Properdin in childhood and its association with wheezing and atopy

Pediatr Allergy Immunol. 2010 Jun;21(4 Pt 2):e787-91. doi: 10.1111/j.1399-3038.2009.00979.x. Epub 2010 Mar 19.

Abstract

Properdin, a serum glycoprotein, is an important component of innate immunity, the only known positive regulator of complement, acting as an initiation point for alternative pathway activation. As an X-linked protein, we hypothesized that properdin may play a modulatory role in the pathogenesis of viral wheeze in children, which tends to be more common and more severe in boys. We aimed to determine properdin levels in a community-based paediatric sample, and to assess whether levels of properdin were associated with childhood wheeze phenotypes and atopy. We studied 137 school-children aged 8-12 yrs, a nested sample from a cohort study. Properdin was measured by a commercial enzyme-linked immunoabsorbant assay. We assessed wheeze by questionnaire, validated it by a nurse-led interview and performed skin prick tests and a methacholine challenge in all children. Forty children (29%) reported current wheeze. Serum properdin levels ranged between 18 and 40 microg/ml. Properdin was not associated with age, gender, atopy, bronchial responsiveness, current wheeze (neither the viral wheeze nor multiple-trigger wheeze phenotype) or severity of wheeze, but was slightly lower in south Asian (median 21.8 microg/ml) compared with white children (23.3 microg/ml; p = 0.006). Our data make it unlikely that properdin deficiency is common in healthy children or that levels of properdin are a major risk factor for wheeze or atopy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Asian People
  • Case-Control Studies
  • Child
  • Complement Pathway, Alternative / genetics
  • Female
  • Genes, X-Linked / genetics
  • Genes, X-Linked / immunology
  • Genetic Association Studies
  • Humans
  • Hypersensitivity / genetics*
  • Hypersensitivity / immunology*
  • Hypersensitivity / physiopathology
  • Male
  • Properdin / genetics
  • Properdin / immunology
  • Properdin / metabolism*
  • Respiratory Sounds
  • Sex Factors
  • Skin Tests
  • White People

Substances

  • Properdin