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The main aim of this study is to determine whether the levels of different inflammatory cytokines in the serum and BALF (bronchoalveolar lavage fluid) are relative to the severity and exacerbations of ABPA (allergic bronchopulmonary aspergillosis).
The study would record patients' medical data at baseline and follow them up for different period of time. Updated data would be recorded and blood( or BALF) of the patients would be drawn for tests or stored as whole blood or serum at -80℃ when patients visit the hospital. Then the cytokine (A panel set by the manufacturer) of the serum and BALF would be tested . The secretion ability of peripheral blood mononuclear cells would also be verified. The investigators would then analyze the data and see if any cytokine is relative to the exacerbation or other indicators of the severity of ABPA.
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| Measure | Description | Time Frame |
|---|---|---|
| Cytokines levels | The levels of different cytokines in the serum or BALF at the enrollment and during follow up. The relation of different cytokines levels and characteristics of ABPA patients would be analyzed. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Exacerbation | The worsening of the symptoms of patients, or the new infiltrate of lung under CT scan that is relevant to ABPA, or the elevated serum IgE level. | 1 year |
| High attenuation mucus (HAM) |
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For ABPA patients
Inclusion Criteria:
For asthma patients:
Diagnosis according to GINA.
For healthy control:
People with ongoing chronic allergic disease such as allergic rhinitis, asthma and allergic dermatitis are excluded.
Exclusion Criteria:
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ABPA patients who were or would be hospitalized in Shanghai Pulmonary Hospital would be recruited. They would receive standard treatment of ABPA and be asked to visit the clinic again one month later after they start taking glucocorticoids. they are also asked to visit the clinic every three month to monitor the change of serum IgE and their condition. Asthma patients and healthy controls are also enrolled as contrast groups.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jin-fu Xu, MD | Contact | +86 13321922898 | jfxucn@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Jin-fu Xu, MD | Shanghai Pulmonary Hospital, Shanghai, China | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai Pulmonary Hospital | Recruiting | Shanghai | Shanghai Municipality | 200433 | China |
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Bronchoalveolar lavage fluid, serum and whole blood.
It is defined objectively on a CT scan as having an attenuation value > 70 Hounsfield units, visually denser than the paraspinal skeletal muscle
| Once |
| Eosinophilia | Equal to or more than 500/μl | 1 year |
| FeNO | The fraction of exhaled nitric oxide | 1 year |
| Phenotypes of ABPA | Patients would be categorized into three phenotypes: ABPA-S (seropositive), ABPA-CB (central bronchiectasis) and ABPA-ORF (other radiologic findings) | Once |
| Time to exacerbation | The onset date of therapy and the date of the next exacerbation would be recorded to calculate the time to the next exacerbation | 1 year |
| Level of different cytokine secreting cells | PBMC would be stained immediately or co-cultured with PMA/ionmycin before staining for flow cytometry. | 1 year |