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1.
Am J Respir Crit Care Med ; 204(9): 1048-1059, 2021 11 01.
Article in English | MEDLINE | ID: mdl-34343057

ABSTRACT

Rationale: To improve disease outcomes in idiopathic pulmonary fibrosis (IPF), it is essential to understand its early pathophysiology so that it can be targeted therapeutically. Objectives: Perform three-dimensional assessment of the IPF lung microstructure using stereology and multiresolution computed tomography (CT) imaging. Methods: Explanted lungs from patients with IPF (n = 8) and donor control subjects (n = 8) were inflated with air and frozen. CT scans were used to assess large airways. Unbiased, systematic uniform random samples (n = 8/lung) were scanned with microCT for stereological assessment of small airways (count number, and measure airway wall and lumen area) and parenchymal fibrosis (volume fraction of tissue, alveolar surface area, and septal wall thickness). Measurements and Main Results: The total number of airways on clinical CT was greater in IPF lungs than control lungs (P < 0.01), owing to an increase in the wall (P < 0.05) and lumen area (P < 0.05) resulting in more visible airways with a lumen larger than 2 mm. In IPF tissue samples without microscopic fibrosis, assessed by the volume fraction of tissue using microCT, there was a reduction in the number of the terminal (P < 0.01) and transitional (P < 0.001) bronchioles, and an increase in terminal bronchiole wall area (P < 0.001) compared with control lungs. In IPF tissue samples with microscopic parenchymal fibrosis, terminal bronchioles had increased airway wall thickness (P < 0.05) and dilated airway lumens (P < 0.001) leading to honeycomb cyst formations. Conclusions: This study has important implications for the current thinking on how the lung tissue is remodeled in IPF and highlights small airways as a potential target to modify IPF outcomes.


Subject(s)
Bronchioles/diagnostic imaging , Bronchioles/physiopathology , Early Diagnosis , Idiopathic Pulmonary Fibrosis/diagnosis , Idiopathic Pulmonary Fibrosis/physiopathology , X-Ray Microtomography/methods , Aged , Female , Humans , Idiopathic Pulmonary Fibrosis/diagnostic imaging , Male , Middle Aged
2.
J Proteome Res ; 19(8): 3088-3099, 2020 08 07.
Article in English | MEDLINE | ID: mdl-32394717

ABSTRACT

Evidence recovery is challenging where an explosion has occurred. Though hair evidence may be sufficiently robust to be recovered at the site, forensic analysis underutilizes the matrix by relying on morphological analysis. Where DNA is compromised, particularly in hair, protein-based human identification presents a promising alternative. Detection of amino acid polymorphisms in hair proteins as genetically variant peptides (GVPs) permits the inference of individualizing single nucleotide polymorphisms for identification. However, an explosive blast may damage hair proteins and compromise GVP identification. This work assesses effects of an explosive blast on the hair proteome and GVP identification, investigates microscopy as a predictor of proteome profiling success in recovered hairs to improve analysis throughput, and quantifies discriminative power in damaged hairs. The proteomics dataset has been deposited into the ProteomeXchange Consortium (PXD017427). With the exception of degradation in keratins K75, K80, K40, and keratin-associated protein KAP10-11 as markers of hair cuticular damage, corroborated by scanning electron microscopic analysis, minimal hair proteome degradation following explosion allowed successful proteome profiling of single hairs regardless of morphological damage. Finally, GVP identification remained independent of explosion conditions, permitting similar discriminative power between exploded and undamaged hairs. These findings lend greater confidence to GVP analysis in one-inch hairs for forensic identification and provide information about hair protein localization.


Subject(s)
Forensic Anthropology , Proteomics , Explosions , Hair , Humans , Peptides
3.
R Soc Open Sci ; 7(1): 191438, 2020 Jan.
Article in English | MEDLINE | ID: mdl-32218961

ABSTRACT

Mechanical damage of hair can serve as an indicator of health status and its assessment relies on the measurement of morphological features via microscopic analysis, yet few studies have categorized the extent of damage sustained, and instead have depended on qualitative profiling based on the presence or absence of specific features. We describe the development and application of a novel quantitative measure for scoring hair surface damage in scanning electron microscopic (SEM) images without predefined features, and automation of image analysis for characterization of morphological hair damage after exposure to an explosive blast. Application of an automated normalization procedure for SEM images revealed features indicative of contact with materials in an explosive device and characteristic of heat damage, though many were similar to features from physical and chemical weathering. Assessment of hair damage with tailing factor, a measure of asymmetry in pixel brightness histograms and proxy for surface roughness, yielded 81% classification accuracy to an existing damage classification system, indicating good agreement between the two metrics. Further ability of the tailing factor to score features of hair damage reflecting explosion conditions demonstrates the broad applicability of the metric to assess damage to hairs containing a diverse set of morphological features.

4.
JCI Insight ; 4(22)2019 11 14.
Article in English | MEDLINE | ID: mdl-31600171

ABSTRACT

To develop a systems biology model of fibrosis progression within the human lung we performed RNA sequencing and microRNA analysis on 95 samples obtained from 10 idiopathic pulmonary fibrosis (IPF) and 6 control lungs. Extent of fibrosis in each sample was assessed by microCT-measured alveolar surface density (ASD) and confirmed by histology. Regulatory gene expression networks were identified using linear mixed-effect models and dynamic regulatory events miner (DREM). Differential gene expression analysis identified a core set of genes increased or decreased before fibrosis was histologically evident that continued to change with advanced fibrosis. DREM generated a systems biology model (www.sb.cs.cmu.edu/IPFReg) that identified progressively divergent gene expression tracks with microRNAs and transcription factors that specifically regulate mild or advanced fibrosis. We confirmed model predictions by demonstrating that expression of POU2AF1, previously unassociated with lung fibrosis but proposed by the model as regulator, is increased in B lymphocytes in IPF lungs and that POU2AF1-knockout mice were protected from bleomycin-induced lung fibrosis. Our results reveal distinct regulation of gene expression changes in IPF tissue that remained structurally normal compared with moderate or advanced fibrosis and suggest distinct regulatory mechanisms for each stage.


Subject(s)
Gene Expression Regulation/genetics , Idiopathic Pulmonary Fibrosis , Lung , Transcriptome/genetics , Aged , Animals , Disease Progression , Humans , Idiopathic Pulmonary Fibrosis/diagnostic imaging , Idiopathic Pulmonary Fibrosis/genetics , Idiopathic Pulmonary Fibrosis/metabolism , Idiopathic Pulmonary Fibrosis/pathology , Lung/diagnostic imaging , Lung/metabolism , Lung/pathology , Male , Mice, Knockout , MicroRNAs/genetics , MicroRNAs/metabolism , Middle Aged , Models, Biological , Trans-Activators/genetics , Trans-Activators/metabolism , X-Ray Microtomography
5.
Sci Rep ; 9(1): 7641, 2019 05 21.
Article in English | MEDLINE | ID: mdl-31113963

ABSTRACT

Human hair contains minimal intact nuclear DNA for human identification in forensic and archaeological applications. In contrast, proteins offer a pathway to exploit hair evidence for human identification owing to their persistence, abundance, and derivation from DNA. Individualizing single nucleotide polymorphisms (SNPs) are often conserved as single amino acid polymorphisms in genetically variant peptides (GVPs). Detection of GVP markers in the hair proteome via high-resolution tandem mass spectrometry permits inference of SNPs with known statistical probabilities. To adopt this approach for forensic investigations, hair proteomic variation and its effects on GVP identification must first be characterized. This research aimed to assess variation in single-inch head, arm, and pubic hair, and discover body location-invariant GVP markers to distinguish individuals. Comparison of protein profiles revealed greater body location-specific variation in keratin-associated proteins and intracellular proteins, allowing body location differentiation. However, robust GVP markers derive primarily from keratins that do not exhibit body location-specific differential expression, supporting GVP identification independence from hair proteomic variation at the various body locations. Further, pairwise comparisons of GVP profiles with 8 SNPs demonstrated greatest interindividual variation and high intraindividual consistency, enabling similar differentiative potential of individuals using single hairs irrespective of body location origin.


Subject(s)
Forensic Anthropology/methods , Hair/metabolism , Keratins/genetics , Polymorphism, Single Nucleotide , Proteome/genetics , Adult , Forensic Genetics/methods , Humans , Keratins/metabolism , Peptides/genetics , Peptides/metabolism , Proteome/metabolism
6.
Am J Respir Crit Care Med ; 200(4): 431-443, 2019 08 15.
Article in English | MEDLINE | ID: mdl-30950644

ABSTRACT

Rationale: Histologic stains have been used as the gold standard to visualize extracellular matrix (ECM) changes associated with airway remodeling in asthma, yet they provide no information on the biochemical and structural characteristics of the ECM, which are vital to understanding alterations in tissue function.Objectives: To demonstrate the use of nonlinear optical microscopy (NLOM) and texture analysis algorithms to image fibrillar collagen (second harmonic generation) and elastin (two-photon excited autofluorescence), to obtain biochemical and structural information on the remodeled ECM environment in asthma.Methods: Nontransplantable donor lungs from donors with asthma (n = 13) and control (n = 12) donors were used for the assessment of airway collagen and elastin fibers by NLOM, and extraction of lung fibroblasts for in vitro experiments.Measurements and Main Results: Fibrillar collagen is not only increased but also highly disorganized and fragmented within large and small asthmatic airways compared with control subjects, using NLOM imaging. Furthermore, such structural alterations are present in pediatric and adult donors with asthma, irrespective of fatal disease. In vitro studies demonstrated that asthmatic airway fibroblasts are deficient in their packaging of fibrillar collagen-I and express less decorin, important for collagen fibril packaging. Packaging of collagen fibrils was found to be more disorganized in asthmatic airways compared with control subjects, using transmission electron microscopy.Conclusions: NLOM imaging enabled the structural assessment of the ECM, and the data suggest that airway remodeling in asthma involves the progressive accumulation of disorganized fibrillar collagen by airway fibroblasts. This study highlights the future potential clinical application of NLOM to assess airway remodeling in vivo.


Subject(s)
Airway Remodeling/physiology , Asthma/metabolism , Elastin/metabolism , Fibrillar Collagens/metabolism , Fibroblasts/metabolism , Lung/metabolism , Adolescent , Adult , Asthma/pathology , Child , Collagen Type I/metabolism , Decorin/metabolism , Elastin/ultrastructure , Extracellular Matrix , Female , Fibrillar Collagens/ultrastructure , Humans , In Vitro Techniques , Lung/cytology , Lung/ultrastructure , Male , Microscopy, Electron, Transmission , Nonlinear Optical Microscopy , Young Adult
7.
Sci Rep ; 9(1): 2071, 2019 02 14.
Article in English | MEDLINE | ID: mdl-30765726

ABSTRACT

Aortic aneurysm is the most life-threatening complication in Marfan syndrome (MFS) patients. Doxycycline, a nonselective matrix metalloproteinases inhibitor, was reported to improve the contractile function and elastic fiber structure and organization in a Marfan mouse aorta using ex vivo small chamber myography. In this study, we assessed the hypothesis that a long-term treatment with doxycycline would reduce aortic root growth, improve aortic wall elasticity as measured by pulse wave velocity, and improve the ultrastructure of elastic fiber in the mouse model of MFS. In our study, longitudinal measurements of aortic root diameters using high-resolution ultrasound imaging display significantly decreased aortic root diameters and lower pulse wave velocity in doxycycline-treated Marfan mice starting at 6 months as compared to their non-treated MFS counterparts. In addition, at the ultrastructural level, our data show that long-term doxycycline treatment corrects the irregularities of elastic fibers within the aortic wall of Marfan mice to the levels similar to those observed in control subjects. Our findings underscore the key role of matrix metalloproteinases during the progression of aortic aneurysm, and provide new insights into the potential therapeutic value of doxycycline in blocking MFS-associated aortic aneurysm.


Subject(s)
Aorta/drug effects , Aortic Aneurysm/drug therapy , Doxycycline/pharmacology , Marfan Syndrome/drug therapy , Animals , Aorta/metabolism , Aortic Aneurysm/metabolism , Disease Models, Animal , Elastic Tissue/drug effects , Elastic Tissue/metabolism , Marfan Syndrome/metabolism , Metalloendopeptidases/metabolism , Mice , Mice, Inbred C57BL , Pulse Wave Analysis/methods
8.
J Forensic Sci ; 64(4): 1152-1159, 2019 Jul.
Article in English | MEDLINE | ID: mdl-30735575

ABSTRACT

Shed human hair (lacking root nuclear DNA) frequently contributes important information to forensic investigations involving human identification. Detection of genetic variation observed in amino acid sequences of hair proteins provides a new suite of identity markers that augment microscopic hair analysis and mitochondrial DNA sequencing. In this study, a new method that completely dissolves single hairs using a combination of heat, ultrasonication, and surfactants was developed. Dissolved proteins were digested and genetically variant peptide (GVP) profiles were obtained for single hairs (25 mm) via high-resolution nanoflow liquid chromatography-based mass spectrometry and a novel exome-driven bioinformatic approach. Overall, 6519 unique peptides were identified and a total of 57 GVPs were confirmed. Random match probabilities ranged between 2.6 × 10-2 and 6.0 × 10-9 . The new bioinformatic strategy and ability to analyze GVPs in forensically relevant samples sizes demonstrate applicability of this approach to distinguish individuals in forensic contexts.


Subject(s)
Forensic Genetics/methods , Hair/chemistry , Peptides/analysis , Proteins/analysis , Proteomics , Amino Acid Substitution/genetics , Chromatography, Liquid , Humans , Mass Spectrometry , Mutation, Missense , Polymorphism, Single Nucleotide , Exome Sequencing
9.
Am J Respir Cell Mol Biol ; 57(6): 651-661, 2017 12.
Article in English | MEDLINE | ID: mdl-28683207

ABSTRACT

Survival during lung injury requires a coordinated program of damage limitation and rapid repair. CD34 is a cell surface sialomucin expressed by epithelial, vascular, and stromal cells that promotes cell adhesion, coordinates inflammatory cell recruitment, and drives angiogenesis. To test whether CD34 also orchestrates pulmonary damage and repair, we induced acute lung injury in wild-type (WT) and Cd34-/- mice by bleomycin administration. We found that Cd34-/- mice displayed severe weight loss and early mortality compared with WT controls. Despite equivalent early airway inflammation to WT mice, CD34-deficient animals developed interstitial edema and endothelial delamination, suggesting impaired endothelial function. Chimeric Cd34-/- mice reconstituted with WT hematopoietic cells exhibited early mortality compared with WT mice reconstituted with Cd34-/- cells, supporting an endothelial defect. CD34-deficient mice were also more sensitive to lung damage caused by influenza infection, showing greater weight loss and more extensive pulmonary remodeling. Together, our data suggest that CD34 plays an essential role in maintaining vascular integrity in the lung in response to chemical- and infection-induced tissue damage.


Subject(s)
Airway Remodeling , Antigens, CD34/genetics , Endothelium, Vascular/metabolism , Lung Injury/metabolism , Pulmonary Edema/metabolism , Animals , Antigens, CD34/metabolism , Bleomycin/adverse effects , Bleomycin/pharmacology , Endothelium, Vascular/pathology , Lung Injury/chemically induced , Lung Injury/genetics , Lung Injury/pathology , Mice , Mice, Knockout , Pulmonary Edema/chemically induced , Pulmonary Edema/genetics , Pulmonary Edema/pathology
10.
J Neurosci Methods ; 235: 298-307, 2014 Sep 30.
Article in English | MEDLINE | ID: mdl-25075801

ABSTRACT

BACKGROUND: Active amplification electrodes are becoming more popular for ERP data collection, as they amplify the EEG at the scalp and thereby potentially decrease the influence of ambient electrical noise. However, the performance of active electrodes has not been directly compared with that of passive electrodes in the context of collecting ERPs from a cognitive task. Here, the performance of active and passive amplification electrodes in the same digitizing amplifier system was examined. METHOD: In Experiment 1, interelectrode impedance in an electrically quiet setting was manipulated to determine whether, in such recording conditions, active electrodes can outperform passive ones. In Experiment 2, the performance of active electrodes at the limits of natural skin impedance was explored, as was the relationship between active amplification circuitry and voltage stability in averaged EOG. RESULTS: Results reveal a complex pattern of interrelations between electrode type, impedance, and voltage stability, indicating that which type of electrode is "best" depends non-trivially on the circumstances in which data are being collected. COMPARISON WITH EXISTING METHODS: Traditional, passive electrodes acquired the cleanest data observed in any of the acquisition conditions at very low impedance, but not at any impedance >2 kΩ. CONCLUSION: Active electrodes perform better than passive ones at all impedances other than very low ones; however, this is qualified by the additional finding that during fast voltage fluctuations, such as those most desirable in most ERP studies, active electrodes are less able to accurately follow the EEG than passive ones.


Subject(s)
Amplifiers, Electronic , Electrodes , Adult , Brain/physiology , Electric Impedance , Electroencephalography/instrumentation , Electrooculography/instrumentation , Evoked Potentials, Visual , Female , Humans , Male , Photic Stimulation , Reproducibility of Results , Visual Perception/physiology , Young Adult
11.
PLoS Pathog ; 10(4): e1004070, 2014 Apr.
Article in English | MEDLINE | ID: mdl-24722419

ABSTRACT

Intercalated disks (ICDs) are substantial connections maintaining cardiac structures and mediating signal communications among cardiomyocytes. Deficiency in ICD components such as desmosomes, fascia adherens and gap junctions leads to heart dysfunction. Coxsackievirus B3 (CVB3) infection induces cardiac failure but its pathogenic effect on ICDs is unclear. Here we show that CVB3-induced miR-21 expression affects ICD structure, i.e., upregulated miR-21 targets YOD1, a deubiquitinating enzyme, to enhance the K48-linked ubiquitination and degradation of desmin, resulting in disruption of desmosomes. Inhibition of miR-21 preserves desmin during CVB3 infection. Treatment with proteasome inhibitors blocks miR-21-mediated desmin degradation. Transfection of miR-21 or knockdown of YOD1 triggers co-localization of desmin with proteasomes. We also identified K108 and K406 as important sites for desmin ubiquintination and degradation. In addition, miR-21 directly targets vinculin, leading to disturbed fascia adherens evidenced by the suppression and disorientation of pan-cadherin and α-E-catenin proteins, two fascia adherens-components. Our findings suggest a new mechanism of miR-21 in modulating cell-cell interactions of cardiomyocytes during CVB3 infection.


Subject(s)
Cell Communication , Enterovirus B, Human/metabolism , Enterovirus Infections/metabolism , Gene Expression Regulation , MicroRNAs/biosynthesis , Myocytes, Cardiac/metabolism , Animals , Desmin/genetics , Desmin/metabolism , Enterovirus B, Human/genetics , Enterovirus Infections/genetics , Enterovirus Infections/pathology , Gene Knockdown Techniques , Male , Mice , MicroRNAs/genetics , Myocytes, Cardiac/pathology , Myocytes, Cardiac/virology , Proteolysis , Ubiquitination/genetics
12.
PLoS One ; 8(11): e79546, 2013.
Article in English | MEDLINE | ID: mdl-24260247

ABSTRACT

Stress granules (SGs) are dynamic cytosolic aggregates containing messenger ribonucleoproteins and target poly-adenylated (A)-mRNA. A key component of SGs is Ras-GAP SH3 domain binding protein-1 (G3BP1), which in part mediates protein-protein and protein-RNA interactions. SGs are modulated during infection by several viruses, however, the function and significance of this process remains poorly understood. In this study, we investigated the interplay between SGs and Coxsackievirus type B3 (CVB3), a member of the Picornaviridae family. Our studies demonstrated that SGs were formed early during CVB3 infection; however, G3BP1-positive SGs were actively disassembled at 5 hrs post-infection, while poly(A)-positive RNA granules persisted. Furthermore, we confirmed G3BP1 cleavage by 3C(pro) at Q325. We also demonstrated that overexpression of G3BP1-SGs negatively impacted viral replication at the RNA, protein, and viral progeny levels. Using electron microscopy techniques, we showed that G3BP1-positive SGs localized near mitochondrial surfaces. Finally, we provided evidence that the C-terminal cleavage product of G3BP1 inhibited SG formation and promoted CVB3 replication. Taken together, we conclude that CVB3 infection selectively targets G3BP1-SGs by cleaving G3BP1 to produce a dominant-negative fragment that further inhibits G3BP1-SG formation and facilitates viral replication.


Subject(s)
Carrier Proteins/metabolism , Coxsackievirus Infections/metabolism , Cytoplasmic Granules/metabolism , Mitochondria/metabolism , Blotting, Western , Carrier Proteins/genetics , Cytoplasmic Granules/ultrastructure , DNA Helicases , Fluorescent Antibody Technique, Indirect , HeLa Cells , Humans , In Situ Hybridization , Microscopy, Electron, Transmission , Microscopy, Immunoelectron , Mitochondria/ultrastructure , Poly-ADP-Ribose Binding Proteins , RNA Helicases , RNA Recognition Motif Proteins , Reverse Transcriptase Polymerase Chain Reaction , Virus Replication/physiology
13.
Int Arch Allergy Immunol ; 152(1): 12-27, 2010.
Article in English | MEDLINE | ID: mdl-19940501

ABSTRACT

BACKGROUND: Although the accepted paradigm is that the proteins stored in eosinophil crystalloid granules are translated from messenger RNA transcribed in the cell nucleus, recent ultrastructural evidence suggests that protein synthesis may also take place within eosinophilic granules. METHODS: We used 2 different methods to detect the presence of DNA and RNA in eosinophil secretory granules. Using bromodeoxyuridine, a thymidine analogue, and bromouridine, a uracil analogue, we labeled the DNA and RNA in eosinophils in vivo in rabbits. Immunoelectron microscopy to localize these molecules was performed on ultrathin sections of blood and bone marrow eosinophils using monoclonal anti-bromodeoxyuridine antibody with IgG as a control. The immunogold grain density was measured in each subcellular compartment within the eosinophils and analyzed using image analysis software. A combination of DNA/CD63 immunofluorescence staining and a fluorescently labeled molecular probe that stains RNA was used to examine the presence of DNA and RNA in the secretory granules of human blood eosinophils. RESULTS: The mean density of bromodeoxyuridine-labeled DNA and bromouridine-labeled RNA immunogold grains in the secretory granules of blood and bone marrow eosinophils were significantly higher (p < 0.0005) than cytoplasmic or background staining. We also demonstrated the existence of DNA and RNA in the CD63-positive secretory granules of human peripheral blood eosinophils by means of immunofluorescent staining and a fluorescently labeled molecular probe. CONCLUSIONS: These results provide evidence that eosinophil granules are the site of DNA and RNA synthesis and suggest the potential for a new role(s) for eosinophil-secretory granules.


Subject(s)
DNA/metabolism , Eosinophils/metabolism , Eosinophils/ultrastructure , RNA/metabolism , Secretory Vesicles/metabolism , Animals , Bone Marrow Cells/chemistry , Bone Marrow Cells/cytology , Bone Marrow Cells/metabolism , Bone Marrow Cells/ultrastructure , Bromodeoxyuridine/metabolism , Bromouracil/analogs & derivatives , DNA/analysis , Eosinophils/chemistry , Eosinophils/cytology , Female , Fluorescent Dyes/metabolism , Humans , Immunohistochemistry , Microscopy, Immunoelectron , Organic Chemicals/metabolism , RNA/analysis , Rabbits , Uridine/analogs & derivatives , Uridine/metabolism
14.
AIDS ; 22(10): 1226-9, 2008 Jun 19.
Article in English | MEDLINE | ID: mdl-18525271

ABSTRACT

Liver mitochondrial toxicity is a concern, particularly in HIV/hepatitis C virus (HCV) coinfection. Liver biopsies from HIV/HCV co-infected patients, 14 ON-highly active antiretroviral therapy (HAART) and nine OFF-HAART, were assessed by electron microscopy quantitative morphometric analyses. Hepatocytes tended to be larger ON-HAART than OFF-HAART (P = 0.05), but mitochondrial volume, cristae density, lipid volume, mitochondrial DNA and RNA levels were similar. We found no evidence of increased mitochondrial toxicity in individuals currently on HAART, suggesting that concomitant HAART should not delay HCV therapy.


Subject(s)
Antiretroviral Therapy, Highly Active/adverse effects , DNA, Mitochondrial/ultrastructure , HIV Infections/pathology , Hepatitis C, Chronic/pathology , Mitochondria, Liver/ultrastructure , Adult , Cohort Studies , HIV Infections/complications , HIV Infections/drug therapy , Hepatitis C, Chronic/complications , Hepatitis C, Chronic/drug therapy , Humans , Male , Microscopy, Electron, Transmission , Middle Aged
15.
Am J Respir Crit Care Med ; 176(5): 454-9, 2007 Sep 01.
Article in English | MEDLINE | ID: mdl-17556723

ABSTRACT

RATIONALE: COPD is associated with reduced life expectancy. OBJECTIVES: To determine the association between small airway pathology and long-term survival after lung volume reduction in chronic obstructive pulmonary disease (COPD) and the effect of corticosteroids on this pathology. METHODS: Patients with severe (GOLD-3) and very severe (GOLD-4) COPD (n = 101) were studied after lung volume reduction surgery. Respiratory symptoms, quality of life, pulmonary function, exercise tolerance, chest radiology, and corticosteroid treatment status were assessed preoperatively. The severity of luminal occlusion, wall thickening, and the presence of small airways containing lymphoid follicles were determined in resected lung tissue. Kaplan-Meier survival analysis and Cox proportional hazards models were used to determine the relationship between survival and small airway pathology. The effect of corticosteroids on this pathology was assessed by comparing treated and untreated groups. MEASUREMENTS AND MAIN RESULTS: The quartile of subjects with the greatest luminal occlusion, adjusted for covariates, died earlier than subjects who had the least occlusion (hazard ratio, 3.28; 95% confidence interval, 1.55-6.92; P = 0.002). There was a trend toward a reduction in the number of airways containing lymphoid follicles (P = 0.051) in those receiving corticosteroids, with a statistically significant difference between the control and oral +/- inhaled corticosteroid-treated groups (P = 0.019). However, corticosteroid treatment had no effect on airway wall thickening or luminal occlusion. CONCLUSIONS: Occlusion of the small airways by inflammatory exudates containing mucus is associated with early death in patients with severe emphysema treated by lung volume reduction surgery. Corticosteroid treatment dampens the host immune response in these airways by reducing lymphoid follicles without changing wall thickening and luminal occlusion.


Subject(s)
Adrenal Cortex Hormones/pharmacology , Life Expectancy , Pneumonectomy , Pulmonary Disease, Chronic Obstructive/mortality , Pulmonary Disease, Chronic Obstructive/pathology , Adrenal Cortex Hormones/adverse effects , Cross-Sectional Studies , Disease Progression , Female , Forced Expiratory Volume , Humans , Immunity/drug effects , Linear Models , Male , Middle Aged , Mucus/drug effects , Mucus/metabolism , Multivariate Analysis , Pulmonary Disease, Chronic Obstructive/drug therapy , Pulmonary Disease, Chronic Obstructive/surgery , Survival Analysis
17.
Am J Respir Crit Care Med ; 173(6): 632-8, 2006 Mar 15.
Article in English | MEDLINE | ID: mdl-16415275

ABSTRACT

RATIONALE: In normal human lung, single alveolar fibroblasts link capillary endothelium to type 2 pneumocytes through apertures in the endothelial and epithelial basal laminae. These fibroblasts are hypothesized to play a role in cellular communication between the endothelium and epithelium and are positioned to provide leukocytes a surface on which they may migrate through the interstitium. OBJECTIVES: To determine whether fibroblasts link the endothelium to the epithelium in emphysematous lung and to compare basal lamina aperture frequency with previously published results. METHODS: We performed transmission electron microscopy serial section three-dimensional reconstructions of emphysematous regions of human alveolar wall and a quantitative analysis of basal lamina apertures beneath 403 type 2 pneumocytes. MEASUREMENTS AND MAIN RESULTS: Our three-dimensional reconstruction demonstrated that the fibroblasts subtending type 2 pneumocytes in emphysematous lung no longer link these epithelial cells to the capillary endothelium through basal lamina apertures. Basal lamina apertures may be absent below some type 2 pneumocytes. Our morphometric analysis showed that their frequency and area beneath type 2 pneumocytes is significantly reduced in emphysematous regions when compared with nonemphysematous regions of matched control lung. CONCLUSIONS: We conclude that the endothelial/fibroblast/epithelial linkage is disrupted in emphysematous human lungs and postulate this disruption may disturb leukocyte migration and account for their accumulation in the alveolar interstitium of emphysematous lung tissue.


Subject(s)
Basement Membrane/ultrastructure , Fibroblasts/ultrastructure , Pulmonary Alveoli/ultrastructure , Pulmonary Emphysema/pathology , Humans , Image Processing, Computer-Assisted , In Vitro Techniques , Microscopy, Electron, Transmission , Severity of Illness Index
18.
N Engl J Med ; 350(26): 2645-53, 2004 Jun 24.
Article in English | MEDLINE | ID: mdl-15215480

ABSTRACT

BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a major public health problem associated with long-term exposure to toxic gases and particles. We examined the evolution of the pathological effects of airway obstruction in patients with COPD. METHODS: The small airways were assessed in surgically resected lung tissue from 159 patients--39 with stage 0 (at risk), 39 with stage 1, 22 with stage 2, 16 with stage 3, and 43 with stage 4 (very severe) COPD, according to the classification of the Global Initiative for Chronic Obstructive Lung Disease (GOLD). RESULTS: The progression of COPD was strongly associated with an increase in the volume of tissue in the wall (P<0.001) and the accumulation of inflammatory mucous exudates in the lumen (P<0.001) of the small airways. The percentage of the airways that contained polymorphonuclear neutrophils (P<0.001), macrophages (P<0.001), CD4 cells (P=0.02), CD8 cells (P=0.038), B cells (P<0.001), and lymphoid aggregates containing follicles (P=0.003) and the absolute volume of B cells (P=0.03) and CD8 cells (P=0.02) also increased as COPD progressed. CONCLUSIONS: Progression of COPD is associated with the accumulation of inflammatory mucous exudates in the lumen and infiltration of the wall by innate and adaptive inflammatory immune cells that form lymphoid follicles. These changes are coupled to a repair or remodeling process that thickens the walls of these airways.


Subject(s)
Airway Obstruction/pathology , Bronchi/pathology , Inflammation Mediators/analysis , Pulmonary Disease, Chronic Obstructive/pathology , Aged , Analysis of Variance , B-Lymphocytes , Bronchi/immunology , CD4-Positive T-Lymphocytes , CD8-Positive T-Lymphocytes , Disease Progression , Female , Forced Expiratory Volume , Humans , Inflammation , Leukocyte Count , Macrophages , Male , Middle Aged , Neutrophils , Pulmonary Disease, Chronic Obstructive/immunology , Pulmonary Disease, Chronic Obstructive/physiopathology
19.
Am J Respir Crit Care Med ; 168(12): 1532-7, 2003 Dec 15.
Article in English | MEDLINE | ID: mdl-14551162

ABSTRACT

Alveolar wall fibroblasts directly link type 2 (T2) pneumocytes to capillary endothelium through apertures in their respective basal laminae in rabbit lung. These fibroblasts provide a bridge from the capillary to the airway lumen along which leukocytes may migrate without disrupting extracellular matrix. Normal human lungs were examined by transmission electron microscopy and serial section 3D reconstruction. We found contacts between fibroblasts and T2 pneumocytes and between fibroblasts and type 1 pneumocytes that occur at holes in the epithelial basal lamina. The same fibroblast also made contact with pericytes and endothelial cells through similar apertures. A survey of 41 T2 pneumocytes revealed that 54% of T2 pneumocytes had at least one gap in their basal lamina. A morphometric analysis showed these gaps occupied approximately 5.58 +/- 1.51% (mean +/- SE) of the area underneath T2 pneumocytes. We conclude that a population of single fibroblasts link T2 pneumocytes to adjacent capillary endothelial cells in alveolar walls of human lung. We propose that fibroblasts are organized to maintain communication between epithelium and mesenchyme and to provide directional information to migrating leukocytes.


Subject(s)
Endothelium, Vascular/ultrastructure , Epithelial Cells/ultrastructure , Fibroblasts/ultrastructure , Lung/ultrastructure , Pulmonary Alveoli/ultrastructure , Basement Membrane/physiology , Basement Membrane/ultrastructure , Chemotaxis, Leukocyte/physiology , Humans , Intercellular Junctions/ultrastructure , Lung/cytology , Microscopy, Electron
20.
Immunology ; 107(3): 306-15, 2002 Nov.
Article in English | MEDLINE | ID: mdl-12423306

ABSTRACT

Basophils are key effector cells of allergic reactions. Although proinflammatory cytokines, such as interleukin (IL)-3, granulocyte-macrophage colony-stimulating factor (GM-CSF) and IL-5, inhibit eosinophil apoptosis in vitro, little is known about basophil apoptosis, and the signalling mechanisms required for basophil survival remain undefined. To address this issue, we used a novel negative-selection system to isolate human basophils to a purity of > 95%, and evaluated apoptosis by morphology using light and transmission electron microscopy, and by annexin-V binding and propidium iodide incorporation using flow cytometry. In this study, we demonstrated that the spontaneous rate of apoptotic basophils was higher than that of eosinophils as, at 24 hr, 57.6 +/- 4.7% of basophils underwent apoptosis compared with 39.5 +/- 3.8% of eosinophils. In addition, basophil cell death was significantly inhibited when cultured with IL-3 for 48 hr (84.6 +/- 4.9% vehicle-treated cells versus 40.9 +/- 3.9% IL-3-treated cells). IL-3 also up-regulated basophil CD69 surface expression. The effects of IL-3 on apoptosis and CD69 surface expression of human basophils were completely blocked by LY294002 (LY), a potent inhibitor of phosphatidylinositol 3-kinase (PI3-K), but only partially inhibited by lactacystin, a proteasome inhibitor that prevents degradation of IkappaB and NF-kappaB translocation. These observations reveal the novel finding that IL-3 prevents basophil apoptosis through the activation of PI3-K, which is only partially NF-kappaB dependent. As basophils are active participants in allergic reactions and IL-3 is one of the abundant proinflammatory cytokines in secretions from allergic tissue, we suggest that IL-3-mediated inhibition of basophil apoptosis may exacerbate the inflammation associated with allergic disorders.


Subject(s)
Apoptosis/immunology , Basophils/immunology , Interleukin-3/immunology , NF-kappa B/immunology , Phosphatidylinositol 3-Kinases/immunology , Antigens, CD/metabolism , Antigens, Differentiation, T-Lymphocyte/metabolism , Basophils/ultrastructure , Cell Culture Techniques , Cell Survival/immunology , Eosinophils/immunology , Granulocyte-Macrophage Colony-Stimulating Factor/immunology , Humans , Interleukin-5/immunology , Lectins, C-Type , Signal Transduction/immunology
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