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Fragmented gelsolins are increased in rheumatoid arthritis-associated interstitial lung disease with usual interstitial pneumonia pattern
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- Suhara Kozo
- Department of Respiratory Medicine, Tokyo Medical and Dental University
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- Okamoto Tsukasa
- Department of Respiratory Medicine, Tokyo Medical and Dental University
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- Miyazaki Yasunari
- Department of Respiratory Medicine, Tokyo Medical and Dental University
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- Ishizuka Masahiro
- Department of Respiratory Medicine, Tokyo Medical and Dental University
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- Tsuchiya Kimitake
- Department of Respiratory Medicine, Tokyo Medical and Dental University
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- Inase Naohiko
- Department of Respiratory Medicine, Tokyo Medical and Dental University
Bibliographic Information
- Published
- 2016
- DOI
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- 10.1016/j.alit.2015.08.002
- Publisher
- Japanese Society of Allergology
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Description
Background: Rheumatoid arthritis-associated interstitial lung disease (RA-ILD) occurs in 10%-30% of patients with RA, and interstitial lung disease (ILD) is associated with increased mortality in up to 10% of patients with RA. The pathogenesis of RA-ILD is virtually unknown. The aim of this study is to investigate the proteins related to UIP pattern by comparing to OP pattern in RA-ILD using proteome analysis of bronchoalveolar lavage fluid (BALF). Methods: Proteomic differences in BALF were compared between the UIP pattern and OP pattern by examining BALF from 5 patients with the UIP pattern and 7 patients with the OP pattern by twodimensional gel electrophoresis and mass spectrometry. Results: In individual comparisons of BALF samples, the levels of the protein gelsolin and Ig kappa chain C region were significantly higher in the UIP pattern than in the OP pattern. In contrast, the levels of α-1 antitrypsin, CRP, haptoglobin β, and surfactant protein A (isoform number 5) were all significantly higher in the OP pattern than in the UIP pattern. Gelsolin was cleaved into two fragments, a C-terminal half and N-terminal half, and the levels of both were significantly higher in the UIP pattern than in the OP pattern. Conclusions: Fragmented gelsolins may be associated with the pathogenesis of fibrosis in RA-ILD.
Journal
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- Allergology International
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Allergology International 65 (1), 88-95, 2016
Japanese Society of Allergology
