Cytokine profile in the sputum of subjects with post-tuberculosis airflow obstruction and in those with tobacco related chronic obstructive pulmonary disease
Date
2020-10-01
Journal Title
Journal ISSN
Volume Title
Publisher
BioMed Central
Abstract
Background: Previous studies have shown that tuberculosis (TB) is a risk factor for chronic airflow limitation.
Chronic obstructive pulmonary disease (COPD) is recognized as the result of chronic inflammation, usually related
to noxious particles. Post-TB airflow obstruction and tobacco-related COPD have the same functional pathway
characterized by persistent airflow limitation. We sought to compare the profile of 29 cytokines in the sputum of
subjects with post-TB airflow obstruction and those with COPD related to tobacco.
Results: The forced expiratory volume in the first second (FEV1) and forced expiratory volume/forced vital capacity
(FEV/FVC) ratio were lower in the COPD patients with the history of smoking compared to the post-TB airflow
obstruction subgroup. The stages of the disease were more advanced in COPD / tobacco patients.
Among the cytokines, IL-1α, IL-1β, MIP-1β, sCD40L and VEGF levels were higher in COPD patients, compared to the
controls with p values of 0.003, 0.0001, 0.03, 0.0001 and 0.02 respectively. When the two COPD subgroups were
compared, IL-1α, IL-6, TNF-α and IL-8 levels were higher in the COPD patients with the history of tobacco
compared to the COPD patients with the history of TB with p-values of 0.031, 0.05, 0.021 and 0.016, respectively.
Conclusion: COPD related to tobacco is more severe than post-TB airflow obstruction. The pathogenesis of post-TB
airflow obstruction appears to involve the cytokines IL-1RA, IL-1α, IL-1β, IL-17, GRO and sCD40L, while COPD related
to tobacco involves more cytokines.
Description
CITATION: Guiedem, E., et al. 2020. Cytokine profile in the sputum of subjects with post-tuberculosis airflow obstruction and in those with tobacco related chronic obstructive pulmonary disease. BMC Immunology, 21:52, doi:10.1186/s12865-020-00381-w.
The original publication is available at https://bmcimmunol.biomedcentral.com
The original publication is available at https://bmcimmunol.biomedcentral.com
Keywords
Bronchial diseases, Cytokines, Obstructive lung diseases, Tobacco -- Health aspects, Tuberculosis -- Patients
Citation
Guiedem, E., et al. 2020. Cytokine profile in the sputum of subjects with post-tuberculosis airflow obstruction and in those with tobacco related chronic obstructive pulmonary disease. BMC Immunology, 21:52, doi:10.1186/s12865-020-00381-w