PMID- 33156444 OWN - NLM STAT- MEDLINE DCOM- 20211004 LR - 20211004 IS - 1863-4362 (Electronic) IS - 0021-1265 (Linking) VI - 190 IP - 3 DP - 2021 Aug TI - Reduced JKAP correlates with advanced disease features, inflammation, as well as increased exacerbation risk and severity in asthmatic children. PG - 1079-1085 LID - 10.1007/s11845-020-02422-0 [doi] AB - BACKGROUND: This study aimed to investigate the correlation of JNK pathway-associated phosphatase (JKAP) with clinical features, inflammation, exacerbation risk, and severity in asthmatic children. METHODS: Asthmatic exacerbation children (N = 90), asthmatic remission children (N = 90), and healthy controls (N = 90) were enrolled in this case-control study, whose venous blood samples were collected after enrollment for routine blood test, JKAP, and inflammatory cytokines detection by enzyme-linked immune sorbent assay. The clinical features included demographic data, family history of asthma, and pulmonary ventilation function. RESULTS: JKAP level was the lowest in asthmatic exacerbation children, followed by asthmatic remission children and healthy controls. ROC curve revealed good ability of JKAP in distinguishing three groups from each other, especially in telling asthmatic exacerbation children from healthy controls (AUC: 0.926; 95%CI: 0.887-0.965). In addition, JKAP was negatively correlated with eosinophil count, immunoglobulin E (IgE), tumor necrosis factor alpha (TNF-alpha), interleukin-1 beta (IL-1beta), interleukin-6 (IL-6), and interleukin-17 (IL-17), positively correlated with forced expiratory volume in 1 sec/forced vital capacity (FEV(1)/FVC) and FEV(1) (%predicted) in asthmatic exacerbation children. Whereas in asthmatic remission children, JKAP was negatively correlated with eosinophil count, TNF-alpha, IL-1beta, IL-6, and IL-17 and positively correlated with FEV(1) (%predicted), but not with IgE or FEV(1)/FVC. In healthy controls, the correlation of JKAP with clinical features and inflammatory cytokines was non-obvious. For exacerbation severity, JKAP was the highest in mild exacerbation children, followed by moderate exacerbation children, and severe exacerbation children. CONCLUSION: JKAP serves as a potential biomarker for asthmatic susceptibility, inflammation, exacerbation risk, and severity in children. CI - (c) 2020. Royal Academy of Medicine in Ireland. FAU - Han, Hong AU - Han H AD - Department of Pediatrics, Xingtai People's Hospital, 16 Hongxing Street, Xiangdu District, Xingtai, 054001, China. FAU - Lu, Jianli AU - Lu J AD - Department of Pediatrics, Xingtai People's Hospital, 16 Hongxing Street, Xiangdu District, Xingtai, 054001, China. FAU - Chen, Cuirong AU - Chen C AD - Department of Anesthesiology, Xingtai People's Hospital, Xingtai, 054001, China. FAU - Wang, Yi AU - Wang Y AD - Department of Pediatrics, Xingtai People's Hospital, 16 Hongxing Street, Xiangdu District, Xingtai, 054001, China. FAU - Han, Yanjun AU - Han Y AUID- ORCID: 0000-0002-9025-237X AD - Department of Pediatrics, Xingtai People's Hospital, 16 Hongxing Street, Xiangdu District, Xingtai, 054001, China. jugengbei546296@163.com. LA - eng GR - No.20191713/Project of Hebei Health Commission/ PT - Journal Article DEP - 20201106 PL - Ireland TA - Ir J Med Sci JT - Irish journal of medical science JID - 7806864 RN - EC 3.1.3.2 (Phosphoric Monoester Hydrolases) SB - IM MH - *Asthma MH - Case-Control Studies MH - Child MH - Humans MH - Inflammation MH - *MAP Kinase Signaling System MH - Phosphoric Monoester Hydrolases OTO - NOTNLM OT - Asthmatic children OT - Clinical features OT - Exacerbation OT - Inflammation OT - JKAP EDAT- 2020/11/07 06:00 MHDA- 2021/10/05 06:00 CRDT- 2020/11/06 12:14 PHST- 2020/09/10 00:00 [received] PHST- 2020/10/21 00:00 [accepted] PHST- 2020/11/07 06:00 [pubmed] PHST- 2021/10/05 06:00 [medline] PHST- 2020/11/06 12:14 [entrez] AID - 10.1007/s11845-020-02422-0 [pii] AID - 10.1007/s11845-020-02422-0 [doi] PST - ppublish SO - Ir J Med Sci. 2021 Aug;190(3):1079-1085. doi: 10.1007/s11845-020-02422-0. Epub 2020 Nov 6.