3136 Cirtulating Levels of Adipokine Chemerine and Irisin in severe asthma patients treated with Omalizumab

Tuesday, 9 December 2014
Exhibition Hall-Poster Area (Sul America)

Arzu Didem Yalcin, MD , Internal Medicine, Allergy and Clinical Immunology, Near East University, Nicosia, Cyprus

Gizem Esra Genc , Akdenız Unıversıty, Antalya, Turkey

Ayse Yesım Gocmen , Department of Medical Biochemistry, Faculty of Medicine, Bozok University, YOZGAT, Turkey

Saadet Gumuslu , Department of Medical Biochemistry, Faculty of Medicine, Akdeniz University, 07070, Antalya, Turkey., Turkey

Backgraund: Omalizumab, a humanized mAb that binds to the CH3 domain, near the binding site for the high-affinity type-I IgE Fc receptors of human IgE, can neutralize free IgE and inhibit the IgE allergic pathway without sensitizing mast cell and basophils.

Methods:Healthy controls n:25 (Group-I) and patients n:18, (Group-IIA: before omalizumab and Group- IIB: after omalizumab (after  a year)).The concentrations of chemerin in the serum were measured using commercially available ELISA kits (Human Chemerin Elisa kit, BioVendor-Laboratorni Medicina AS, Cat No.RD191136200R, Brno, Czech Republic). The concentrations of irisin in the serum were measured using commercially available ELISA kits (Human Irisin  Elisa kit, BioVendor-Laboratorni Medicina AS, Cat No. RAG018R, Brno, Czech Republic).Results were presented as mean ± SEM and  mean ± SD. Comparison of parameters between the two groups was performed using Independent Samples T test. The relationship between the variables was  determined using Pearson correlation analysis. Statistical significance was defined as p < 0.05. Statistical analyses were performed using SPSS  18.0 (IBM Corporation, New York, USA)..

Results:Chemerin levels(ng/mL) were significantly higher in severe persistent asthma patients compared to healthy volunteers.

Endogenous sources of chemerin include white fat, the liver, the platelet and PVAT. Chemerin is initially produced as a 163 amino acid precursor (pro-chemerin, TIG2) and processing of prochemerin by proteases is considered the key regulatory mechanism affecting chemerin concentration. Proteases that activate prochemerin include elastase, tryptase, cathepsin G, plasmin and carboxypeptidase N and B. We think that, Chemerin have an important role in patients with severe persistent asthma.