BPI-ANCA is expressed in the airways of cystic fibrosis patients and correlates to platelet numbers and Pseudomonas aeruginosa colonization

Copyright © 2020 Elsevier Ltd. All rights reserved..

BACKGROUND: Autoantibodies to bactericidal/permeability-increasing protein (BPI), BPI-ANCA, are often present in serum of patients with cystic fibrosis (CF), and correlate to airway colonization with Pseudomonas aeruginosa. The aim of the study was to investigate if BPI-ANCA IgA is also present in the airways of CF patients, and if its presence correlates with neutrophil counts, platelets, and P. aeruginosa DNA in sputum.

METHODS: BPI-ANCA IgA was quantified in serum and sputum samples from adult CF patients (n = 45) by ELISA. Sputum neutrophil counts, platelets, and platelet-neutrophil complexes were assessed by flow cytometry, and P. aeruginosa DNA was analysed with RT-PCR.

RESULTS: Serum BPI-ANCA IgA was present in 44% of the study participants, and this group also had significantly enhanced BPI-ANCA levels in sputum compared to serum negative patients. Sputum levels of BPI-ANCA IgA correlated with P. aeruginosa DNA (r = 0.63, p = 0.0003) and platelet counts in sputum (r = 0.60, p = 0.0002).

CONCLUSIONS: BPI-ANCA is expressed in the airways of CF patients and correlates with P. aeruginosa load and platelet counts, suggesting a link to airway inflammation and mucosal immunity.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:170

Enthalten in:

Respiratory medicine - 170(2020) vom: 15. Aug., Seite 105994

Sprache:

Englisch

Beteiligte Personen:

Hovold, Gisela [VerfasserIn]
Lindberg, Ulrika [VerfasserIn]
Ljungberg, Johanna K [VerfasserIn]
Shannon, Oonagh [VerfasserIn]
Påhlman, Lisa I [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Antineutrophil Cytoplasmic
Antimicrobial Cationic Peptides
BPI-ANCA
Bactericidal permeability increasing protein
Blood Proteins
Cystic fibrosis
DNA, Bacterial
Immunoglobulin A
Journal Article
Lung function
Platelets
Pseudomonas aeruginosa
Research Support, Non-U.S. Gov't
Sputum

Anmerkungen:

Date Completed 07.06.2021

Date Revised 07.06.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.rmed.2020.105994

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM314165142