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囊性纤维化 (CF) 和慢性阻塞性肺疾病 (COPD) 中的痰液生物标志物谱与肺功能的关系。

Sputum biomarker profiles in cystic fibrosis (CF) and chronic obstructive pulmonary disease (COPD) and association between pulmonary function.

机构信息

Department of Pediatric Pulmonology, Allergy and Cystic Fibrosis, Children's Hospital, Goethe-University, Theodor-Stern-Kai 7, Frankfurt, Germany.

出版信息

Cytokine. 2010 May;50(2):152-7. doi: 10.1016/j.cyto.2010.02.004. Epub 2010 Feb 23.

Abstract

Lung diseases like cystic fibrosis (CF) and chronic obstructive pulmonary disease (COPD) are associated with chronic airway inflammation. The aim of our study was to compare a complex biomarker profile in order to characterize specific inflammatory patterns in sputum of patients with CF and COPD. Induced sputum samples of 19 CF-, 26 COPD patients and 21 healthy controls were analyzed for concentrations of IL-1beta, IL-2, IL-6, IL-8, IL-13, IP-10, MCP-1, IFN-gamma and TNF-alpha using the new cytometric bead array (CBA) technology. Significant differences in airway biomarker profiles of CF and COPD were detected. Patients with CF showed a significant increase in IL-1beta, IL-6, IL-8, IL-13, TNF-alpha, IFN-gamma and MCP-1. COPD patients showed an increase in IL-6, IL-8, IL-13 and MCP-1 compared to healthy controls. CF and COPD compared to each other exhibited differences in IL-1beta, IL-2, IL-8, TNF-alpha, IFN-gamma and MCP-1 levels. Significant correlations between the parameters of lung function and sputum biomarker levels were found. Analyzing induced sputum allows characterization of specific airway biomarker profiles in CF and COPD and can be related to the clinical status of the patient. CBA of induced sputum seems to be a pivotal tool to characterize pulmonary inflammation.

摘要

肺部疾病,如囊性纤维化 (CF) 和慢性阻塞性肺疾病 (COPD),与慢性气道炎症有关。我们的研究目的是比较复杂的生物标志物谱,以描述 CF 和 COPD 患者痰液中的特定炎症模式。通过新的细胞因子 bead 阵列 (CBA) 技术分析了 19 例 CF、26 例 COPD 患者和 21 例健康对照者的诱导痰样本中白细胞介素-1β (IL-1β)、白细胞介素-2 (IL-2)、白细胞介素-6 (IL-6)、白细胞介素-8 (IL-8)、白细胞介素-13 (IL-13)、干扰素-γ (IFN-γ) 和肿瘤坏死因子-α (TNF-α) 的浓度。在 CF 和 COPD 的气道生物标志物谱中检测到显著差异。CF 患者的 IL-1β、IL-6、IL-8、IL-13、TNF-α、IFN-γ和 MCP-1 显著增加。与健康对照组相比,COPD 患者的 IL-6、IL-8、IL-13 和 MCP-1 增加。与 CF 和 COPD 相比,彼此之间的 IL-1β、IL-2、IL-8、TNF-α、IFN-γ和 MCP-1 水平存在差异。发现肺功能参数与痰生物标志物水平之间存在显著相关性。分析诱导痰可使 CF 和 COPD 中的特定气道生物标志物谱特征化,并与患者的临床状况相关。诱导痰的 CBA 似乎是一种描述肺部炎症的重要工具。

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