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CC16 as an Inflammatory Biomarker in Induced Sputum Reflects Chronic Obstructive Pulmonary Disease (COPD) Severity

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单位: [1]Fudan Univ, Crit Care Med Zhongshan Hosp, Shanghai Inst Resp Dis, Dept Resp, Shanghai, Peoples R China [2]Fudan Univ, Geriatr Dept Zhongshan Hosp, Shanghai Inst Resp Dis, Shanghai, Peoples R China [3]Fudan Univ, Res Ctr Zhongshan Hosp, Shanghai, Peoples R China [4]Air Liquide Holding Co Ltd, Shanghai, Peoples R China [5]Sichuan Univ, West China Hosp, Clin Res Ctr Resp Dis, Dept Resp & Crit Care Med, Chengdu, Peoples R China [6]Jilin Univ, Dept Resp Med, Affiliated Hosp 2, Changchun, Peoples R China [7]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll 10,Dept Pulm & Crit Care Med,Wuhan,Peoples R China [8]Fudan Univ, Huashan Hosp, Shanghai Med Coll, Dept Lab Med, Shanghai, Peoples R China
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关键词: COPD induced sputum airway inflammation biomarkers lung function CC16

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Purpose: The progression of an abnormal inflammatory response plays a crucial role in the lung function decline of chronic obstructive pulmonary disease (COPD) patients. Compared to serum biomarkers, inflammatory biomarkers in induced sputum would be a more reliable reflection of inflammatory processes in the airways. Patients and Methods: A total of 102 COPD participants were divided into a mild-to-moderate group (FEV1%pred >= 50%, n=57) and a severe-to-very-severe group (FEV1%pred<50%, n=45). We measured a series of inflammatory biomarkers in induced sputum and analyzed their association with lung function and SGRQ in COPD patients. To evaluate the relationship between inflammatory biomarkers and the inflammatory phenotype, we also analyzed the correlation between biomarkers and airway eosinophilic phenotype. Results: We found increased mRNA levels of MMP9, LTB4R, and A1AR and decreased levels of CC16 mRNA in induced sputum in the severe-to-very-severe group. After adjustment for age, sex and other biomarkers, CC16 mRNA expression was positively associated with FEV1%pred (r=0.516, p=0.004) and negatively correlated with SGRQ scores (r=-0.3538, p=0.043). As previously known, decreased CC16 was related to the migration and aggregation of eosinophils in airway. It was also found that CC16 had a moderate negative correlation with the eosinophilic inflammation in airway (r=-0.363, p=0.045) in our COPD patients. Conclusion: Low CC16 mRNA expression levels in induced sputum were associated with low FEV1%pred and a high SGRQ score in COPD patients. Sputum CC16 as a potential biomarker for predicting COPD severity in clinical practice might attribute to the involvement of CC16 in airway eosinophilic inflammation.

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大类 | 3 区 医学
小类 | 3 区 呼吸系统
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大类 | 3 区 医学
小类 | 3 区 呼吸系统
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Q3 RESPIRATORY SYSTEM
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第一作者单位: [1]Fudan Univ, Crit Care Med Zhongshan Hosp, Shanghai Inst Resp Dis, Dept Resp, Shanghai, Peoples R China
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通讯机构: [1]Fudan Univ, Crit Care Med Zhongshan Hosp, Shanghai Inst Resp Dis, Dept Resp, Shanghai, Peoples R China [8]Fudan Univ, Huashan Hosp, Shanghai Med Coll, Dept Lab Med, Shanghai, Peoples R China [*1]Crit Care Med Zhongshan Hosp, Dept Resp, 180 Fenglin Rd, Shanghai, Peoples R China [*2]Fudan Univ, Huashan Hosp, Shanghai Med Coll, Dept Lab Med, 12 Wlmq Rd, Shanghai, Peoples R China
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