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  • Expression of the T Helper ...
    DOE, Camille; BAFADHEL, Mona; ANDERSON, Ian K; BRIGHTLING, Christopher E; SIDDIQUI, Salman; DESAI, Dhananjay; MISTRY, Vijay; RUGMAN, Paul; MCCORMICK, Margaret; WOODS, Joanne; MAY, Richard; SLEEMAN, Matthew A

    Chest, 11/2010, Letnik: 138, Številka: 5
    Journal Article

    Asthma and COPD are characterized by airway dysfunction and inflammation. Neutrophilic airway inflammation is a common feature of COPD and is recognized in asthma, particularly in severe disease. The T helper (Th) 17 cytokines IL-17A and IL-17F have been implicated in the development of neutrophilic airway inflammation, but their expression in asthma and COPD is uncertain. We assessed IL-17A and IL-17F expression in the bronchial submucosa from 30 subjects with asthma, 10 ex-smokers with mild to moderate COPD, and 27 nonsmoking and 14 smoking control subjects. Sputum IL-17 concentration was measured in 165 subjects with asthma and 27 with COPD. The median (interquartile range) IL-17A cells/mm² submucosa was increased in mild to moderate asthma (2.1 2.4) compared with healthy control subjects (0.4 2.8) but not in severe asthma (P = .04). In COPD, IL-17A(+) cells/mm² submucosa were increased (0.5 3.7) compared with nonsmoking control subjects (0 0) but not compared with smoking control subjects (P = .046). IL-17F(+) cells/mm² submucosa were increased in severe asthma (2.7 3.6) and mild to moderate asthma (1.6 1.0) compared with healthy controls subjects (0.7 1.4) (P = .001) but was not increased in subjects with COPD. IL-17A and IL-17F were not associated with increased neutrophilic inflammation, but IL-17F was correlated with the submucosal eosinophil count (rs = 0.5, P = .005). The sputum IL-17 concentration in COPD was increased compared with asthma (2 0-7 pg/mL vs 0 0-2 pg/mL, P < .0001) and was correlated with post-bronchodilator FEV₁% predicted (r = -0.5, P = .008) and FEV(1)/FVC (r = -0.4, P = .04). Our findings support a potential role for the Th17 cytokines IL-17A and IL-17F in asthma and COPD, but do not demonstrate a relationship with neutrophilic inflammation.