PMID- 36164624 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221004 IS - 2322-3480 (Print) IS - 2322-3480 (Electronic) IS - 2322-3480 (Linking) VI - 11 IP - 2 DP - 2022 Jul TI - Association of Tumor Necrosis Factor-alpha and Myeloperoxidase enzyme with Severe Asthma: A comparative study. PG - 238-245 LID - 10.52547/rbmb.11.2.238 [doi] AB - BACKGROUND: Tumor necrosis factor-alpha (TNF-alpha) may stimulate airway hyperresponsiveness in asthma, which is also affected by neutrophils activity. The latter can be determined indirectly by evaluating myeloperoxidase (MPO) activity. The insufficient studies that investigated the combined association of serum TNF-alpha and MPO with asthma was objective of this study. METHODS: A case-control study included 110-asthmatics besides 92-controls. All participants underwent venous sampling for TNF-alpha and MPO immunoassays. A percentage of predicted "forced expiratory volume in one second (FEV1%)", and the "peak expiratory flow rate (PEF/L)" of all participants were verified. The statistical analyses had done using SPSS V-25. The accuracy, specificity, sensitivity, and significance of both biomarkers to distinguish asthma examined "under the ROC-curves". RESULTS: High TNF-alpha levels observed among the controls(p-0.006), opposing the higher MPO levels among the patients(p-0.00). There were nonsignificant variations of two biomarkers between the treatment groups and nonsignificant correlations of MPO with FEV1 and PEF. There was a significant correlation of MPO with the TNF-alpha levels of all participants. The TNF-alpha showed lower sensitivity, specificity, and accuracy to diagnose asthma. There were no MPO differences according to asthma levels. The TNF-alpha was higher among the severe asthmatics significantly. DISCUSSION: TNF-alpha may be a contributory particle for neutrophilic inflammation of severe asthma. MPO levels were significantly higher among asthmatics, whereas TNF-alpha levels were lower. TNF-alpha levels were higher among those with severe compared to mild/moderate asthma. The MPO level has a significant predictive capacity compared to TNF-alpha for distinguishing asthma from healthy subjects. FAU - Aldhalmi, Ahmed Khalid AU - Aldhalmi AK AD - The University of Mashreq, College of Pharmacy, Baghdad, Iraq. FAU - Al-Athari, Ali Jihad Hemid AU - Al-Athari AJH AD - Al-Mustaqbal University College, Department of Pharmacy, Iraq. FAU - Makki Al-Hindy, Hayder Abdul-Amir AU - Makki Al-Hindy HA AD - College of Pharmacy, University of Babylon, Babylon, Iraq. LA - eng PT - Journal Article PL - Iran TA - Rep Biochem Mol Biol JT - Reports of biochemistry & molecular biology JID - 101637937 PMC - PMC9455177 OTO - NOTNLM OT - Asthma OT - Inflammation OT - MPO OT - Neutrophils OT - TNF-alpha EDAT- 2022/09/28 06:00 MHDA- 2022/09/28 06:01 PMCR- 2022/07/01 CRDT- 2022/09/27 02:04 PHST- 2021/11/20 00:00 [received] PHST- 2022/11/22 00:00 [accepted] PHST- 2022/09/27 02:04 [entrez] PHST- 2022/09/28 06:00 [pubmed] PHST- 2022/09/28 06:01 [medline] PHST- 2022/07/01 00:00 [pmc-release] AID - rbmb-11-238 [pii] AID - 10.52547/rbmb.11.2.238 [doi] PST - ppublish SO - Rep Biochem Mol Biol. 2022 Jul;11(2):238-245. doi: 10.52547/rbmb.11.2.238.