TY - BOOK AU - Abeer Mohamed Elsayed Osman AU - Ayat Ali Motawae , AU - Mohamed Saad Elbaz , AU - Nadia Ahmed Mostafa , TI - Role of adipokines : : Resistin and adiponectin as a mechanism of distinct asthma phenotype in obese children with asthma / PY - 2018/// CY - Cairo : PB - Abeer Mohamed Elsayed Osman , KW - Bronchial asthma KW - Obesity KW - Phenotype N1 - Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Pediatrics; Issued also as CD N2 - Background: The relation between obesity and asthma is bidirectional. Obesity and asthma are characterized by the presence of inflammation. A possible mechanism linking obesity and asthma is through systemic inflammation characterized by elevated serum levels of pro-inflammatory adipokines. Objective: to evaluates the role of resistin and adiponectin as contributing factors for asthma in obese children; and their role on asthma control and severity; also the influence of obesity on the phenotype of asthma. Methods: Our study included 29 lean asthmatics, 23 obese asthmatic children from Specialized Children{u2019}s Hospital, Cairo university and the medical service unit, National research center (NRC) and 30 controls. All cases were subjected to detailed history taking and thorough examination; pulmonary function tests and measurement of serum adiponectin, resistin, MCP-1 and IgE. Results: elevated serum adiponectin level (P=<0.001) and decreased serum MCP-1 level (P=0.036) in obese asthmatic children compared to lean and control group; No significant difference concerning serum resistin level between cases and controls (P=0.758). Conclusion: Adiponectin was found to be higher in serum of obese asthmatics than lean asthmatics and controls, thus playing a role in induction of obesity in asthmatics. Adiponectin may play role in asthma pathogenesis in lean patients. Resistin and resistin/adiponectin ratio had no role in asthma pathogenesis. MCP-1 had a role in chronicity of asthma. Obese asthmatic children had better FEV1 and FVC% and less frequent exacerbations than lean asthmatics UR - http://172.23.153.220/th.pdf ER -