Studies on the pathogenesis of asthma attacks are limited, and the mechanism underlying asthma attacks remains obscure. This study aimed to clarify the characteristic cytokine profiles in asthma exacerbation.
[Materials and Methods] Serum cytokine levels were measured in patients who visited the hospital for asthma attacks and compared with cytokine lev- els in patients with stable asthma and in normal par- ticipants. Serum interleukin (IL)-4, IL-5, IL-10, IL-13, IL-17, IL-33, periostin, and thymic stromal lymph- opoietin (TSLP) concentrations were measured in 16 patients with asthma attacks, 49 patients with stable asthma, and 26 normal participants. [Results] IL-10, IL-13, and TSLP levels were signifi- cantly higher in patients with asthma attacks than in patients with stable asthma, whereas IL-5 and IL-17 levels were significantly lower. [Discussion] Asthma is a heterogeneous disease, and the pathology of an asthma attack will also vary from person to person. In some asthma endtypes, IL-13 production, which induces mucus secre- tion and bronchoconstriction, would contribute to develop asthma attacks. This IL-13 production is not prevented by the enhanced IL-10 production or step-up treatment (i.e., increased steroid inhalation etc.), although IL-10 can suppress IL-5 and IL-17 production.
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