Eosinophil protein in airway macrophages: a novel biomarker of eosinophilic inflammation in patients with asthma.

The Journal of Allergy and Clinical Immunology
Neeta S KulkarniChristopher E Brightling

Abstract

Noneosinophilic asthma is common across asthma severities. However, in patients with moderate-to-severe disease, the absence of sputum eosinophilia cannot distinguish between asthmatic subjects with eosinophilic inflammation controlled by corticosteroids versus those in whom eosinophilic inflammation is not a component of the disease. We sought to develop a method to quantify eosinophil proteins in airway macrophages as a novel biomarker of eosinophilic airway inflammation. Eosinophil proteins in airway macrophages were assessed by means of flow cytometry, immunofluorescence, and cytoplasmic hue change after ingestion of apoptotic eosinophils. Airway macrophage median percentage of red-hued area in stained sputum cytospin preparations was assessed by means of image analysis from (1) subjects with mild-to-severe asthma, subjects with nonasthmatic eosinophilic bronchitis, and healthy control subjects; (2) subjects with eosinophilic severe asthma after treatment with prednisolone; and (3) subject with noneosinophilic asthma before corticosteroid withdrawal. Eosinophil proteins were detected in airway macrophages, and cytoplasmic red hue increased after ingestion of apoptotic eosinophils. Airway macrophage percentage redhued area w...Continue Reading

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Citations

Jul 28, 2011·Journal of Asthma and Allergy·Sj WadsworthDr Dorscheid
Apr 18, 2013·American Journal of Respiratory and Critical Care Medicine·Dhananjay DesaiChris E Brightling
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