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Airway and Systemic Prostaglandin E2 Association with COPD Symptoms and Macrophage Phenotype.


ABSTRACT:

Background

Polymorphisms and products of the cyclooxygenase (COX) pathway have been associated with the development of chronic obstructive pulmonary disease (COPD) and adverse outcomes. COX-produced prostaglandin E2 (PGE-2) may play a role in the inflammation observed in COPD, potentially through deleterious airway macrophage polarization. A better understanding of the role of PGE-2 in COPD morbidity may inform trials for therapeutics targeting the COX pathway or PGE-2.

Methods

Urine and induced sputum were collected from former smokers with moderate-severe COPD. The major urinary metabolite of PGE-2 (PGE-M) was measured, and ELISA was performed on sputum supernatant for PGE-2 airway measurement. Airway macrophages underwent flow cytometry phenotyping (surface CD64, CD80, CD163, CD206, and intracellular IL-1β, TGF-β1). Health information was obtained the same day as the biologic sample collection. Exacerbations were collected at baseline and then monthly telephone calls.

Results

Among 30 former smokers with COPD (mean±SD age 66.4±8.88 years and forced expiratory volume in 1 second [FEV1] 62.4±8.37 percent predicted), a 1 pg/mL increase in sputum PGE-2 was associated with higher odds of experiencing at least one exacerbation in the prior 12 months (odds ratio 3.3; 95% confidence interval: 1.3 to15.0), worse respiratory symptoms and health status. PGE-M was not associated with exacerbations or symptoms. Neither airway PGE-2 nor urinary PGE-M was uniformly associated with an M1 or M2 polarization.

Conclusions

Elevated levels of sputum PGE-2, rather than systemic PGE-2, is associated with increased respiratory symptoms and history of exacerbation among individuals with COPD. Additional studies focused on mechanism of action are warranted.

SUBMITTER: Tejwani V 

PROVIDER: S-EPMC10392871 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature

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Publications

Airway and Systemic Prostaglandin E2 Association with COPD Symptoms and Macrophage Phenotype.

Tejwani Vickram V   Villabona-Rueda Andres F AF   Khare Pratik P   Zhang Cissy C   Le Anne A   Putcha Nirupama N   D'Alessio Franco F   Alexis Neil E NE   Hansel Nadia N NN   Fawzy Ashraf A  

Chronic obstructive pulmonary diseases (Miami, Fla.) 20230401 2


<h4>Background</h4>Polymorphisms and products of the cyclooxygenase (COX) pathway have been associated with the development of chronic obstructive pulmonary disease (COPD) and adverse outcomes. COX-produced prostaglandin E2 (PGE-2) may play a role in the inflammation observed in COPD, potentially through deleterious airway macrophage polarization. A better understanding of the role of PGE-2 in COPD morbidity may inform trials for therapeutics targeting the COX pathway or PGE-2.<h4>Methods</h4>Ur  ...[more]

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