Increase of nitrosative stress in patients with eosinophilic pneumonia

<p>Abstract</p> <p>Background</p> <p>Exhaled nitric oxide (NO) production is increased in asthma and reflects the degree of airway inflammation. The alveolar NO concentration (Calv) in interstitial pneumonia is reported to be increased. However, it remains unknown wheth...

Full description

Bibliographic Details
Main Authors: Akamatsu Keiichiro, Minakata Yoshiaki, Yanagisawa Satoru, Hirano Tsunahiko, Koarai Akira, Ichikawa Tomohiro, Matsunaga Kazuto, Sugiura Hisatoshi, Furukawa Kanako, Kanda Masae, Nishigai Manabu, Ichinose Masakazu
Format: Article
Language:English
Published: BMC 2011-06-01
Series:Respiratory Research
Subjects:
Online Access:http://respiratory-research.com/content/12/1/81
_version_ 1811246328610553856
author Akamatsu Keiichiro
Minakata Yoshiaki
Yanagisawa Satoru
Hirano Tsunahiko
Koarai Akira
Ichikawa Tomohiro
Matsunaga Kazuto
Sugiura Hisatoshi
Furukawa Kanako
Kanda Masae
Nishigai Manabu
Ichinose Masakazu
author_facet Akamatsu Keiichiro
Minakata Yoshiaki
Yanagisawa Satoru
Hirano Tsunahiko
Koarai Akira
Ichikawa Tomohiro
Matsunaga Kazuto
Sugiura Hisatoshi
Furukawa Kanako
Kanda Masae
Nishigai Manabu
Ichinose Masakazu
author_sort Akamatsu Keiichiro
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Exhaled nitric oxide (NO) production is increased in asthma and reflects the degree of airway inflammation. The alveolar NO concentration (Calv) in interstitial pneumonia is reported to be increased. However, it remains unknown whether NO production is increased and nitrosative stress occurs in eosinophilic pneumonia (EP). We hypothesized that nitrosative stress markers including Calv, inducible type of NO synthase (iNOS), and 3-nitrotyrosine (3-NT), are upregulated in EP.</p> <p>Methods</p> <p>Exhaled NO including fractional exhaled NO (FE<sub>NO</sub>) and Calv was measured in ten healthy subjects, 13 patients with idiopathic pulmonary fibrosis (IPF), and 13 patients with EP. iNOS expression and 3-NT formation were assessed by immunocytochemistory in BALf cells. The exhaled NO, lung function, and systemic inflammatory markers of the EP patients were investigated after corticosteroid treatment for 4 weeks.</p> <p>Results</p> <p>The Calv levels in the EP group (14.4 ± 2.0 ppb) were significantly higher than those in the healthy subjects (5.1 ± 0.6 ppb, p < 0.01) and the IPF groups (6.3 ± 0.6 ppb, p < 0.01) as well as the FE<sub>NO </sub>and the corrected Calv levels (all p < 0.01). More iNOS and 3-NT positive cells were observed in the EP group compared to the healthy subject and IPF patient. The Calv levels had significant positive correlations with both iNOS (r = 0.858, p < 0.05) and 3-NT positive cells (r = 0.924, p < 0.01). Corticosteroid treatment significantly reduced both the FE<sub>NO </sub>(p < 0.05) and the Calv levels (p < 0.01). The magnitude of reduction in the Calv levels had a significant positive correlation with the peripheral blood eosinophil counts (r = 0.802, p < 0.05).</p> <p>Conclusions</p> <p>These results suggested that excessive nitrosative stress occurred in EP and that Calv could be a marker of the disease activity.</p>
first_indexed 2024-04-12T14:51:55Z
format Article
id doaj.art-9f18e9680ad14744a91e26105739682c
institution Directory Open Access Journal
issn 1465-9921
language English
last_indexed 2024-04-12T14:51:55Z
publishDate 2011-06-01
publisher BMC
record_format Article
series Respiratory Research
spelling doaj.art-9f18e9680ad14744a91e26105739682c2022-12-22T03:28:24ZengBMCRespiratory Research1465-99212011-06-011218110.1186/1465-9921-12-81Increase of nitrosative stress in patients with eosinophilic pneumoniaAkamatsu KeiichiroMinakata YoshiakiYanagisawa SatoruHirano TsunahikoKoarai AkiraIchikawa TomohiroMatsunaga KazutoSugiura HisatoshiFurukawa KanakoKanda MasaeNishigai ManabuIchinose Masakazu<p>Abstract</p> <p>Background</p> <p>Exhaled nitric oxide (NO) production is increased in asthma and reflects the degree of airway inflammation. The alveolar NO concentration (Calv) in interstitial pneumonia is reported to be increased. However, it remains unknown whether NO production is increased and nitrosative stress occurs in eosinophilic pneumonia (EP). We hypothesized that nitrosative stress markers including Calv, inducible type of NO synthase (iNOS), and 3-nitrotyrosine (3-NT), are upregulated in EP.</p> <p>Methods</p> <p>Exhaled NO including fractional exhaled NO (FE<sub>NO</sub>) and Calv was measured in ten healthy subjects, 13 patients with idiopathic pulmonary fibrosis (IPF), and 13 patients with EP. iNOS expression and 3-NT formation were assessed by immunocytochemistory in BALf cells. The exhaled NO, lung function, and systemic inflammatory markers of the EP patients were investigated after corticosteroid treatment for 4 weeks.</p> <p>Results</p> <p>The Calv levels in the EP group (14.4 ± 2.0 ppb) were significantly higher than those in the healthy subjects (5.1 ± 0.6 ppb, p < 0.01) and the IPF groups (6.3 ± 0.6 ppb, p < 0.01) as well as the FE<sub>NO </sub>and the corrected Calv levels (all p < 0.01). More iNOS and 3-NT positive cells were observed in the EP group compared to the healthy subject and IPF patient. The Calv levels had significant positive correlations with both iNOS (r = 0.858, p < 0.05) and 3-NT positive cells (r = 0.924, p < 0.01). Corticosteroid treatment significantly reduced both the FE<sub>NO </sub>(p < 0.05) and the Calv levels (p < 0.01). The magnitude of reduction in the Calv levels had a significant positive correlation with the peripheral blood eosinophil counts (r = 0.802, p < 0.05).</p> <p>Conclusions</p> <p>These results suggested that excessive nitrosative stress occurred in EP and that Calv could be a marker of the disease activity.</p>http://respiratory-research.com/content/12/1/81Alveolar nitric oxidecorticosteroidfractional exhaled nitric oxideinducible type of nitric oxide synthase3-nitrotyrosine
spellingShingle Akamatsu Keiichiro
Minakata Yoshiaki
Yanagisawa Satoru
Hirano Tsunahiko
Koarai Akira
Ichikawa Tomohiro
Matsunaga Kazuto
Sugiura Hisatoshi
Furukawa Kanako
Kanda Masae
Nishigai Manabu
Ichinose Masakazu
Increase of nitrosative stress in patients with eosinophilic pneumonia
Respiratory Research
Alveolar nitric oxide
corticosteroid
fractional exhaled nitric oxide
inducible type of nitric oxide synthase
3-nitrotyrosine
title Increase of nitrosative stress in patients with eosinophilic pneumonia
title_full Increase of nitrosative stress in patients with eosinophilic pneumonia
title_fullStr Increase of nitrosative stress in patients with eosinophilic pneumonia
title_full_unstemmed Increase of nitrosative stress in patients with eosinophilic pneumonia
title_short Increase of nitrosative stress in patients with eosinophilic pneumonia
title_sort increase of nitrosative stress in patients with eosinophilic pneumonia
topic Alveolar nitric oxide
corticosteroid
fractional exhaled nitric oxide
inducible type of nitric oxide synthase
3-nitrotyrosine
url http://respiratory-research.com/content/12/1/81
work_keys_str_mv AT akamatsukeiichiro increaseofnitrosativestressinpatientswitheosinophilicpneumonia
AT minakatayoshiaki increaseofnitrosativestressinpatientswitheosinophilicpneumonia
AT yanagisawasatoru increaseofnitrosativestressinpatientswitheosinophilicpneumonia
AT hiranotsunahiko increaseofnitrosativestressinpatientswitheosinophilicpneumonia
AT koaraiakira increaseofnitrosativestressinpatientswitheosinophilicpneumonia
AT ichikawatomohiro increaseofnitrosativestressinpatientswitheosinophilicpneumonia
AT matsunagakazuto increaseofnitrosativestressinpatientswitheosinophilicpneumonia
AT sugiurahisatoshi increaseofnitrosativestressinpatientswitheosinophilicpneumonia
AT furukawakanako increaseofnitrosativestressinpatientswitheosinophilicpneumonia
AT kandamasae increaseofnitrosativestressinpatientswitheosinophilicpneumonia
AT nishigaimanabu increaseofnitrosativestressinpatientswitheosinophilicpneumonia
AT ichinosemasakazu increaseofnitrosativestressinpatientswitheosinophilicpneumonia