PMID- 18610674 OWN - NLM STAT- MEDLINE DCOM- 20080812 LR - 20151119 IS - 0377-9343 (Print) IS - 0377-9343 (Linking) VI - 48 IP - 3 DP - 2006 Jul-Sep TI - Inflammatory cytokine levels in induced sputum and bronchoalveolar lavage fluid in pulmonary sarcoidosis. PG - 177-81 AB - BACKGROUND: The immune inflammatory process in patients with sarcoidosis is not only compartmentalized within the alveolar walls, but also involves the bronchial airways. Analysis of induced sputum has been used as a non-invasive tool for investigating the airways and may reflect the endobronchial and parenchymal inflammation in patients with sarcoidosis. This present study was designed to measure the soluble pro-inflammatory cytokine levels interleukin-1 (IL-1), interleukin-6 (IL-6), tumuor necrosis factor-alpha (TNF-alpha) and percentage of macrophages expressing these cytokines in induced sputum and bronchoalveolar lavage (BAL) fluid in patients with pulmonary sarcoidosis. METHODS: Sputum induction and BAL was carried out in 27 patients with newly diagnosed sarcoidosis. Control group consisted of six patients with a normal chest radiograph (three patients with carcinoma esophagus and three patients with doubtful history of hemoptysis). Induced sputum was also obtained from 10 non-smoking, non-atopic healthy controls. RESULTS: Percentage of macrophages expressing pro-inflammatory cytokines and soluble cytokine levels in induced sputum were higher in patients with sarcoidosis compared to both groups of controls. There was good correlation between IL-6 and TNF-alpha levels (r = 0.49, 0.58 p < 0.05) and percentage of macrophages expressing all three cytokines (r = 0.56-0.71, p < 0.01) between induced sputum and BAL fluid. Mild positive correlation between cytokine levels in sputum and age was also noted (r = 0.33-0.38, p < 0.05). CONCLUSIONS: Induced sputum may reflect changes in cytokine milieu in BAL in sarcoidosis. FAU - Balamugesh, Thangakunam AU - Balamugesh T AD - Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India. FAU - Behera, Digambar AU - Behera D FAU - Bhatnagar, Archana AU - Bhatnagar A FAU - Majumdar, Sidhartha AU - Majumdar S LA - eng PT - Journal Article PL - India TA - Indian J Chest Dis Allied Sci JT - The Indian journal of chest diseases & allied sciences JID - 7612044 RN - 0 (Biomarkers) RN - 0 (Cytokines) RN - 0 (Interleukin-1) RN - 0 (Interleukin-6) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Aged MH - Biomarkers/metabolism MH - Bronchoalveolar Lavage Fluid/*immunology MH - Cytokines/*immunology/metabolism MH - Female MH - Humans MH - Interleukin-1/metabolism MH - Interleukin-6/metabolism MH - Macrophages/immunology MH - Male MH - Middle Aged MH - Sarcoidosis, Pulmonary/*immunology MH - Sputum/*immunology MH - Tumor Necrosis Factor-alpha/metabolism EDAT- 2008/07/10 09:00 MHDA- 2008/08/13 09:00 CRDT- 2008/07/10 09:00 PHST- 2008/07/10 09:00 [pubmed] PHST- 2008/08/13 09:00 [medline] PHST- 2008/07/10 09:00 [entrez] PST - ppublish SO - Indian J Chest Dis Allied Sci. 2006 Jul-Sep;48(3):177-81.