For all correlations tested, inverse relationships between protein release and airway obstruction were found. With the exception of FEV1/FVC (percentage predicted) vs GRO-a (p = 0.06, r = — 0.49), all correlations reached the level of significance (Table 2). Furthermore, no differences were seen with respect to the unstimulated protein release, and both cytokines responded nonsignificantly to IFN-y stimulation, which reflects the mRNA results as well.
Table 1—Increase in Stimulated Epithelial mRNA Expression Levels of IL-8 and GRO-a Relative to Unstimulated mRNA Levels*
*Data are presented as median (range).
tp < 0.01 vs smokers without airway obstruction.
Basal | TNF-a | Fold Increase in TNF-a | IFN-y | Fold Increase in IFN-y | |
IL-8 mRNA | |||||
Smokers | 1.0 (0.5-3.2) | 4.6 (3.1-9.9) | 4.7(1.8-14.1) | 0.4 (0.1-1.3) | 0.3 (0.1-0.9) |
COPD | 3.3 (0.2-19.1) | 12.9 (5.4-36.9)t | 5.7 (1.9-70.0) | 1.9 (0.3-12.4) | 0.9 (0.1-1.8) |
GRO-a | |||||
mRNA Smokers | 4.3 (0.9-8.9) | 7.3 (3.8-11.2) | 2.0 (0.7-9.1) | 4.3 (0.8-6.5) | 1.0 (0.2-2.0) |
COPD | 4.1 (0.9-12.3) | 16.2 (8.1-81.8)t | 4.3 (2.5-9.9) | 5.7 (2.8-17.3) | 1.8 (0.6-3.2) |
TNF-Receptor Subtype Expression
In addition to the TNF-a-induced cytokine responses, the expression levels of the TNF-receptor subtypes—p55 TNF-receptor subtype (TNF-R55) and p75 TNF-receptor subtype (TNF-R75)—were quantified at the steady-state mRNA level by means of light cycler measurements. As shown in Figure 3, both TNF receptors were detectable in PBECs. The expression levels of TNF-R55 compared to TNF-R75 were 5,670-fold and 4,730-fold higher in smokers without airflow limitation and patients with COPD, respectively. No significant differences in the expression levels between groups were detected for TNF-R55 (p = 0.8) nor for TNF-R75 (p = 0.6).
Table 2 —Correlations Between TNF-a-Induced Protein Release of IL-8 or GRO-a in PBECs and Lung Function
Parameters*
Variables | IL-8 | GRO-a | ||
1 r Value | 1 p Value | i r Value | l p Value | |
IL-8 | 0.72 | < 0.01 | ||
FEV1, L | — 0.63 | < 0.01 | — 0.67 | < 0.01 |
FEV1, % predicted | — 0.52 | < 0.05 | — 0.67 | < 0.01 |
FEV1/FVC, % | — 0.67 | < 0.01 | — 0.59 | < 0.05 |
FEV1/FVC, % predicted | — 0.63 | < 0.01 | — 0.49 | NS |
*NS = not significant.
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