Background:
Fractional exhaled nitric oxide (FENO) is currently used as a biomarker of
airway inflammation in patients with asthma. However, the role of alveolar nitric oxide (CANO) in
asthmatic children has not been clearly demonstrated
Methods:
It was a prospective and descriptive study. The measurement of FENO and CANO, spirometry, blood eosinophil counts (BEC), and total IgE levels were performed for each study subject.
Results:
This study included 109 uncontrolled asthmatic children without inhaled corticosteroid
(ICS) treatment. The exhaled NO level in asthmatic patients was significantly higher than in control
subjects: FENO: 22.5 vs. 8.4 ppb; CANO: 5.9 vs. 2.8 ppb; J’awNO (maximum airway nitric oxide
flux): 56.9 vs. 18.7 ppb; respectively. The sensitivities and specificities for asthma diagnosis with
the cut-off of CANO at 3.5 ppb and 5.0 ppb were 74.3% and 73.3%, and 46.0% and 83.3%, respectively. There were the moderate and the weak correlations between CANO with FENO and CANO
with IgE in asthmatic patients (r = 0.465, 95%CI (0.133-0.659), P=0.001; r=0.133, 95%CI (0.068-
0.497), P=0.184; respectively). The percentage of controlled asthma in patients with CANO ≥5 ppb
at inclusion was higher than that in CANO <5 ppb group.
Conclusion:
Exhaled NO is a relevant biomarker of allergic asthma. The level of FENO and CANO
might be used to predict asthma control in children.
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