THE ROLE OF FREE-RADICALS AND NEUTROPHIL ELASTASE IN DEVELOPMENT OF PULMONARY-EMPHYSEMA

被引:16
作者
KANAZAWA, H
KURIHARA, N
HIRATA, K
FUJIMOTO, S
TAKEDA, T
机构
[1] First Department of Internal Medicine, Osaka City University Medical School, Osaka
关键词
SUPEROXIDE ANION; POLYMORPHONUCLEAR LEUKOCYTES (PMNS);
D O I
10.2169/internalmedicine.31.857
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Extracellular proteolysis is hypothesized to be the major cause of pulmonary emphysema and oxygen-derived free radicals and neutrophil elastase are thought to play an important role in its pathogenesis. In this study, peripheral polymorphonuclear leukocytes (PMNs) obtained from 16 patients with emphysema generated a significantly larger amount of superoxide and elastase activity than those obtained from normal controls. A significant correlation was observed between elastase activity and superoxide release. In addition, the superoxide release showed a negative correlation with the disease duration. The superoxide release appeared to correlated with a decline of FEV1.0 over the course of several years in 8 patients. It seems likely that activated PMNs play an important role in the development of pulmonary emphysema.
引用
收藏
页码:857 / 860
页数:4
相关论文
共 21 条
[1]  
Janoff A., Elastase and emphysema, Am Rev Respir Dis, 132, (1985)
[2]  
Damiano V.V., Tsang A., Kucich U., Et al., Immunolocalization of elastase in human emphysematous lungs, J Clin Invest, 78, (1986)
[3]  
Senior R.M., Tegner H., Kuhn C., Ohlsson K., Starcher B.C., Pierce J.A., The induction of pulmonary emphysema with human leukocyte elastase, Am Rev Respir Dis, 116, (1977)
[4]  
Ohlsson K., Neutral leukocyte proteases and elastase are inhibited by plasma α1-antitrypsin, Scand J Clin Lab Invest, 28, (1970)
[5]  
Eriksson S., Pulmonary emphysema and alpha 1-antitrypsin deficiency, Acta Med Scand, 175, (1964)
[6]  
Beatty K., Beith J., Travis J., Kinetics of association of serine proteinases with native and oxidized α1-proteinase and α1-antichymotrypsin, J Biol Chem, 225, (1980)
[7]  
Banda M.J., Chark E.J., Werb Z., Regulation of alpha-1 proteinase inhibitor function by rabbit macrophages, J Clin Invest, 75, (1985)
[8]  
Badwey J.A., Karnovsky M.L., Active oxygen species and the functions of phagocytic leukocytes, Ann Rev Biochem, 49, (1970)
[9]  
Karnovsky M.L., Badwey J.A., Determination of the production of active oxygen species by granulocytes and macrophages, J Clin Chem and Clin Biochem, 21, (1983)
[10]  
Carp H., Miller F., Hoidal R., Janoff A., Potential mechanism of emphysema: alpha 1-proteinase inhibitor recovered from lungs of cigarette smokers contains oxidized methionine and has decreased elastase inhibitory capacity, Proc Natl Acad Sci USA, 779, (1982)