High levels of elastolytic activity in bronchoalveolar lavage fluid from a patient with idiopathic interstitial pneumonia

A 63-year-old female with acure exacerbution of idiopathic interstitial pneumonia (IIP) showed high levels of elastolytic activity in bronchoalveolar lavage fluid (BALF). She was admitted to our hospital with progressive dyspnea. Arterial blood gas analysis and pulmonary function tests were abnormal. Examination of the bronchoalveolar lavage fluid revealed an increased numbers of neutrophils. Despite the administration of corticosteroids, the patient died of respiratory failure. A high level of elastolytic activity was present in the BALF. Western immunoblot analysis, using an anti-alpha 1-protease inhibitor (PI) antibody, revealed a truncated alpha 1-PI in the BALF. These findings suggest that an imbalance between protease and PI in the lower respiratory tract contribute to lung tissue damage in patients with IIP.

Medienart:

Artikel

Erscheinungsjahr:

1997

Erschienen:

1997

Enthalten in:

Zur Gesamtaufnahme - volume:35

Enthalten in:

Nihon Kyobu Shikkan Gakkai zasshi - 35(1997), 11 vom: 07. Nov., Seite 1238-44

Sprache:

Japanisch

Beteiligte Personen:

Hamada, H [VerfasserIn]
Sakatani, M [VerfasserIn]
Nishioka, M [VerfasserIn]
Akira, M [VerfasserIn]
Yamamoto, S [VerfasserIn]
Ueda, E [VerfasserIn]

Themen:

Case Reports
EC 3.4.21.37
English Abstract
Journal Article
Leukocyte Elastase
Protease Inhibitors

Anmerkungen:

Date Completed 19.03.1998

Date Revised 15.11.2006

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM094355282