PMID- 16315781 OWN - NLM STAT- MEDLINE DCOM- 20060126 LR - 20161021 IS - 1124-0490 (Print) IS - 1124-0490 (Linking) VI - 22 IP - 3 DP - 2005 Oct TI - Neurotrophin system activation in bronchoalveolar lavage fluid immune cells in pulmonary sarcoidosis. PG - 186-94 AB - BACKGROUND AND AIM OF THE STUDY: Pulmonary sarcoidosis is a chronic granulomatous disease characterized by macrophage and CD4+ T-cell accumulation at the site of inflammation. Analysis of the cytokine network has substantially improved knowledge on immunopathogenesis of sarcoidosis. We hypothesize that neurotrophins (NTs), nerve growth factor (NGF), brain derived neurotrophic factor (BDNF) and NT-3, besides their importance in immune system activities, participate in chronic inflammatory disorders and in repair processes. METHODS: The expression of NTs and NT receptors was assessed in broncho alveolar lavage (BAL) macrophages, CD4 and CD8 T-cells, from 10 patients with pulmonary sarcoidosis, using molecular biology, Western blotting and immunocytochemistry. RESULTS: Increased levels of NTs and of high affinity NT receptor (Trks) transcripts and proteins in BAL macrophages, CD4+ and CD8+ T-cells from pulmonary sarcoidosis patients were demonstrated in comparison with healthy controls. Contrarily to healthy controls, in pulmonary sarcoidosis the expression of NGF was increased in alveolar macrophages as well as NGF and BDNF in CD4+ and CD8+ T-cells. An increased expression of TrkA, TrkB and TrkC receptors was also noticeable. Furthermore, BDNF expression in alveolar macrophages and NT-3 expression in the three different BAL immune cell populations investigated were induced during sarcoidosis. A significant correlation was observed between CD4:CD8 ratio, lymphocytosis, radiological stage and CD4 and CD8 NT expression. CONCLUSIONS: These findings suggest that NTs are exaggeratedly expressed in BAL immune cells in pulmonary sarcoidosis and may participate in the progression of disease modulating immune cell functions. FAU - Ricci, Alberto AU - Ricci A AD - Dipartimento di Scienze Cardiovascolari e Respiratorie, U.O.C. Pneumologia Ospedale Sant'Andrea, Universita "La Sapienza" Roma, Italy. alberto.ricci@uniroma1.it FAU - Mariotta, Salvatore AU - Mariotta S FAU - Saltini, Cesare AU - Saltini C FAU - Falasca, Carlo AU - Falasca C FAU - Giovagnoli, Maria Rosaria AU - Giovagnoli MR FAU - Mannino, Francesco AU - Mannino F FAU - Graziano, Paolo AU - Graziano P FAU - Sciacchitano, Salvatore AU - Sciacchitano S FAU - Amenta, Francesco AU - Amenta F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Italy TA - Sarcoidosis Vasc Diffuse Lung Dis JT - Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG JID - 9610928 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (DNA Primers) RN - 0 (Nerve Growth Factors) RN - 0 (Neurotrophin 3) SB - IM MH - Adult MH - Brain-Derived Neurotrophic Factor/genetics MH - Bronchoalveolar Lavage Fluid/chemistry/*immunology MH - CD4-Positive T-Lymphocytes/immunology MH - CD8-Positive T-Lymphocytes MH - DNA Primers MH - Female MH - Humans MH - Lymphocyte Count MH - Male MH - Middle Aged MH - Nerve Growth Factors/*genetics MH - Neurotrophin 3/genetics MH - Reference Values MH - Reverse Transcriptase Polymerase Chain Reaction MH - Sarcoidosis, Pulmonary/genetics/*immunology EDAT- 2005/12/01 09:00 MHDA- 2006/01/27 09:00 CRDT- 2005/12/01 09:00 PHST- 2005/12/01 09:00 [pubmed] PHST- 2006/01/27 09:00 [medline] PHST- 2005/12/01 09:00 [entrez] PST - ppublish SO - Sarcoidosis Vasc Diffuse Lung Dis. 2005 Oct;22(3):186-94.