Ma Hui-Ping, Li Wei, Liu Xiao-Min
Department of Respiratory Medicine, Jining No. 1 People's Hospital, Jining, Shandong 272111, P.R. China.
Department of Otorhinolaryngology, Jining No. 1 People's Hospital, Jining, Shandong 272111, P.R. China.
Exp Ther Med. 2014 Oct;8(4):1197-1200. doi: 10.3892/etm.2014.1903. Epub 2014 Aug 13.
Previous studies have revealed the role of matrix metalloproteinase 9 (MMP9) in asthma and chronic obstructive pulmonary disease (COPD). However, its role in airway inflammation in cough variant asthma (CVA) remains unknown. In the present study, variations in the levels of MMP9 and interleukin (IL)-5 in the induced sputum of patients with CVA prior to and following therapy with inhaled corticosteroid and long-acting β2-agonist (ICS/LABA), were detected. The levels of IL-5 and percentage of eosinophils (EOS) in the induced sputum from patients with CVA were significantly higher than those in the control group of healthy individuals. The levels of MMP9 in the induced sputum from patients with CVA were also significantly higher than those in the control group. Following treatment with ICS/LABA for 6-9 months, the levels of MMP9 and IL-5, as well as the percentage of EOS, in the induced sputum from patients with CVA had significantly decreased. Thus, MMP9 may be an important biomarker in the airway inflammation of CVA.
以往研究揭示了基质金属蛋白酶9(MMP9)在哮喘和慢性阻塞性肺疾病(COPD)中的作用。然而,其在咳嗽变异性哮喘(CVA)气道炎症中的作用尚不清楚。在本研究中,检测了CVA患者在吸入糖皮质激素和长效β2受体激动剂(ICS/LABA)治疗前后诱导痰中MMP9和白细胞介素(IL)-5水平的变化。CVA患者诱导痰中IL-5水平和嗜酸性粒细胞(EOS)百分比显著高于健康个体对照组。CVA患者诱导痰中MMP9水平也显著高于对照组。经ICS/LABA治疗6 - 9个月后,CVA患者诱导痰中MMP9和IL-5水平以及EOS百分比显著下降。因此,MMP9可能是CVA气道炎症中的一个重要生物标志物。