PMID- 33998076 OWN - NLM STAT- MEDLINE DCOM- 20211213 LR - 20211214 IS - 1098-2825 (Electronic) IS - 0887-8013 (Print) IS - 0887-8013 (Linking) VI - 35 IP - 6 DP - 2021 Jun TI - The clinical significance of spondin 2 eccentric expression in peripheral blood mononuclear cells in bronchial asthma. PG - e23764 LID - 10.1002/jcla.23764 [doi] LID - e23764 AB - BACKGROUND: Bronchial asthma (BA) was a heterogeneous disease characterized by chronic airway inflammation. Spondin 2 (SPON2) was reported to be implicated in the integrin pathway, protein metabolism, and drug-induced lupus erythematosus. The purpose of this study was to evaluate the significance of SPON2 in BA diagnosis and treatment. METHODS: Peripheral blood samples were obtained from 137 BA pediatric patients (61 mild-to-moderate BA and 76 severe BA) and 59 healthy children. Subject's information, clinical indexes, pulmonary ventilation functions were recorded in the two groups. Peripheral blood mononuclear cells (PBMCs) were isolated from patients' samples. qRT-PCR and ELISA assays were employed to examine the levels of SPON2 and inflammatory cytokines, respectively. Pearson's correlation analysis confirmed the association between SPON2 and inflammatory cytokines. Receiver operating characteristic (ROC) analysis was used to evaluate the potentials of SPON2 in terms of BA detection and discriminating against the severity of BA. RESULTS: Bioinformatics analysis showed that SPON2, OLFM4, XIST, and TSIX were significantly upregulated, while KDM5D and RPS4Y1 were reduced in BA. GO analysis verified that these six genes were mainly involved in neutrophil degranulation, neutrophil activation involved in immune response, neutrophil activation, and neutrophil-mediated immunity. After isolating PBMCs, we found that SPON2 was remarkably increased in BA pediatric group compared with healthy children, and the relative levels of SPON2 were related to the severity of BA. The receiver operating characteristic (ROC) analysis revealed the high potentials of SPON2 in BA diagnosis (AUC was 0.8080) and severity distinctions (AUCs were 0.7341 and 0.8541, respectively). Also, we found that there were significant differences in fractional exhaled nitric oxide (FeNO), forced expiratory volume in 1 s (FEV1)%, FEV1/ forced vital capacity (FVC)%, immunoglobulin E (IgE), serum eosinophils, and serum neutrophils between mild-to-moderate BA group and severe BA group. Finally, SPON2 was negatively correlated with IL-12 while positively associated with IL-4, IL-13, and IL-17A. CONCLUSIONS: SPON2 was a viable biomarker for diagnosing and degree of severity in BA, providing more insight into exploring BA and treatment's pathogenesis. CI - (c) 2021 The Authors. Journal of Clinical Laboratory Analysis published by Wiley Periodicals LLC. FAU - Zhou, Peng AU - Zhou P AD - Department of Pediatric, Shengzhou People's Hospital (the First Affiliated Hospital of Zhejiang University Shengzhou Branch), Shengzhou, China. FAU - Xiang, Cai-Xia AU - Xiang CX AD - Department of Pediatric, Shengzhou People's Hospital (the First Affiliated Hospital of Zhejiang University Shengzhou Branch), Shengzhou, China. FAU - Wei, Jin-Feng AU - Wei JF AUID- ORCID: 0000-0002-1795-2046 AD - Department of Respiratory, Hangzhou Children's Hospital, Hangzhou, China. LA - eng GR - 2021KY932/Medical and Healthy Science and Technology Project of Zhejiang Province/ PT - Journal Article DEP - 20210516 PL - United States TA - J Clin Lab Anal JT - Journal of clinical laboratory analysis JID - 8801384 RN - 0 (Extracellular Matrix Proteins) RN - 0 (Interleukins) RN - 0 (Neoplasm Proteins) RN - 0 (SPON2 protein, human) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Area Under Curve MH - Asthma/*blood/diagnosis/etiology/genetics MH - Case-Control Studies MH - Child MH - Extracellular Matrix Proteins/*blood/genetics MH - Female MH - Forced Expiratory Volume MH - Gene Expression MH - Humans MH - Immunoglobulin E/blood MH - Interleukins/blood MH - Leukocytes, Mononuclear/pathology/*physiology MH - Male MH - Neoplasm Proteins/*blood/genetics MH - Patient Acuity PMC - PMC8183911 OTO - NOTNLM OT - GO analysis OT - bronchial asthma OT - diagnosis OT - peripheral blood mononuclear cell OT - spondin 2 COIS- None. EDAT- 2021/05/18 06:00 MHDA- 2021/12/15 06:00 PMCR- 2021/05/16 CRDT- 2021/05/17 06:40 PHST- 2021/03/04 00:00 [revised] PHST- 2021/02/02 00:00 [received] PHST- 2021/03/06 00:00 [accepted] PHST- 2021/05/18 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2021/05/17 06:40 [entrez] PHST- 2021/05/16 00:00 [pmc-release] AID - JCLA23764 [pii] AID - 10.1002/jcla.23764 [doi] PST - ppublish SO - J Clin Lab Anal. 2021 Jun;35(6):e23764. doi: 10.1002/jcla.23764. Epub 2021 May 16.