Destruction and loss of bronchial cartilage in cystic fibrosis

Human Pathology
G OgrincJ F Tomashefski

Abstract

We studied by means of serial sections of intact isolated bronchi, the distribution and morphology of bronchial cartilage in lobar and segmental airways of 6 patients with cystic fibrosis (CF). Findings were compared to those of 4 young adults without CF who served as controls. Compared to the controls, cartilage in CF airways extended for a shorter absolute distance along the bronchial tree and disappeared at a more proximal branching level. Loss of cartilage appeared to correlate with the severity of bronchiectasis. In proximal airways chronic inflammation, destruction and fibrous replacement of cartilage preceded its disappearance. Immunohistochemical staining indicated that cells of monocyte/macrophage lineage (CD68, MAC387 positive) were most closely associated with chondrolysis. Dystrophic calcification and ossification were more commonly seen in CF bronchi and dystrophic calcification was present even in the lobar branches. Destruction of bronchial cartilage is the result of sustained bronchial infection and chronic inflammation and is an additional contributory factor to bronchiectasis and airway instability in patients with CF.

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Citations

Jan 15, 2011·Clinical Microbiology Reviews·Alan R HauserSusanna A McColley
Mar 2, 1999·American Journal of Respiratory and Critical Care Medicine·M HaraguchiK Shirato
Oct 14, 2003·American Journal of Respiratory and Critical Care Medicine·Ronald L GibsonBonnie W Ramsey
Nov 28, 2013·The Clinical Respiratory Journal·Min Suk Kim, June-Hyuk Lee
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May 1, 2013·The American Journal of Forensic Medicine and Pathology·Heena Maulek Desai, Gayathri Prashant Amonkar
Jan 29, 1999·Physiological Reviews·J M Pilewski, R A Frizzell

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