Serum Periostin Level Has Limited Usefulness as a Biomarker for Allergic Disease in 7-Year-Old Children

Int Arch Allergy Immunol. 2019;180(3):195-201. doi: 10.1159/000501224. Epub 2019 Sep 10.

Abstract

Background: Previous studies have used serum periostin levels as a biomarker of Th2-driven inflammatory responses. However, no population-based study has yet examined the association of serum periostin levels with the allergic status of children.

Objectives: The aim of this study was to determine the usefulness of periostin as a biomarker for allergy in a group of 7-year-old Korean children.

Method: This prospective cross-sectional study examined 451 children (aged 7 years to 7 years and 11 months) from the general pediatric population who attended 6 different schools between June and July 2016. A total of 249 children, all of whom completed the questionnaire and skin prick test and provided blood samples, were included in the final analysis.

Results: The geometric mean serum periostin level was 107.6 ng/mL (95% CI 104.5-110.7). After adjustment for confounding, serum periostin levels were significantly associated with sensitization to poly-allergens (adjusted odds ratio, aOR 1.032, 95% CI 1.006-1.059, p = 0.016) and pollen (aOR 1.020, 95% CI 1.002-1.039, p = 0.026). Serum periostin levels were also associated with eosinophil levels (adjusted β = 0.023, SE = 0.009, p = 0.010), but were unrelated to body mass index, sex, obesity, or presence of an allergic disease.

Conclusions: Our results suggest thatserum periostin level may have limited usefulness as a biomarker of allergic disease in children.

Keywords: Allergen; Pediatrics; Periostin; Polysensitization.

MeSH terms

  • Allergens / immunology
  • Biomarkers / blood*
  • Cell Adhesion Molecules / blood*
  • Child
  • Cross-Sectional Studies
  • Eosinophils / immunology*
  • Female
  • Humans
  • Hypersensitivity / diagnosis*
  • Hypersensitivity / epidemiology
  • Immunization / statistics & numerical data*
  • Korea / epidemiology
  • Male
  • Population Groups
  • Prospective Studies
  • Skin Tests

Substances

  • Allergens
  • Biomarkers
  • Cell Adhesion Molecules
  • POSTN protein, human