ADAM17 and related epithelial injury markers in bronchoalveolar lavage and blood distinguish COPD from controls

Carin E Lau1, Nicole M D van der Burg1, Jaro Ankerst1

  • 1Department of Clinical Sciences Lund, Respiratory Medicine, Allergology and Palliative Medicine, Lund University, Lund, Sweden.

Respiratory Medicine
|December 20, 2025
PubMed
Abstract

Insights

A disintegrin and metalloproteinase 17 (ADAM17) is elevated in chronic obstructive pulmonary disease (COPD) airways, exceeding smoking-related changes. This suggests ADAM17 plays a key role in COPD pathogenesis and may offer novel biomarkers.

Area of Science:

  • Pulmonary Medicine
  • Molecular Biology
  • Biochemistry

Background:

  • Chronic obstructive pulmonary disease (COPD) is characterized by dysregulated inflammatory proteins.
  • A disintegrin and metalloproteinase 17 (ADAM17), a protease, sheds proteins implicated in COPD pathogenesis.

Purpose of the Study:

  • To investigate the expression and levels of ADAM17, its phosphorylated form (pADAM17), and its substrates.
  • To compare these markers in bronchoalveolar lavage (BAL) and blood of COPD patients versus control subjects.

Main Methods:

  • Matched groups (COPD, smokers, never-smokers) were analyzed for ADAM17 and pADAM17 expression via immunofluorescence in BAL cells.
  • Soluble ADAM17 and substrate concentrations were measured using ELISA or Luminex in BAL fluid and blood.

Main Results:

  • COPD BAL samples showed increased ADAM17+ and pADAM17+ cells compared to controls.
  • Elevated ADAM17 substrates, notably HB-EGF, were found in BAL fluid of COPD patients.
  • Blood changes were primarily linked to epithelial injury and repair processes.

Conclusions:

  • ADAM17 and pADAM17 are significantly overabundant in COPD airways, surpassing smoking-induced effects.
  • This study identified potential novel COPD-specific biomarkers related to ADAM17 activity.
  • Further research is warranted to elucidate ADAM17's precise role in COPD pathogenesis.

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