Abstract:Objective To explore the significance of Th1/Th2 cytokines expression in peripheral blood of patients with allergic rhinitis (AR) and its predictive value for airway hyperreactivity.Methods Fifty AR patients visited our department from January 2020 to January 2022 were selected as the observation group, and 50 healthy volunteers undergoing physical examination in the outpatient department of our hospital during the same period were selected as the control group. Serum levels of Th1 cytokines [interferon-γ(IFN-γ), tumor necrosis factor-α(TNF-α)] and Th2 cytokines [interleukin-5 (IL-5), interleukin-4 (IL-4)] were detected and compared between the two groups, and between the mild and moderate to severe AR patients. The 50 AR patients were subdivided into normal group (n=27) and abnormal group (n=23) according to whether the airway response was normal or not. Serum levels of Th1 and Th2 cytokines were compared between the two subgroups, receiver operating curve (ROC) was drawn, and area under curve (AUC) was calculated to analyze the predictive value of serum Th1 and Th2 cytokines on airway hyperresponsiveness.Results The serum level of IFN-γ of the observation group was lower than that of the control group (P<0.05), and the serum levels of TNF-α, IL-4 and IL-5 of the observation group were higher than those of the control group (P<0.05). The serum level of IFN-γ of the moderate to severe AR group was lower than those of the mild AR group and the control group (P<0.05), and the serum levels of TNF-α, IL-4 and IL-5 of the moderate to severe AR group were higher than those of the mild AR group and the control group (P<0.05). The serum level of IFN-γ in the abnormal airway response group was lower than that in the normal airway response group (P<0.05), and the serum levels of TNF-α, IL-4 and IL-5 in the abnormal airway response group were higher than those in the normal airway response group (P<0.05). The AUC of serum IFN-γ, TNF-α, IL-4 and IL-5 combined detection was 0.792 (95%CI:0.713-0.943), and the sensitivity and specificity were 93.58% and 91.02%, respectively, which were higher than those of single detection (P<0.05).Conclusion Th1 and Th2 cytokines are abnormally expressed in serum of AR patients, and there are certain correlations between serum Th1 and Th2 cytokines and airway hyperresponse. In clinical practice, combined detection of serum Th1 and Th2 cytokines can improve the predictive value for airway hyperresponsiveness.