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Endotoxin receptor CD14 in PiZ alpha-1-antitrypsin deficiency individuals
Caroline S Sandström1, Natalia Novoradovskaya, Corrado M Cilio
1Department of Clinical Sciences, Chronic and Degenerative Disease Research Unit, University Hospital Malmoe, Lund University, S-20502, Malmo, Sweden. Caroline.Sandstrom@med.lu.se
Background:
CD14, a receptor for lipopolysaccharides (LPS), is found in both a membrane-bound form (mCD14) and a soluble form (sCD14). It is suggested that sCD14 is mainly released from blood monocytes by serine protease-mediated shedding. Because alpha1-antitrypsin (AAT), an inhibitor of serine proteases, has been shown to regulate CD14 expression in human monocytes in vitro, we sought to investigate plasma levels of sCD14 and monocyte expression of mCD14 in subjects at age 30 years with normal MM and deficient PiZZ and PiSZ genotypes of AAT.
Methods:
Plasma levels of AAT and sCD14 were measured in 75 PiZZ and 34 PiSZ individuals with normal lung function identified from the Swedish neonatal AAT deficiency screening, and in 95 age matched PiMM controls. The mCD14 expression in monocytes from 9 PiZZ, 6 PiSZ and 11 PiMM subjects was analysed by FACS and Quantitative Real Time Reverse Transcription PCA.
Results:
As expected, plasma AAT concentrations were PiMM>PiSZ>PiZZ (p < 0.001). Plasma sCD14 levels were higher in PiZZ than in PiMM subjects (p < 0.01). The expression level of mCD14 was higher (1.89-fold) in monocytes isolated from PiZZ subjects compared to PiMM controls (p = 0.00189).
Conclusion:
This study is the first to show higher levels of plasma sCD14 and monocyte mCD14 expression in young, clinically healthy PiZZ AAT subjects.
Insights
Young, healthy individuals with alpha-1 antitrypsin (AAT) deficiency (PiZZ genotype) show elevated soluble CD14 (sCD14) in plasma and increased membrane-bound CD14 (mCD14) on monocytes.
Area of Science:
- Immunology
- Genetics
- Biochemistry
Background:
- Soluble CD14 (sCD14) is released from monocytes via serine protease shedding.
- Alpha-1 antitrypsin (AAT) inhibits serine proteases and influences CD14 expression.
- Investigating CD14 levels in AAT deficiency provides insight into protease regulation.
Purpose of the Study:
- To determine plasma sCD14 levels in young adults with AAT deficiency genotypes (PiZZ, PiSZ).
- To analyze monocyte membrane-bound CD14 (mCD14) expression in these individuals.
- To compare findings with age-matched healthy controls (PiMM genotype).
Main Methods:
- Plasma AAT and sCD14 levels were quantified using immunoassays.
- Monocyte mCD14 expression was analyzed via flow cytometry (FACS).
- Quantitative Real-Time Reverse Transcription PCR (qRT-PCR) assessed mCD14 gene expression.
Main Results:
- Plasma AAT levels confirmed the expected genotype-dependent gradient (PiMM > PiSZ > PiZZ).
- Significantly higher plasma sCD14 levels were observed in PiZZ subjects compared to PiMM controls.
- Monocytes from PiZZ subjects exhibited significantly higher mCD14 expression (1.89-fold) than PiMM controls.
Conclusions:
- This study demonstrates elevated plasma sCD14 and monocyte mCD14 expression in clinically healthy young PiZZ individuals.
- Findings suggest a link between AAT deficiency and altered CD14 regulation.
- Further research is warranted to explore the implications of these findings.
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