RATIONALE: IL-26 is a potential biomarker of inflammation in asthmatics.
METHODS:The study included 10 healthy subjects (controls), 10 obese subjects without lung pathologies, 10 non-obese asthmatics (NOA) (BMI -18.5-24.9 kg/m2), and 40 obese asthmatics (OA) (BMI -25.0-49.9 kg/ m2). Spirometry with reversibility and both exhaled breath condensate (EBC) and blood samples collected. IL-26, interleukin-4 (IL-4), interleukin-10(IL-10), and high sensitive C reactive protein (hs-CRP) were measured by ELISA. Receiver Operating Characteristic (ROC) area under the curve (AUC) was used assessing IL-26 as a biomarker. RESULTS: NOA had reversible airway obstruction, reduced FEV1, FEV1/FVC, FVC 25/75, and positive post bronchodilator test (PBT), significantly increased serum levels of IL-10, IL-4, and slightly increased IL-26, with significantly increased exhaled IL-26 versus controls. The obese subjects had normal spirometry without obstruction, or differences in serum IL-26, IL-10, and IL-4 versus controls but significantly increased hs-CRP with no difference in exhaled IL-26, IL-10, and hs-CRP versus controls. OA had reduced FEV1, FEV1/FVC, and FEV25-75 versus NOA with elevated IL-26, IL-10, IL-4, and hs-CRP versus controls with partial similarity with both NOA (elevated IL-26, IL-10, and IL-4) and obese subjects (elevated hs-CRP). OA had reduced exhaled IL-26 versus NOA and elevated exhaled IL-10 versus obese subjects. Exhaled IL-26 distinguished NOA from controls, ROC analysis (area: 0.9700) showed 100% sensitivity/ 80% specificity; asthmatics versus non-asthmatics; and (area: 0.9620) showed 94% sensitivity and 80% specificity distinguishing all asthmatics from non-asthmatics (area: 0.9280) showing 94% sensitivity /80% specificity. CONCLUSIONS: IL-26 is novel biomarker for asthma inflammation.