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Association between Galectin-13 Expression and Eosinophilic Airway Inflammation in Chronic Obstructive Pulmonary Disease

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单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Internal Med,Div Resp & Critical Care Med, Wuhan, Peoples R China [2]Natl Hlth Commiss Peoples Republ China, Key Lab Resp Dis, Wuhan, Peoples R China [3]Chinese Univ Hong Kong, Li Ka Shing Inst Hlth Sci, Fac Med, Dept Med & Therapeut,Div Neurol, Hong Kong, Peoples R China [4]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Allergy, Wuhan, Peoples R China [5]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Allergy, Wuhan 430030, Peoples R China
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关键词: chronic obstructive pulmonary disease galectin-13 eosinophilic inflammation CRP

摘要:
Chronic obstructive pulmonary disease (COPD) and asthma are chronic inflammatory diseases of the airways. Galectin-13 has recently been forwarded as a biomarker for airway eosinophilic inflammation in asthma. However, the association between galectin-13 and COPD remains unknown. To examine the changes in galectin-13 expression in acute exacerbations of COPD (AECOPD) and the stable phase of COPD and unveil the association between galectin-13 expression and eosinophilic inflammation in COPD, we measured plasma galectin-13 expression in different phases of COPD patients (n = 60, 44 AECOPD patients, and 16 stable COPD patients) and healthy controls (n = 15). Plasma levels of galectin-13 in 60 COPD patients were further analyzed and compared to systemic inflammation, airway eosinophilic inflammation, and lung function. The plasma galectin-13 level was markedly increased in subjects with AECOPD compared to stable COPD patients and healthy controls. Plasma galectin-13 levels in COPD subjects were positively correlated with serum CRP (r(s) = 0.46, p = 0.0003), peripheral blood eosinophilia count (r(s) = 0.57, p<0.0001), and FeNO (r(s) = 0.46, p = 0.0002). In addition, the level of galectin-13 was negatively correlated with FEV1 (r(s) = -0.43, p = 0.0001), FEV1 pred (%) (r(s) = -0.544, p<0.0001), as well as FEV1/FVC (r(s) = -0.46, p<0.0001). Multiple linear regression analysis suggested that plasma galectin-13 levels were affected by FEV1 pred (%), peripheral blood eosinophilia count, and FeNO. We concluded that galectin-13 levels were increased in COPD patients, and elevated galectin-13 expressions related to airway eosinophilic inflammation. Galectin-13 may facilitate the identification of COPD endotypes and may become a potential therapeutic target.

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出版当年[2022]版:
大类 | 4 区 医学
小类 | 4 区 呼吸系统
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大类 | 4 区 医学
小类 | 4 区 呼吸系统
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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Internal Med,Div Resp & Critical Care Med, Wuhan, Peoples R China [2]Natl Hlth Commiss Peoples Republ China, Key Lab Resp Dis, Wuhan, Peoples R China
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通讯机构: [4]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Allergy, Wuhan, Peoples R China [5]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Allergy, Wuhan 430030, Peoples R China
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