Matrix Metalloproteinase-9 Increases in the Sputum from Allergic Occupational Asthma Patients after Specific Inhalation Challenge.

Castano, Roberto;Miedinger, David;Maghni, Karim;Ghezzo, Heberto;Malo, Jean-Luc;et.al.
(2013) International Archives of Allergy and Immunology — Vol. 160, n° 2, p. 161-164 (2013)

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Authors
  • Castano, Roberto
    Author
  • Miedinger, David
    Author
  • Maghni, Karim
    Author
  • Ghezzo, Heberto
    Author
  • Author
  • Malo, Jean-Luc
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Abstract
Background: Matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs) play a role in the pathogenesis of asthma. MMP-9 increases in the sputum of asthmatic patients after bronchial challenge with common allergens. We sought to assess whether a high-molecular-weight occupational allergen was able to induce changes in MMP-9 as well as in other MMPs and TIMPs in subjects with occupational asthma. Methods: Ten patients underwent specific inhalation challenge (SIC) on 2 consecutive days. We monitored changes in lung function by measuring FEV(1) for 7 h. Induced sputum test was performed at 6 h after sham and flour challenge. The total and differential cell counts were analyzed. Levels of MMPs (specifically MMP-2, MMP-7, MMP-9 and MMP-13) were measured using Fluorokine® MultiAnalyte Profiling kits and a Luminex® Bioanalyzer, while levels of TIMP-1 and TIMP-2 were measured by ELISA. Results: Flour challenge increased the percentage of eosinophils in sputum samples. Asthmatic reactions induced by flour were associated with a significant increase in the sputum level of MMP-9 (p = 0.05), but not in the levels of MMP-2, MMP-7, MMP-13, TIMP-1 and TIMP-2. Sputum levels of MMP-9 measured after flour challenge were nearly significantly correlated (r = 0.67; p = 0.06) with the maximal fall in FEV(1) observed during the asthmatic reaction, but they did not correlate with the number of neutrophils (r = 0.18; p = 0.7) and eosinophils (r = 0.55; p = 0.2). Conclusions: This study showed that MMP-9 increases in sputum samples from sensitized occupational asthma patients after SIC with flour.
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Citations

Castano, R., Miedinger, D., Maghni, K., Ghezzo, H., Trudeau, C., Castellanos, L., Wattiez, M., Vandenplas, O., & Malo, J.-L. (2013). Matrix Metalloproteinase-9 Increases in the Sputum from Allergic Occupational Asthma Patients after Specific Inhalation Challenge. International Archives of Allergy and Immunology, 160(2), 161-164. https://doi.org/10.1159/000339737 (Original work published 2013)