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Updated: Sep 22, 2025

Methodology for Sputum Induction and Laboratory Processing
Published on: December 17, 2017
TFR1 expression in induced sputum is associated with asthma severity
Yang Wang1,2, Li Feng Gu3, Xincheng Zhao4
1Department of Respiratory Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Transferrin receptor 1 (TFR1) expression correlates with asthma severity and inflammatory markers in airways. Elevated TFR1 indicates more severe asthma, particularly linked to proinflammatory M1 macrophages.
Area of Science:
- Pulmonary Medicine
- Immunology
- Cell Biology
Background:
- Asthma is a chronic airway inflammatory disease.
- Iron accumulation is implicated in asthma development.
- Transferrin receptor 1 (TFR1) expression links to intracellular iron overload in macrophages.
Purpose of the Study:
- To investigate the association between TFR1 expression, macrophage phenotype, and asthma severity.
- To determine if TFR1 can serve as a biomarker for asthma severity.
Main Methods:
- Collected induced sputum from 50 asthma patients.
- Quantified mRNA expression using real-time PCR.
- Assessed inflammatory macrophage phenotype via flow cytometry.
Main Results:
- TFR1 levels inversely correlated with lung function metrics (FEV1/FVC, FEV1/VC).
- TFR1 expression positively correlated with inflammatory cytokines (IL-1β, TNF-α, IL-6, IFN-γ, IL-17A) and M1 macrophages.
- Increased TFR1 expression was associated with higher neutrophil counts and severity.
Conclusions:
- TFR1 expression is linked to asthma severity and the M1 macrophage phenotype.
- TFR1 may serve as a valuable biomarker for indicating asthma severity.
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