Plasma sRAGE levels strongly associate with centrilobular emphysema assessed by HRCT scans

© 2022. The Author(s)..

BACKGROUND: There is a strong need for biomarkers to better characterize individuals with COPD and to take into account the heterogeneity of COPD. The blood protein sRAGE has been put forward as promising biomarker for COPD in general and emphysema in particular. Here, we measured plasma sRAGE levels using quantitative LC-MS and assessed whether the plasma sRAGE levels associate with (changes in) lung function, radiological emphysema parameters, and radiological subtypes of emphysema.

METHODS: Three hundred and twenty-four COPD patients (mean FEV1: 63%predicted) and 185 healthy controls from the COPDGene study were selected. Plasma sRAGE was measured by immunoprecipitation in 96-well plate methodology to enrich sRAGE, followed by targeted quantitative liquid chromatography-mass spectrometry. Spirometry and HRCT scans (inspiration and expiration) with a 5-year follow-up were used; both subjected to high quality control standards.

RESULTS: Lower sRAGE values significantly associated with the presence of COPD, the severity of airflow obstruction, the severity of emphysema on HRCT, the heterogeneous distribution of emphysema, centrilobular emphysema, and 5-year progression of emphysema. However, sRAGE values did not associate with airway wall thickness or paraseptal emphysema.

CONCLUSIONS: Rather than being a general COPD biomarker, sRAGE is especially a promising biomarker for centrilobular emphysema. Follow-up studies should elucidate whether sRAGE can be used as a biomarker for other COPD phenotypes as well.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

Respiratory research - 23(2022), 1 vom: 24. Jan., Seite 15

Sprache:

Englisch

Beteiligte Personen:

Klont, Frank [VerfasserIn]
Horvatovich, Peter [VerfasserIn]
Bowler, Russell P [VerfasserIn]
van Rikxoort, Eva [VerfasserIn]
Charbonnier, Jean-Paul [VerfasserIn]
Kwiatkowski, Marcel [VerfasserIn]
Lynch, David A [VerfasserIn]
Humphries, Stephen [VerfasserIn]
Bischoff, Rainer [VerfasserIn]
Ten Hacken, Nick H T [VerfasserIn]
Pouwels, Simon D [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers
COPD biomarkers
CT phenotyping
Emphysema
Journal Article
Receptor for Advanced Glycation End Products
SRAGE

Anmerkungen:

Date Completed 21.03.2022

Date Revised 21.03.2022

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12931-022-01934-w

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM336084463