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学科主题: 临床医学
题名:
Neutrophil-derived matrix metalloproteinase-9 is increased in severe asthma and poorly inhibited by glucortcoids
作者: Cundall, M; Sun, YC; Miranda, C; Trudeau, JB; Barnes, S; Wenzel, SE
关键词: matrix metalloproteinase-9 ; neutrophil gelatinase-associated lipocalin ; glucocorticoids ; asthma ; bronchoalveolar lavage
刊名: JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
发表日期: 2003-12-01
DOI: 10.1016/j.jaci.2003.08.013
卷: 112, 期:6, 页:1064-1071
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Allergy ; Immunology
研究领域[WOS]: Allergy ; Immunology
关键词[WOS]: OBSTRUCTIVE PULMONARY-DISEASE ; BRONCHOALVEOLAR LAVAGE FLUID ; TISSUE INHIBITOR ; ALVEOLAR MACROPHAGES ; AIRWAY INFLAMMATION ; ALLERGEN CHALLENGE ; PERIPHERAL-BLOOD ; METALLOPROTEINASE-1 ; SPUTUM ; EXPRESSION
英文摘要:

Background: Matrix metalloproteinase (MMP)-9 levels are increased in bronchoalveolar lavage (BAL) fluid from patients with severe asthma on high doses of glucocorticoids (GCs). Objective: We sought to identify neutrophils as the source of increased BAL fluid MMP-9 in severe asthma and to evaluate the effects of GCs on this MMP-9.

Methods: MMP-9 protein, activity, and mRNA were measured in BAL fluid and cells at baseline, and after in vitro GCs in patients with severe asthma and controls using enzyme immunoassays, zymography, Western blotting, and real-time PCR.

Results: The high molecular weight (HMW) form of MMP-9 was significantly increased in severe asthma (P = .02). Western blotting confirmed a heterodimer of MMP-9 and neutrophil gelatinase-associated lipocalin. The HMW MMP-9 correlated with BAL neutrophils (r = .65, P < .0001). BAL cell supernatant MMP-9 protein levels also tended to be higher in patients with severe asthma (overall, P = .09), whereas the HMW activity form was increased (P = .03). MMP-9 protein (and HMW activity) correlated with neutrophils in the cell pellet (r = .75, P < .0001). In contrast to protein and activity, BAL cell mRNA levels were marginally lower in patients with severe asthma than in control subjects (overall, P = .06). Although GCs decreased BAL cell MMP-9 protein and mRNA in vitro, the effect was significantly smaller in severe asthma (P < .01 for both). GCs decreased the pro-MMP-9 activity in patients with severe asthma and normal control subjects, while having no effects on the HMW form (P = .22). Peripheral blood neutrophil MMP-9 protein was not affected by GCs.

Conclusions: BAL neutrophils contribute to BAL fluid MMP-9 protein and activity and are poorly inhibited by GCs.

语种: 英语
WOS记录号: WOS:000187154200006
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/56752
Appears in Collections:北京大学第三临床医学院_呼吸内科_期刊论文

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作者单位: 1.Natl Jewish Med & Res Ctr, Dept Med, Denver, CO 80206 USA
2.Univ Colorado, Hlth Sci Ctr, Denver, CO USA
3.Peking Univ, Hosp 3, Dept Resp Med, Beijing 100871, Peoples R China

Recommended Citation:
Cundall, M,Sun, YC,Miranda, C,et al. Neutrophil-derived matrix metalloproteinase-9 is increased in severe asthma and poorly inhibited by glucortcoids[J]. JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY,2003,112(6):1064-1071.
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