A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

Pulmonary sarcoidosis is associated with exosomal vitamin D-binding protein and inflammatory molecules




TekijätMaria-Jose Martinez-Bravo, Casper J.E. Wahlund, Khaleda Rahman Qazi, Robert Moulder, Ana Lukic, Olof Rådmark, Riitta Lahesmaa, Johan Grunewald, Anders Eklund, Susanne Gabrielsson

KustantajaElsevier

Julkaisuvuosi2017

JournalJournal of Allergy and Clinical Immunology

Lehden akronyymiJ Allergy Clin Immunol

Artikkelin numeroS0091-6749

Vuosikerta139

Numero4

Aloitussivu1186

Lopetussivu1194

Sivujen määrä9

ISSN0091-6749

eISSN1097-6285

DOIhttps://doi.org/10.1016/j.jaci.2016.05.051

Verkko-osoitehttp://www.sciencedirect.com/science/article/pii/S0091674916308508

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/18630613


Tiivistelmä
BACKGROUND: Sarcoidosis is an inflammatory granulomatous disorder characterized by accumulation of TH1-type CD4+T cells and immune effector cells within affected organs, most frequently the lungs. Exosomes are extracellular vesicles conveying intercellular communication with possible diagnostic and therapeutic applications.
OBJECTIVES: Weaimed to provide an understanding of the proinflammatory role of bronchoalveolar lavage fluid (BALF) exosomes in patients with sarcoidosis and to find candidates for disease biomarkers.
METHODS: Weperformed a mass spectrometric proteomics characterization of BALF exosomes from 15 patients with sarcoidosis and 5 healthy control subjects and verified the most interesting results with flow cytometry, ELISA, and Western blot analyses in an additional 39 patients and 22 control subjects.
RESULTS: Morethan 690 proteins were identified in the BALF exosomes, several of which displayed significant upregulation in patients, including inflammation-associated proteins, such as leukotriene A4 hydrolase. Most of the complement-activating factors were upregulated, whereas the complement regulator CD55 was seen less in patients comparedwith healthy control subjects. In addition, for the first time, we detected vitamin D-binding protein in BALF exosomes, which was more abundant in patients. To evaluate exosome-associated vitamin D-binding protein as a biomarker for sarcoidosis, we investigated plasma exosomes from 23 patients and 11 healthy control subjects and found significantlyhigher expression in patients.
CONCLUSION: Together,these data contribute to understanding the role of exosomes in lung disease and provide suggestions for highly warranted sarcoidosis biomarkers. Furthermore, the validation of an exosome-associated biomarker in the blood of patients provides novel, and less invasive, opportunities for disease diagnosis.

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