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CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
,
G G Brusselle1
1 Department of Respiratory Diseases, Ghent University Hospital, Ghent, Belgium
2 Immunotech, Beckman Coulter, Marseille, France
3 Service de Pneumologie, CHU-Lyon, France
4 Department of Pneumology, University of Liege and CHU Liege, Liege, Belgium
Correspondence to:
Correspondence to:
Dr I K Demedts
Department of Respiratory Diseases, Ghent University Hospital 7K12-IE, De Pintelaan 185, B-9000 Ghent, Belgium; M.DemedtsIngelK{at}UGent.be
Background: Several matrix metalloproteinases (MMPs) are involved in the pathogenesis of chronic obstructive pulmonary disease (COPD). In mice, MMP-12 plays a crucial role in the development of cigarette smoke induced emphysema. A study was undertaken to investigate the role of MMP-12 in the development of COPD in human smokers.
Methods: Induced sputum samples were collected from patients with stable COPD (n = 28), healthy smokers (n = 14), never smokers (n = 20), and former smokers (n = 14). MMP-12 protein levels in induced sputum were determined by ELISA and compared between the four study groups. MMP-12 enzymatic activity in induced sputum was evaluated by casein zymography and by cleaving of a fluorescence quenched substrate.
Results: Median (IQR) MMP-12 levels were significantly higher in COPD patients than in healthy smokers, never smokers, and former smokers (17.5 (7.142.1) v 6.7 (3.910.4) v 4.2 (2.411.3) v 6.1 (4.57.6) ng/ml, p = 0.0002). MMP-12 enzymatic activity was significantly higher in patients with COPD than in controls (4.11 (1.48.0) v 0.14 (0.10.2) µg/µl, p = 0.0002).
Conclusion: MMP-12 is markedly increased in induced sputum from patients with stable COPD compared with controls, suggesting a role for MMP-12 in the development of COPD in smokers.
Abbreviations: BAL, bronchoalveolar lavage; COPD, chronic obstructive pulmonary disease; DTT, dithiotreitol; ECM, extracellular matrix; ELISA, enzyme linked immunosorbent assay; FEV1, forced expiratory volume in 1 second; FVC, forced vital capacity; GOLD, Global Initiative for Chronic Obstructive Lung Disease; ICS, inhaled corticosteroids; IFN-
, interferon-
; IL-13, interleukin-13; MMP, matrix metalloproteinase; PBS, phosphate buffered saline; TGF-ß1, transforming growth factor ß1; TNF-
, tumour necrosis factor 
Keywords: chronic obstructive pulmonary disease; matrix metalloproteinases; induced sputum; MMP-12; smoking
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