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Updated: Jul 6, 2026

Monitoring Neutrophil Elastase and Cathepsin G Activity in Human Sputum Samples
Published on: May 21, 2021
Neutrophil elastase-SERPINB1 axis in epithelial responses: Cell death, inflammation and SERPINB1 dynamics
Busra Kilic1, Hayriye Akel Bilgic2, Cagatay Karaaslan1
1Hacettepe University, Faculty of Science, Department of Biology, Molecular Biology Section, Ankara, Turkiye; Hacettepe University, Institute of Science, Bioengineering Division, Ankara, Turkiye.
Neutrophil elastase (NE) damages lung epithelial cells and reduces SERPINB1, a key anti-protease. This NE-SERPINB1 axis disruption drives inflammation and cell death in chronic lung diseases.
Area of Science:
- Pulmonary Medicine
- Cell Biology
- Molecular Biology
Background:
- Chronic inflammatory lung diseases involve elevated neutrophil elastase (NE), causing epithelial damage.
- Mechanisms of NE-induced disruption of epithelial anti-protease defenses, particularly SERPINB1 regulation, are poorly understood.
Purpose of the Study:
- To investigate NE-induced responses in bronchial epithelial cells at the air-liquid interface (ALI).
- Focus on epithelial cell death, inflammation, and SERPINB1 dynamics following NE exposure.
Main Methods:
- Bronchial epithelial cells cultured at ALI were exposed to varying NE concentrations and sides (apical/basolateral).
- Assessed cytotoxicity, apoptosis-related gene expression, cytokine secretion, and SERPINB1 levels (mRNA, protein, localization).
- Utilized siRNA-mediated SERPINB1 knockdown to confirm functional links.
Main Results:
- NE exposure caused dose- and time-dependent cytotoxicity and altered apoptosis-related gene expression.
- Cytokine release (IL-6, IL-8, GM-CSF) varied based on NE concentration, exposure side, and sampling compartment.
- SERPINB1 expression was significantly reduced, with altered localization, and its knockdown exacerbated NE-associated gene expression changes.
Conclusions:
- The NE-SERPINB1 axis is critical in determining epithelial cell fate, contributing to apoptosis and inflammation.
- NE disrupts epithelial anti-protease defenses, impacting protease-antiprotease balance in chronic airway inflammation.
- Findings support SERPINB1-modulating strategies to preserve epithelial integrity in lung diseases.
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