PMID- 22906131 OWN - NLM STAT- MEDLINE DCOM- 20130620 LR - 20211021 IS - 1465-993X (Electronic) IS - 1465-9921 (Print) IS - 1465-9921 (Linking) VI - 13 IP - 1 DP - 2012 Aug 20 TI - Inflammatory and repair serum biomarker pattern: association to clinical outcomes in COPD. PG - 71 LID - 10.1186/1465-9921-13-71 [doi] AB - BACKGROUND: The relationship between serum biomarkers and clinical expressions of COPD is limited. We planned to further describe this association using markers of inflammation and injury and repair. METHODS: We studied lung function, comorbidities, exercise tolerance, BODE index, and quality of life in 253 COPD patients and recorded mortality over three years. Serum levels of Interleukins 6,8 and16, tumor necrosis factor alpha (TNF alpha) [inflammatory panel], vascular endothelial growth factor (VEGF), and matrix metalloproteinase 9 (MMP-9) [injury and repair panel] and pulmonary and activation-regulated chemokine (PARC/CCL-18) and monocyte chemotactic protein 1 (MCP-1/CCL2) [chemoattractant panel] were measured. We related the pattern of the biomarker levels to minimal clinically important differences (MCID) using a novel visualization method [ObServed Clinical Association Results (OSCAR) plot]. RESULTS: Levels of the inflammatory markers IL-6, TNF alpha were higher and those of injury and repair lower (p < 0.01) with more advanced disease (GOLD 1 vs. 4). Using the OSCAR plot, we found that patients in the highest quartile of inflammatory and lowest quartile of injury and repair biomarkers level were more clinically compromised and had higher mortality (p < 0.05). CONCLUSIONS: In COPD, serum biomarkers of inflammation and repair are distinctly associated with important clinical parameters and survival. FAU - Pinto-Plata, Victor AU - Pinto-Plata V AD - Pulmonary-Critical Care Medicine Division, St Elizabeth's Medical Center, Boston, MA 02115, USA. vpinto@copdnet.org FAU - Casanova, Ciro AU - Casanova C FAU - Mullerova, Hana AU - Mullerova H FAU - de Torres, Juan P AU - de Torres JP FAU - Corado, Henneth AU - Corado H FAU - Varo, Nerea AU - Varo N FAU - Cordoba, Elizabeth AU - Cordoba E FAU - Zeineldine, Salah AU - Zeineldine S FAU - Paz, Hildegarde AU - Paz H FAU - Baz, Rebeca AU - Baz R FAU - Divo, Miguel AU - Divo M FAU - Cortopassi, Felipe AU - Cortopassi F FAU - Celli, Bartolome R AU - Celli BR LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120820 PL - England TA - Respir Res JT - Respiratory research JID - 101090633 RN - 0 (Biomarkers) RN - 0 (CCL18 protein, human) RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Chemokines, CC) RN - 0 (Cytokines) RN - 0 (Interleukin-16) RN - 0 (Interleukin-6) RN - 0 (Interleukin-8) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (Vascular Endothelial Growth Factor A) RN - EC 3.4.24.35 (Matrix Metalloproteinase 9) SB - IM MH - Aged MH - Biomarkers/blood MH - Chemokine CCL2/blood MH - Chemokines, CC/blood MH - Cohort Studies MH - Cytokines/*blood MH - Exercise Tolerance/physiology MH - Female MH - Humans MH - Interleukin-16/blood MH - Interleukin-6/blood MH - Interleukin-8/blood MH - Lung/*physiopathology MH - Male MH - Matrix Metalloproteinase 9/*blood MH - Middle Aged MH - Prospective Studies MH - Pulmonary Disease, Chronic Obstructive/*blood/*physiopathology/psychology MH - Quality of Life/psychology MH - Respiratory Function Tests MH - *Severity of Illness Index MH - Tumor Necrosis Factor-alpha/blood MH - Vascular Endothelial Growth Factor A/*blood PMC - PMC3493287 EDAT- 2012/08/22 06:00 MHDA- 2013/06/21 06:00 PMCR- 2012/08/20 CRDT- 2012/08/22 06:00 PHST- 2012/01/25 00:00 [received] PHST- 2012/07/16 00:00 [accepted] PHST- 2012/08/22 06:00 [entrez] PHST- 2012/08/22 06:00 [pubmed] PHST- 2013/06/21 06:00 [medline] PHST- 2012/08/20 00:00 [pmc-release] AID - 1465-9921-13-71 [pii] AID - 10.1186/1465-9921-13-71 [doi] PST - epublish SO - Respir Res. 2012 Aug 20;13(1):71. doi: 10.1186/1465-9921-13-71.