PMID- 32473848 OWN - NLM STAT- MEDLINE DCOM- 20210624 LR - 20210624 IS - 1437-7780 (Electronic) IS - 1341-321X (Linking) VI - 26 IP - 9 DP - 2020 Sep TI - Total and double-stranded DNA-specific immunoglobulin E in bronchoalveolar lavage fluid of children with human adenovirus pneumonia. PG - 986-991 LID - S1341-321X(20)30150-1 [pii] LID - 10.1016/j.jiac.2020.04.024 [doi] AB - BACKGROUND: Some antibodies and autoreactive antibodies are associated with the severity of infectious diseases. The roles of humoral responses to lung inflammation in children with human adenovirus (HAdVs) pneumonia remain unknown. PATIENTS AND METHODS: A retrospective study was done to compare plasma immunoglobulin E (IgE) levels between HAdVs pneumonia patients and healthy children by searching the electronic medical record system of Guangzhou Women and Children's Medical Center. Then, a prospective study was performed for children with HAdVs pneumonia who needed flexible bronchoscopy for examination and treatment purposes during July 2017 to July 2019. We examined the IgE and autoreactive IgE levels in plasma and bronchoalveolar lavage fluid (BALF) of these children to explore their role in HAdVs pneumonia. RESULTS: A significantly higher level of IgE was found in plasma from children hospitalized with HAdVs pneumonia compared with that from healthy children in the same age range. Furthermore, the levels of IgE, double-stranded DNA (dsDNA), and double-stranded DNA-specific immunoglobulin E (dsDNA-IgE) in BALF were increased compared to plasma in children with HAdVs pneumonia. The levels of IgE, dsDNA, and dsDNA-IgE in BALF were significantly higher in the severe group compared to the non-severe group. The ability of IgE in BALF to recognize dsDNA was verified by the ELISPOT test. CONCLUSIONS: Our findings indicate that IgE and dsDNA-IgE in BALF may contribute to lung injury caused by HAdVs, especially in severe cases. Elevated dsDNA-IgE may serve as an indicator of severity in children with HAdVs pneumonia. CI - Copyright (c) 2020. Published by Elsevier Ltd. FAU - Yang, Di-Yuan AU - Yang DY AD - Department of Respiration, Guangzhou Women and Children's Medical Centre, Guangzhou Medical University, Guangzhou, Guangdong, China. FAU - Lu, Bing-Tai AU - Lu BT AD - Guangzhou Institute of Paediatrics, Guangzhou Women and Children's Medical Centre, Guangzhou Medical University, Guangzhou, Guangdong, China. FAU - Shi, Ting-Ting AU - Shi TT AD - Department of Respiration, Guangzhou Women and Children's Medical Centre, Guangzhou Medical University, Guangzhou, Guangdong, China. FAU - Fan, Hui-Feng AU - Fan HF AD - Department of Respiration, Guangzhou Women and Children's Medical Centre, Guangzhou Medical University, Guangzhou, Guangdong, China. FAU - Zhang, Dong-Wei AU - Zhang DW AD - Department of Respiration, Guangzhou Women and Children's Medical Centre, Guangzhou Medical University, Guangzhou, Guangdong, China. FAU - Huang, Li AU - Huang L AD - Pediatric Intensive Care Unit, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China. FAU - Lu, Gen AU - Lu G AD - Department of Respiration, Guangzhou Women and Children's Medical Centre, Guangzhou Medical University, Guangzhou, Guangdong, China. Electronic address: lugen5663330@sina.com. LA - eng PT - Journal Article DEP - 20200528 PL - Netherlands TA - J Infect Chemother JT - Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy JID - 9608375 RN - 37341-29-0 (Immunoglobulin E) RN - 9007-49-2 (DNA) SB - IM MH - *Adenoviruses, Human MH - Bronchoalveolar Lavage Fluid MH - Child MH - DNA MH - Female MH - Humans MH - Immunoglobulin E MH - *Pneumonia MH - Prospective Studies MH - Retrospective Studies OTO - NOTNLM OT - Children OT - Double-stranded DNA OT - Human adenovirus pneumonia OT - Immunoglobulin E COIS- Declaration of Competing Interest All authors report no conflicts of interest. EDAT- 2020/06/01 06:00 MHDA- 2021/06/25 06:00 CRDT- 2020/06/01 06:00 PHST- 2019/12/18 00:00 [received] PHST- 2020/04/12 00:00 [revised] PHST- 2020/04/26 00:00 [accepted] PHST- 2020/06/01 06:00 [pubmed] PHST- 2021/06/25 06:00 [medline] PHST- 2020/06/01 06:00 [entrez] AID - S1341-321X(20)30150-1 [pii] AID - 10.1016/j.jiac.2020.04.024 [doi] PST - ppublish SO - J Infect Chemother. 2020 Sep;26(9):986-991. doi: 10.1016/j.jiac.2020.04.024. Epub 2020 May 28.