NSAID-exacerbated respiratory disease, N-ERD, is associated pinch measurable changes successful concentrations of lipid mediators progressive successful inflammation and symptom modulation, a caller study shows. Plasma concentrations of 2 cardinal endocannabinoid-related lipids, arachidonoylethanolamide (AEA) and oleoylethanolamide (OEA), were importantly reduced successful patients pinch N-ERD, compared to patient controls.
In addition, moreover a very debased dose of aspirin accrued AEA and OEA levels successful controls, but not successful N-ERD patients. The study, conducted successful collaboration betwixt nan University of Eastern Finland, nan University of Helsinki and Helsinki University Hospital, was published successful Clinical & Experimental Allergy.
N-ERD is simply a chronic syndrome successful which nonsteroidal anti-inflammatory narcotics (NSAIDs), specified arsenic aspirin, provoke asthma attacks and different respiratory symptoms. Patients typically suffer from terrible asthma and chronic rhinosinusitis pinch nasal polyps, and nan information importantly impairs value of life. Currently, location is nary objective laboratory trial for N-ERD, and test requires a costly and risky aspirin situation performed successful a infirmary setting. The illness mechanisms stay poorly understood, and optimal curen strategies are still lacking.
This coming study is nan first to study changes successful endocannabinoid signaling successful patients pinch N-ERD, which whitethorn thief explicate chronic inflammation and heightened cognition of symptom associated pinch nan condition. In summation to reduced concentrations of AEA and OEA, elevated concentrations of leukotriene E4 and different lipid mediators were besides observed, perchance reflecting N-ERD associated inflammation.
"These changes successful lipid metabolism, which impact nan endocannabinoid system, whitethorn successful nan early unfastened up caller avenues for diagnosing N-ERD, and for processing targeted therapies," Doctoral Researcher Viljami Salmi from nan University of Helsinki notes.
Further investigation involving larger diligent cohorts is needed. The coming study included 8 individuals diagnosed pinch N-ERD and 7 patient controls.
Source:
Journal reference:
Salmi, V. E., et al. (2025) Systemic N-Acylethanolamines and Other Lipid Mediators Are Associated With NSAID-Exacerbated Respiratory Disease. Clinical & Experimental Allergy. doi.org/10.1111/cea.70145
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