C-proSP-B: a possible biomarker for pulmonary diseases?

<b><i>Background:</i></b> Detection of surfactant proteins A and D (SP-A and SP-D) in the serum of patients with pulmonary diseases is thought to reflect an injury of the alveolar epithelial barrier and as such serve as a biomarker for these diseases. However, the data for SP...

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Main Authors: Kahn, Nicolas (Author) , Rossler, Anne-Kathrin (Author) , Hornemann, Katrin Emma (Author) , Muley, Thomas (Author) , Grünig, Ekkehard (Author) , Schmidt, Werner (Author) , Herth, Felix (Author) , Kreuter, Michael (Author)
Format: Article (Journal)
Language:English
Published: May 15,2018
In: Respiration
Year: 2018, Volume: 96, Issue: 2, Pages: 117-126
ISSN:1423-0356
DOI:10.1159/000488245
Online Access:Verlag, Volltext: https://doi.org/10.1159/000488245
Verlag, Volltext: https://www.karger.com/Article/FullText/488245
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Author Notes:Nicolas Kahn, Anne-Kathrin Rossler, Katrin Hornemann, Thomas Muley, Ekkehard Grünig, Werner Schmidt, Felix J.F. Herth, Michael Kreuter
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Summary:<b><i>Background:</i></b> Detection of surfactant proteins A and D (SP-A and SP-D) in the serum of patients with pulmonary diseases is thought to reflect an injury of the alveolar epithelial barrier and as such serve as a biomarker for these diseases. However, the data for SP-B are limited. <b><i>Objectives:</i></b> The aim of this feasibility study was to assess whether immature SP-B pre-proteins might have value as a possible biomarker for pulmonary diseases. <b><i>Methods:</i></b> In serum samples from patients with different chronic lung diseases (interstitial lung diseases [ILDs], chronic obstructive pulmonary disease, asthma, lung cancer, pulmonary hypertension, inflammation, patients on ventilator support; total <i>n</i> = 283), C-proSP-B was measured using an electrochemiluminescence immunoassay based on mouse monoclonal anti-C-proSP-B antibodies. Levels were correlated to lung functional and clinical parameters. <b><i>Results:</i></b> The highest C-proSP-B levels were detected in the serum of idiopathic pulmonary fibrosis (IPF) patients. In a multivariate analysis, C-proSP-B levels were able to discriminate IPF patients from patients with all other pulmonary diseases (<i>p</i> &#x3c; 0.0001). No significant correlations were found between C-proSP-B levels and lung function, smoking history, or disease extent. <b><i>Conclusions:</i></b> SP-B pre-proteins might serve as a biomarker in pulmonary diseases with alveolar or interstitial damage such as ILDs, especially in IPF. Their role in the long-term monitoring of such diseases has to be clarified further.
Item Description:Gesehen am 04.11.2019
Physical Description:Online Resource
ISSN:1423-0356
DOI:10.1159/000488245