Induced sputum genes associated with spirometric and radiological disease severity in COPD ex-smokers

BackgroundInduced sputum is used to sample inflammatory cells, predominantly neutrophils and macrophages, from the airways of COPD patients. The author's aim was to identify candidate genes associated with the degree of airflow obstruction and the extent of emphysema by expression profiling, an...

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Veröffentlicht in:Thorax 2011-06, Vol.66 (6), p.489-495
Hauptverfasser: Singh, Dave, Fox, Steven M, Tal-Singer, Ruth, Plumb, Jonathan, Bates, Stewart, Broad, Peter, Riley, John H, Celli, Bartolome
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container_end_page 495
container_issue 6
container_start_page 489
container_title Thorax
container_volume 66
creator Singh, Dave
Fox, Steven M
Tal-Singer, Ruth
Plumb, Jonathan
Bates, Stewart
Broad, Peter
Riley, John H
Celli, Bartolome
description BackgroundInduced sputum is used to sample inflammatory cells, predominantly neutrophils and macrophages, from the airways of COPD patients. The author's aim was to identify candidate genes associated with the degree of airflow obstruction and the extent of emphysema by expression profiling, and then to confirm these findings for selected candidates using PCR and protein analysis.MethodsTwo sputum studies were performed in Global Initiative for Chronic Obstructive Lung Disease (GOLD) stage 2–4 COPD ex-smokers from the Evaluation of COPD Longitudinally to Identify Predictive Surrogate Endpoints (ECLIPSE) cohort. First, gene array profiling at baseline in samples from 148 patients. The findings were replicated in a separate population of 176 patients using real-time PCR. The findings for one selected gene IL-18R were further analysed using immunohistochemistry in lung tissue and induced sputum from patients outside the ECLIPSE cohort.ResultsGene expression profiling revealed changes in 277 genes associated with GOLD stage 2 versus 3 and 4, and 198 genes with changes associated with the degree of emphysema (p
doi_str_mv 10.1136/thx.2010.153767
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The author's aim was to identify candidate genes associated with the degree of airflow obstruction and the extent of emphysema by expression profiling, and then to confirm these findings for selected candidates using PCR and protein analysis.MethodsTwo sputum studies were performed in Global Initiative for Chronic Obstructive Lung Disease (GOLD) stage 2–4 COPD ex-smokers from the Evaluation of COPD Longitudinally to Identify Predictive Surrogate Endpoints (ECLIPSE) cohort. First, gene array profiling at baseline in samples from 148 patients. The findings were replicated in a separate population of 176 patients using real-time PCR. The findings for one selected gene IL-18R were further analysed using immunohistochemistry in lung tissue and induced sputum from patients outside the ECLIPSE cohort.ResultsGene expression profiling revealed changes in 277 genes associated with GOLD stage 2 versus 3 and 4, and 198 genes with changes associated with the degree of emphysema (p&lt;0.01 for each gene). Twelve of these candidate genes were analysed by PCR in the replication cohort, with significant changes (p&lt;0.05) observed for 11 genes. IL-18R protein expression was higher on alveolar macrophages in lung tissue of COPD patients (mean 23.2%) compared to controls (mean ex-smokers 2% and non-smokers 2.5%).ConclusionGene expression profiling in sputum cells identified candidate genes that may play roles in molecular mechanisms associated with COPD. The replication by PCR and protein in different studies confirms these findings, and highlights a potential role for IL-18R upregulation in severe COPD.</description><identifier>ISSN: 0040-6376</identifier><identifier>EISSN: 1468-3296</identifier><identifier>DOI: 10.1136/thx.2010.153767</identifier><identifier>PMID: 21441172</identifier><identifier>CODEN: THORA7</identifier><language>eng</language><publisher>London: BMJ Publishing Group</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Biosynthesis ; Cardiology. Vascular system ; Cell cycle ; Chronic obstructive pulmonary disease ; Chronic obstructive pulmonary disease, asthma ; Emphysema ; Female ; Gender ; Gene expression ; Gene Expression Profiling - methods ; Humans ; Inflammation ; Longitudinal Studies ; Lung diseases ; Macrophages, Alveolar - metabolism ; Male ; Medical imaging ; Medical sciences ; Metabolism ; Middle Aged ; Neutrophils ; Pathogenesis ; Pneumology ; Polymerase Chain Reaction - methods ; Pulmonary Alveoli - metabolism ; Pulmonary Disease, Chronic Obstructive - diagnostic imaging ; Pulmonary Disease, Chronic Obstructive - genetics ; Pulmonary Disease, Chronic Obstructive - metabolism ; Pulmonary Disease, Chronic Obstructive - physiopathology ; Receptors, Interleukin-18 - genetics ; Receptors, Interleukin-18 - metabolism ; Severity of Illness Index ; Signal transduction ; Smoking ; Smoking Cessation ; Spirometry - methods ; Sputum - cytology ; Sputum - metabolism ; Statistical analysis ; Tomography, X-Ray Computed ; Variance analysis</subject><ispartof>Thorax, 2011-06, Vol.66 (6), p.489-495</ispartof><rights>2011, Published by the BMJ Publishing Group Limited. 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The author's aim was to identify candidate genes associated with the degree of airflow obstruction and the extent of emphysema by expression profiling, and then to confirm these findings for selected candidates using PCR and protein analysis.MethodsTwo sputum studies were performed in Global Initiative for Chronic Obstructive Lung Disease (GOLD) stage 2–4 COPD ex-smokers from the Evaluation of COPD Longitudinally to Identify Predictive Surrogate Endpoints (ECLIPSE) cohort. First, gene array profiling at baseline in samples from 148 patients. The findings were replicated in a separate population of 176 patients using real-time PCR. The findings for one selected gene IL-18R were further analysed using immunohistochemistry in lung tissue and induced sputum from patients outside the ECLIPSE cohort.ResultsGene expression profiling revealed changes in 277 genes associated with GOLD stage 2 versus 3 and 4, and 198 genes with changes associated with the degree of emphysema (p&lt;0.01 for each gene). Twelve of these candidate genes were analysed by PCR in the replication cohort, with significant changes (p&lt;0.05) observed for 11 genes. IL-18R protein expression was higher on alveolar macrophages in lung tissue of COPD patients (mean 23.2%) compared to controls (mean ex-smokers 2% and non-smokers 2.5%).ConclusionGene expression profiling in sputum cells identified candidate genes that may play roles in molecular mechanisms associated with COPD. The replication by PCR and protein in different studies confirms these findings, and highlights a potential role for IL-18R upregulation in severe COPD.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Biosynthesis</subject><subject>Cardiology. 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Vascular system</topic><topic>Cell cycle</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Chronic obstructive pulmonary disease, asthma</topic><topic>Emphysema</topic><topic>Female</topic><topic>Gender</topic><topic>Gene expression</topic><topic>Gene Expression Profiling - methods</topic><topic>Humans</topic><topic>Inflammation</topic><topic>Longitudinal Studies</topic><topic>Lung diseases</topic><topic>Macrophages, Alveolar - metabolism</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medical sciences</topic><topic>Metabolism</topic><topic>Middle Aged</topic><topic>Neutrophils</topic><topic>Pathogenesis</topic><topic>Pneumology</topic><topic>Polymerase Chain Reaction - methods</topic><topic>Pulmonary Alveoli - metabolism</topic><topic>Pulmonary Disease, Chronic Obstructive - diagnostic imaging</topic><topic>Pulmonary Disease, Chronic Obstructive - genetics</topic><topic>Pulmonary Disease, Chronic Obstructive - metabolism</topic><topic>Pulmonary Disease, Chronic Obstructive - physiopathology</topic><topic>Receptors, Interleukin-18 - genetics</topic><topic>Receptors, Interleukin-18 - metabolism</topic><topic>Severity of Illness Index</topic><topic>Signal transduction</topic><topic>Smoking</topic><topic>Smoking Cessation</topic><topic>Spirometry - methods</topic><topic>Sputum - cytology</topic><topic>Sputum - metabolism</topic><topic>Statistical analysis</topic><topic>Tomography, X-Ray Computed</topic><topic>Variance analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Singh, Dave</creatorcontrib><creatorcontrib>Fox, Steven M</creatorcontrib><creatorcontrib>Tal-Singer, Ruth</creatorcontrib><creatorcontrib>Plumb, Jonathan</creatorcontrib><creatorcontrib>Bates, Stewart</creatorcontrib><creatorcontrib>Broad, Peter</creatorcontrib><creatorcontrib>Riley, John H</creatorcontrib><creatorcontrib>Celli, Bartolome</creatorcontrib><creatorcontrib>ECLIPSE Investigators</creatorcontrib><creatorcontrib>On behalf of the ECLIPSE Investigators</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Thorax</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Singh, Dave</au><au>Fox, Steven M</au><au>Tal-Singer, Ruth</au><au>Plumb, Jonathan</au><au>Bates, Stewart</au><au>Broad, Peter</au><au>Riley, John H</au><au>Celli, Bartolome</au><aucorp>ECLIPSE Investigators</aucorp><aucorp>On behalf of the ECLIPSE Investigators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Induced sputum genes associated with spirometric and radiological disease severity in COPD ex-smokers</atitle><jtitle>Thorax</jtitle><addtitle>Thorax</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>66</volume><issue>6</issue><spage>489</spage><epage>495</epage><pages>489-495</pages><issn>0040-6376</issn><eissn>1468-3296</eissn><coden>THORA7</coden><abstract>BackgroundInduced sputum is used to sample inflammatory cells, predominantly neutrophils and macrophages, from the airways of COPD patients. The author's aim was to identify candidate genes associated with the degree of airflow obstruction and the extent of emphysema by expression profiling, and then to confirm these findings for selected candidates using PCR and protein analysis.MethodsTwo sputum studies were performed in Global Initiative for Chronic Obstructive Lung Disease (GOLD) stage 2–4 COPD ex-smokers from the Evaluation of COPD Longitudinally to Identify Predictive Surrogate Endpoints (ECLIPSE) cohort. First, gene array profiling at baseline in samples from 148 patients. The findings were replicated in a separate population of 176 patients using real-time PCR. The findings for one selected gene IL-18R were further analysed using immunohistochemistry in lung tissue and induced sputum from patients outside the ECLIPSE cohort.ResultsGene expression profiling revealed changes in 277 genes associated with GOLD stage 2 versus 3 and 4, and 198 genes with changes associated with the degree of emphysema (p&lt;0.01 for each gene). Twelve of these candidate genes were analysed by PCR in the replication cohort, with significant changes (p&lt;0.05) observed for 11 genes. IL-18R protein expression was higher on alveolar macrophages in lung tissue of COPD patients (mean 23.2%) compared to controls (mean ex-smokers 2% and non-smokers 2.5%).ConclusionGene expression profiling in sputum cells identified candidate genes that may play roles in molecular mechanisms associated with COPD. The replication by PCR and protein in different studies confirms these findings, and highlights a potential role for IL-18R upregulation in severe COPD.</abstract><cop>London</cop><pub>BMJ Publishing Group</pub><pmid>21441172</pmid><doi>10.1136/thx.2010.153767</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Biosynthesis
Cardiology. Vascular system
Cell cycle
Chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease, asthma
Emphysema
Female
Gender
Gene expression
Gene Expression Profiling - methods
Humans
Inflammation
Longitudinal Studies
Lung diseases
Macrophages, Alveolar - metabolism
Male
Medical imaging
Medical sciences
Metabolism
Middle Aged
Neutrophils
Pathogenesis
Pneumology
Polymerase Chain Reaction - methods
Pulmonary Alveoli - metabolism
Pulmonary Disease, Chronic Obstructive - diagnostic imaging
Pulmonary Disease, Chronic Obstructive - genetics
Pulmonary Disease, Chronic Obstructive - metabolism
Pulmonary Disease, Chronic Obstructive - physiopathology
Receptors, Interleukin-18 - genetics
Receptors, Interleukin-18 - metabolism
Severity of Illness Index
Signal transduction
Smoking
Smoking Cessation
Spirometry - methods
Sputum - cytology
Sputum - metabolism
Statistical analysis
Tomography, X-Ray Computed
Variance analysis
title Induced sputum genes associated with spirometric and radiological disease severity in COPD ex-smokers
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