Epithelial clara cell injury occurs in bronchiolitis obliterans syndrome after human lung transplantation.
Epithelial clara cell injury occurs in bronchiolitis obliterans syndrome after human lung transplantation.
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DOI:
10.1111/j.1600-6143.2012.04201.x
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发表时间:
2012-11
期刊:
影响因子:
--
通讯作者:
Palmer SM
中科院分区:
文献类型:
--
作者:
Kelly FL;Kennedy VE;Jain R;Sindhwani NS;Finlen Copeland CA;Snyder LD;Eu JP;Meltzer EB;Brockway BL;Pavlisko E;Stripp BR;Palmer SM
Bronchiolitis obliterans syndrome (BOS) is a condition of progressive airflow obstruction that affects a majority of lung transplant recipients and limits long-term post-transplant survival. Although epithelial injury appears central to the development of BOS, little is known regarding the specific epithelial cell types that are affected in this condition. We hypothesized that BOS would involve preferential injury to the secretory Clara cells that function in innate defense and epithelial repair. To test this hypothesis, we assessed tissue transcript, tissue protein, and lung fluid protein expression of Clara cell secretory protein (CCSP), a marker for Clara cells, in lung transplant recipients with BOS, BOS-free patients, and in donor controls. Our results demonstrate that CCSP tissue transcript and protein expression are significantly reduced in lung transplant recipients with BOS as compared to BOS-free or donor controls. In addition, we demonstrate that CCSP protein levels are significantly reduced in the lung fluid of patients with BOS as compared to BOS-free controls, in cross-sectional and longitudinal analysis. Collectively, these complementary results illustrate that BOS involves a selective alteration in the distribution and function of bronchiolar Clara cells.
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影响因子:
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通讯作者:
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DOI:
10.1164/rccm.200408-1129oc
发表时间:
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影响因子:
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