The Relationship Between Urinary Bromotyrosine Levels and Eosinophils in Asthma and Non-Asthma Patients at Harum Melati Clinic, Pringsewu, Lampung, Indonesia
DOI:
https://doi.org/10.36497/jri.v46i2.940Keywords:
asthma, eosinophils, urinary bromotyrosineAbstract
Background: In the era of personalized medicine, biomarkers have become an important tool for detecting and predicting asthma episodes over the last decade, one of them is urinary bromotyrosine. It has several advantages as a potential biomarker for asthma, including its stability and the practicality of noninvasive urine sampling. Therefore, this study aims to investigate further the role of urinary bromotyrosine levels and their correlation with eosinophil levels in asthma patients.
Methods: This is an analytical observational study with a cross-sectional design. From May to December 2023, the study involved 82 patients from the Harum Melati Clinic in Pringsewu, Lampung, Indonesia. The participants underwent spirometry, differential leukocyte count, urinalysis, and chest X-rays. The severity of asthma obstruction was classified into asthmatic (n=72) as the case group, with non-asthmatic patients (n=10) serving as the control group. Urinary bromotyrosine levels were tested using the 3-BrY ELISA Kit EU3112.
Results: Urinary bromotyrosine levels were significantly higher in asthma patients compared to the non-asthma group (154.11 ng/mL vs. 11.87 ng/mL; P=0.0001). Furthermore, elevated eosinophil levels in asthma patients showed a strong correlation coefficient (0.307) with higher urinary bromotyrosine levels, indicating statistical significance (P=0.005).
Conclusion: This study found a significant difference in urinary bromotyrosine levels between asthmatic and non-asthmatic participants. There was a strong correlation between elevated eosinophil counts in patients with asthma and increased urinary bromotyrosine levels.
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1. Vos T, Lim SS, Abbafati C, Abbas KM, Abbasi M, Abbasifard M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet. 2020;396(10258):1204–22.
2. Kementerian Kesehatan RI. Laporan Nasional Riskesdas 2018. Laporan Nasional Riskesdas 2018. Jakarta; 2018.
3. Soemarwoto RA, Mustofa S, Rusmini H, Febriani A, Muslimah N. Relationship between allergic rhinitis and asthma in the elementary school children in Bandar Lampung, Indonesia. In: Paediatric asthma and allergy. European Respiratory Society; 2020. p. 670.
4. Tiotiu A. Biomarkers in asthma: state of the art. Asthma Res Pract. 2018;4:10.
5. Porsbjerg C, Melén E, Lehtimäki L, Shaw D. Asthma. The Lancet. 2023;401(10379):858–73.
6. Popović-Grle S, Štajduhar A, Lampalo M, Rnjak D. Biomarkers in Different Asthma Phenotypes. Genes (Basel). 2021;12(6):801.
7. Mani AR, Moreno JC, Visser TJ, Moore KP. The metabolism and de-bromination of bromotyrosine in vivo. Free Radic Biol Med. 2016;90:243–51.
8. Wedes SH, Wu W, Comhair SAA, McDowell KM, DiDonato JA, Erzurum SC, et al. Urinary Bromotyrosine Measures Asthma Control and Predicts Asthma Exacerbations in Children. J Pediatr. 2011;159(2):248-255.e1.
9. Cowan DC, Taylor DR, Peterson LE, Cowan JO, Palmay R, Williamson A, et al. Biomarker-based asthma phenotypes of corticosteroid response. Journal of Allergy and Clinical Immunology. 2015;135(4):877-883.e1.
10. Carr TF, Kraft M. Use of biomarkers to identify phenotypes and endotypes of severe asthma. Annals of Allergy, Asthma & Immunology. 2018;121(4):414–20. doi:10.1016/j.anai.2018.07.029
11. Sabir M, Tan YY, Aris A, Mani AR. The role of endogenous bromotyrosine in health and disease. Free Radic Res. 2019;53(9–10):1019–34.
12. di Palmo E, Cantarelli E, Catelli A, Ricci G, Gallucci M, Miniaci A, et al. The Predictive Role of Biomarkers and Genetics in Childhood Asthma Exacerbations. Int J Mol Sci. 2021;22(9):4651.
13. Meteran H, Sivapalan P, Stæhr Jensen JU. Treatment Response Biomarkers in Asthma and COPD. Diagnostics. 2021;11(9):1668.
14. Bonnesen B, Jensen JUS, Mathioudakis AG, Corlateanu A, Sivapalan P. Promising treatment biomarkers in asthma. Frontiers in Drug Safety and Regulation. 2023;3:1291471.
15. Diamant Z, Vijverberg S, Alving K, Bakirtas A, Bjermer L, Custovic A, et al. Toward clinically applicable biomarkers for asthma: An EAACI position paper. Allergy. 2019;74(10):1835–51.
16. D’Amato G, Vitale C, Molino A, Stanziola A, Sanduzzi A, Vatrella A, et al. Asthma-related deaths. Multidiscip Respir Med. 2016;11:37.
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