 DP - 2018 Sep TI - Effect of montelukast on the expression of CD4(+)CD25(+) regulatory T cells in children with acute bronchial asthma. PG - 2381-2386 LID - 10.3892/etm.2018.6485 [doi] AB - The aim of this study was to investigate the effect of montelukast on the expression of CD4(+)CD25(+) regulatory T cells in children with acute bronchial asthma. Fifty-six child patients with acute bronchial asthma treated in the Department of Pneumology at the Shangluo Central Hospital were selected and randomly divided into the control group (n=28) and treatment group (n=28). The control group was treated with the conventional therapy of bronchial asthma, while the treatment group received montelukast on the basis of the control group for 7 days. The clinical symptoms, lung function and proportion of CD4(+)CD25(+) regulatory T cells in peripheral T lymphocyte subsets in patients in the two groups were observed. Moreover, the levels of inflammatory factors and immunoglobulin E (IgE) in peripheral blood in both groups were detected. The effective treatment rate in the treatment group was significantly higher than that in the control group (P<0.05), and the forced expiratory volume in 1 sec/forced vital capacity (FEV1/FVC), peak expiratory flow (PEF) and 25% peak expiratory flow (PEF25) in the treatment group were significantly higher than those in the control group (P<0.05). The proportions of CD4(+)CD25(+) regulatory T cells in the two groups after drug therapy were significantly increased. The proportion and content per unit volume of peripheral CD4(+)CD25(+) regulatory T cells in the treatment group were obviously higher than those in the control group (P<0.01). After treatment, the levels of interleukin-4 (IL-4), IL-5 and IL-6 in peripheral blood in the two groups were significantly decreased. However, the levels of transferrin-gamma (TFN-gamma) and IL-10 were significantly increased (P<0.01). The IgE level in the treatment group was also significantly higher than that in the control group (P<0.01). In conclusion, montelukast can regulate the T helper 1 (Th1)/Th2 balance, increase the expression of CD4(+)CD25(+) regulatory T cells, and improve the airway inflammation caused by acute bronchial asthma and the clinical symptoms and lung function of patients with acute bronchial asthma. FAU - Qu, Xiaoting AU - Qu X AD - Department of Pediatrics, Shangluo Central Hospital, Shangluo, Shaanxi 726000, P.R. China. FAU - Chen, Yuan AU - Chen Y AD - Department of Pediatrics, Ankang City Central Hospital of Shaanxi Province, Ankang, Shaanxi 725000, P.R. China. FAU - Yin, Chaoyang AU - Yin C AD - Department of Pediatrics, Shangluo Central Hospital, Shangluo, Shaanxi 726000, P.R. China. LA - eng PT - Journal Article DEP - 20180719 PL - Greece TA - Exp Ther Med JT - Experimental and therapeutic medicine JID - 101531947 PMC - PMC6122559 OTO - NOTNLM OT - CD4+CD25+ regulatory T cells OT - bronchial asthma OT - inflammatory factors OT - montelukast EDAT- 2018/09/14 06:00 MHDA- 2018/09/14 06:01 PMCR- 2018/07/19 CRDT- 2018/09/14 06:00 PHST- 2017/12/28 00:00 [received] PHST- 2018/07/06 00:00 [accepted] PHST- 2018/09/14 06:00 [entrez] PHST- 2018/09/14 06:00 [pubmed] PHST- 2018/09/14 06:01 [medline] PHST- 2018/07/19 00:00 [pmc-release] AID - ETM-0-0-6485 [pii] AID - 10.3892/etm.2018.6485 [doi] PST - ppublish SO - Exp Ther Med. 2018 Sep;16(3):2381-2386. doi: 10.3892/etm.2018.6485. Epub 2018 Jul 19.