Down‐expression of Foxj1 on airway epithelium with impaired cilia architecture in non‐cystic fibrosis bronchiectasis implies disease severity

Abstract Introduction The pathogenesis of non‐cystic fibrosis bronchiectasis has not been clearly clarified. This study aimed to investigate the expression of ciliary regulating protein forkhead box protein j1 (Foxj1) on airway epithelium in non‐cystic fibrosis bronchiectasis and its association wit...

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Main Authors: Xiao‐Ling Zou, Hai‐Ling Yang, Wen‐Wen Ding, Hai‐Ke Li, Yu‐Qi Zhou, Tian‐Tuo Zhang
Format: Article
Language:English
Published: Wiley 2023-05-01
Series:The Clinical Respiratory Journal
Subjects:
Online Access:https://doi.org/10.1111/crj.13605
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author Xiao‐Ling Zou
Hai‐Ling Yang
Wen‐Wen Ding
Hai‐Ke Li
Yu‐Qi Zhou
Tian‐Tuo Zhang
author_facet Xiao‐Ling Zou
Hai‐Ling Yang
Wen‐Wen Ding
Hai‐Ke Li
Yu‐Qi Zhou
Tian‐Tuo Zhang
author_sort Xiao‐Ling Zou
collection DOAJ
description Abstract Introduction The pathogenesis of non‐cystic fibrosis bronchiectasis has not been clearly clarified. This study aimed to investigate the expression of ciliary regulating protein forkhead box protein j1 (Foxj1) on airway epithelium in non‐cystic fibrosis bronchiectasis and its association with airway cilia structure disorder and disease severity. Methods Lung tissue sections excised from 47 patients with non‐cystic fibrosis bronchiectasis were included between January 2018 and June 2021. Specimens from 26 subjects who underwent a lobectomy due to lung nodule were chosen as controls. Clinical information was collected, and pathologic analysis was performed to assess the epithelial structure and expression of ciliary regulating Foxj1. Results Of the 47 patients with non‐cystic fibrosis bronchiectasis, 25 were considered as mild, 12 were moderate whereas the remaining 10 cases were severe according to the bronchiectasis severity index score evaluation. Epithelial hyperplasia, hyperplasia of goblet cells and inflammatory cell infiltration were observed in non‐cystic fibrosis bronchiectasis, compared with control subjects. Cilia length in non‐cystic fibrosis bronchiectasis patients were shorter than that in the control group, (5.34 ± 0.89) μm versus (7.34 ± 0.71) μm, respectively (P = 0.002). The expression of Foxj1 was (2.69 ± 1.09) × 106 in non‐cystic fibrosis bronchiectasis, compared with (6.67 ± 1.15) × 106 in the control group (P = 0.001). Moreover, patients with lower expression of Foxj1 showed shorter airway cilia and worse in disease severity. Conclusion Foxj1 declined in the airway epithelium of patients with non‐cystic fibrosis bronchiectasis, positively correlated to cilia length and might imply worse disease severity.
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spelling doaj.art-a785584a3f05422e99dd1df0a5892cb22023-05-26T10:50:31ZengWileyThe Clinical Respiratory Journal1752-69811752-699X2023-05-0117540541310.1111/crj.13605Down‐expression of Foxj1 on airway epithelium with impaired cilia architecture in non‐cystic fibrosis bronchiectasis implies disease severityXiao‐Ling Zou0Hai‐Ling Yang1Wen‐Wen Ding2Hai‐Ke Li3Yu‐Qi Zhou4Tian‐Tuo Zhang5Department of Pulmonary and Critical Care Medicine The Third Affiliated Hospital of Sun Yat‐sen University, Institute of Respiratory Diseases of Sun Yat‐Sen University Guangzhou ChinaDepartment of Pulmonary and Critical Care Medicine The Third Affiliated Hospital of Sun Yat‐sen University, Institute of Respiratory Diseases of Sun Yat‐Sen University Guangzhou ChinaDepartment of Pulmonary and Critical Care Medicine The Third Affiliated Hospital of Sun Yat‐sen University, Institute of Respiratory Diseases of Sun Yat‐Sen University Guangzhou ChinaDepartment of Pulmonary and Critical Care Medicine The Third Affiliated Hospital of Sun Yat‐sen University, Institute of Respiratory Diseases of Sun Yat‐Sen University Guangzhou ChinaDepartment of Pulmonary and Critical Care Medicine The Third Affiliated Hospital of Sun Yat‐sen University, Institute of Respiratory Diseases of Sun Yat‐Sen University Guangzhou ChinaDepartment of Pulmonary and Critical Care Medicine The Third Affiliated Hospital of Sun Yat‐sen University, Institute of Respiratory Diseases of Sun Yat‐Sen University Guangzhou ChinaAbstract Introduction The pathogenesis of non‐cystic fibrosis bronchiectasis has not been clearly clarified. This study aimed to investigate the expression of ciliary regulating protein forkhead box protein j1 (Foxj1) on airway epithelium in non‐cystic fibrosis bronchiectasis and its association with airway cilia structure disorder and disease severity. Methods Lung tissue sections excised from 47 patients with non‐cystic fibrosis bronchiectasis were included between January 2018 and June 2021. Specimens from 26 subjects who underwent a lobectomy due to lung nodule were chosen as controls. Clinical information was collected, and pathologic analysis was performed to assess the epithelial structure and expression of ciliary regulating Foxj1. Results Of the 47 patients with non‐cystic fibrosis bronchiectasis, 25 were considered as mild, 12 were moderate whereas the remaining 10 cases were severe according to the bronchiectasis severity index score evaluation. Epithelial hyperplasia, hyperplasia of goblet cells and inflammatory cell infiltration were observed in non‐cystic fibrosis bronchiectasis, compared with control subjects. Cilia length in non‐cystic fibrosis bronchiectasis patients were shorter than that in the control group, (5.34 ± 0.89) μm versus (7.34 ± 0.71) μm, respectively (P = 0.002). The expression of Foxj1 was (2.69 ± 1.09) × 106 in non‐cystic fibrosis bronchiectasis, compared with (6.67 ± 1.15) × 106 in the control group (P = 0.001). Moreover, patients with lower expression of Foxj1 showed shorter airway cilia and worse in disease severity. Conclusion Foxj1 declined in the airway epithelium of patients with non‐cystic fibrosis bronchiectasis, positively correlated to cilia length and might imply worse disease severity.https://doi.org/10.1111/crj.13605airway epitheliumcilia disorderforkhead box protein j1non‐cystic fibrosis bronchiectasispathogenesis
spellingShingle Xiao‐Ling Zou
Hai‐Ling Yang
Wen‐Wen Ding
Hai‐Ke Li
Yu‐Qi Zhou
Tian‐Tuo Zhang
Down‐expression of Foxj1 on airway epithelium with impaired cilia architecture in non‐cystic fibrosis bronchiectasis implies disease severity
The Clinical Respiratory Journal
airway epithelium
cilia disorder
forkhead box protein j1
non‐cystic fibrosis bronchiectasis
pathogenesis
title Down‐expression of Foxj1 on airway epithelium with impaired cilia architecture in non‐cystic fibrosis bronchiectasis implies disease severity
title_full Down‐expression of Foxj1 on airway epithelium with impaired cilia architecture in non‐cystic fibrosis bronchiectasis implies disease severity
title_fullStr Down‐expression of Foxj1 on airway epithelium with impaired cilia architecture in non‐cystic fibrosis bronchiectasis implies disease severity
title_full_unstemmed Down‐expression of Foxj1 on airway epithelium with impaired cilia architecture in non‐cystic fibrosis bronchiectasis implies disease severity
title_short Down‐expression of Foxj1 on airway epithelium with impaired cilia architecture in non‐cystic fibrosis bronchiectasis implies disease severity
title_sort down expression of foxj1 on airway epithelium with impaired cilia architecture in non cystic fibrosis bronchiectasis implies disease severity
topic airway epithelium
cilia disorder
forkhead box protein j1
non‐cystic fibrosis bronchiectasis
pathogenesis
url https://doi.org/10.1111/crj.13605
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