Sputum Leucine-Rich Alpha-2 Glycoprotein as a Marker of Airway Inflammation in Asthma

痰中富含亮氨酸的 α-2 糖蛋白作为哮喘气道炎症的标志物

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作者:Hiromi Honda, Minoru Fujimoto, Shintaro Miyamoto, Nobuhisa Ishikawa, Satoshi Serada, Noboru Hattori, Shintaro Nomura, Nobuoki Kohno, Akihito Yokoyama, Tetsuji Naka

Background

Asthma is a chronic inflammatory disease of airways, but an ideal biomarker that accurately reflects ongoing airway inflammation has not yet been established. The

Conclusion

These findings suggest that sputum LRG is a promising biomarker of local inflammation in asthma.

Methods

We obtained induced sputum samples from patients with asthma (N = 64) and healthy volunteers (N = 22) and measured LRG concentration by sandwich enzyme-linked immunosorbent assay (ELISA). Ovalbumin (OVA)-induced asthma model mice were used to investigate the mechanism of LRG production during airway inflammation. The LRG concentrations in the bronchoalveolar lavage fluid (BALF) obtained from mice were determined by ELISA and mouse lung sections were stained with anti-LRG antibody and periodic acid-Schiff (PAS) reagent.

Results

Sputum LRG concentrations were significantly higher in patients with asthma than in healthy volunteers (p = 0.00686). Consistent with patients' data, BALF LRG levels in asthma model mice were significantly higher than in control mice (p = 0.00013). Immunohistochemistry of lung sections from asthma model mice revealed that LRG was intensely expressed in a subpopulation of bronchial epithelial cells, which corresponded with PAS-positive mucus producing cells.

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