PMID- 37506151 OWN - NLM STAT- MEDLINE DCOM- 20230731 LR - 20230731 IS - 2050-4527 (Electronic) IS - 2050-4527 (Linking) VI - 11 IP - 7 DP - 2023 Jul TI - Expression of circulating angiotensin-converting enzyme 2 in children with asthma and the effects of inhaled corticosteroids. PG - e922 LID - 10.1002/iid3.922 [doi] LID - e922 AB - BACKGROUND: The global spread of coronavirus disease 2019 (COVID-19) has resulted in a significant disease burden, yet asthma patients do not have the expected high morbidity and mortality rates in the pandemics of COVID-19. OBJECTIVE: To find the difference of angiotensin-converting enzyme 2 (ACE2) in asthma and nonasthma children and evaluate the effect of inhaled corticosteroids (ICS) on its expression. METHODS: The ACE2, immunoglobulin E (IgE), and eosinophils were tested in different children. RESULTS: A total of 157 children aged 3-16 years were enrolled. The expression of ACE2 in asthma children were lower than nonasthma children (T = -2.512, p = .013). Allergic nonasthma children had a significant higher ACE2 expression than children with allergic asthma (p = .013) and nonallergic asthma (p = .029). The expression of ACE2 had no significant difference between first-diagnosed asthma children and that had been treated with ICS for >/=6 months (F = 0.028, p = .598). The allergic asthma children showed a significantly higher eosinophils cells (EC) count than the allergic nonasthma (W = 200, p < .001) and nonallergic nonasthma children (W = 1089, p < .001). Nonallergic asthma children also had a significant higher EC count than the allergic non-asthma (W = 182.5, p < .001) and nonallergic non-asthma (W = 200.5, p < .001) children. There was no significant difference in IgE levels between asthmatic children and non-asthmatic children (W = 2792.5, p = .18). CONCLUSION: Circulating ACE2 levels in asthmatic children were lower than those in non-asthmatic children and ICS treatment for >/=6 months did not affect the expression of ACE2 in peripheral blood in the asthma children. CI - (c) 2023 The Authors. Immunity, Inflammation and Disease published by John Wiley & Sons Ltd. FAU - Ma, Xiang AU - Ma X AUID- ORCID: 0000-0001-6139-4355 AD - Department of Respiratory Diseases, Children's Hospital affiliated to Shandong University, Jinan, China. AD - Jinan Key Lab of Respiratory Diseases for Children, Jinan Children's Hospital, Jinan, China. FAU - Liu, Lesen AU - Liu L AD - Department of Infectious Diseases, Huaiyin People's Hospital, Jinan, China. FAU - Sun, Jing AU - Sun J AD - Department of Respiratory Diseases, Children's Hospital affiliated to Shandong University, Jinan, China. AD - Jinan Key Lab of Respiratory Diseases for Children, Jinan Children's Hospital, Jinan, China. FAU - Zhang, Yun AU - Zhang Y AD - Department of Respiratory Diseases, Children's Hospital affiliated to Shandong University, Jinan, China. AD - Jinan Key Lab of Respiratory Diseases for Children, Jinan Children's Hospital, Jinan, China. FAU - Liu, Yanqin AU - Liu Y AD - Department of Respiratory Diseases, Children's Hospital affiliated to Shandong University, Jinan, China. AD - Jinan Key Lab of Respiratory Diseases for Children, Jinan Children's Hospital, Jinan, China. FAU - Liu, Miao AU - Liu M AD - Department of Respiratory Diseases, Children's Hospital affiliated to Shandong University, Jinan, China. AD - Jinan Key Lab of Respiratory Diseases for Children, Jinan Children's Hospital, Jinan, China. FAU - Wang, Bing AU - Wang B AD - Department of Respiratory Diseases, Children's Hospital affiliated to Shandong University, Jinan, China. AD - Jinan Key Lab of Respiratory Diseases for Children, Jinan Children's Hospital, Jinan, China. FAU - Chang, Yuna AU - Chang Y AD - Department of Respiratory Diseases, Children's Hospital affiliated to Shandong University, Jinan, China. AD - Jinan Key Lab of Respiratory Diseases for Children, Jinan Children's Hospital, Jinan, China. FAU - Han, Yuling AU - Han Y AD - Department of Respiratory Diseases, Children's Hospital affiliated to Shandong University, Jinan, China. FAU - Gai, Zhongtao AU - Gai Z AD - Jinan Key Lab of Respiratory Diseases for Children, Jinan Children's Hospital, Jinan, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Immun Inflamm Dis JT - Immunity, inflammation and disease JID - 101635460 RN - EC 3.4.17.23 (Angiotensin-Converting Enzyme 2) RN - 0 (Adrenal Cortex Hormones) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Humans MH - Child MH - Angiotensin-Converting Enzyme 2 MH - *COVID-19 MH - *Asthma/drug therapy/metabolism MH - Adrenal Cortex Hormones/therapeutic use MH - Immunoglobulin E PMC - PMC10373566 OTO - NOTNLM OT - COVID-19 OT - angiotensin-converting enzyme 2 OT - asthma OT - children OT - inhaled corticosteroids COIS- The authors declare no conflict of interest. EDAT- 2023/07/28 19:11 MHDA- 2023/07/31 06:42 PMCR- 2023/07/27 CRDT- 2023/07/28 13:36 PHST- 2023/06/03 00:00 [revised] PHST- 2023/02/10 00:00 [received] PHST- 2023/06/07 00:00 [accepted] PHST- 2023/07/31 06:42 [medline] PHST- 2023/07/28 19:11 [pubmed] PHST- 2023/07/28 13:36 [entrez] PHST- 2023/07/27 00:00 [pmc-release] AID - IID3922 [pii] AID - 10.1002/iid3.922 [doi] PST - ppublish SO - Immun Inflamm Dis. 2023 Jul;11(7):e922. doi: 10.1002/iid3.922.