Local C-Reactive Protein Expression in Obliterative Lesions and the Bronchial Wall in Posttransplant Obliterative Bronchiolitis

The local immunoreactivity of C-reactive protein (CRP) was studied in a heterotopic porcine model of posttranplant obliterative bronchiolitis (OB). Bronchial allografts and control autografts were examined serially 2–28 days after subcutaneous transplantation. The autografts stayed patent. In the al...

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Main Authors: Outi E. Päiväniemi, Paula K. Maasilta, Tiina L. S. Vainikka, Hanni S. Alho, Pekka J. Karhunen, Ulla-Stina Salminen
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2009/510254
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author Outi E. Päiväniemi
Paula K. Maasilta
Tiina L. S. Vainikka
Hanni S. Alho
Pekka J. Karhunen
Ulla-Stina Salminen
author_facet Outi E. Päiväniemi
Paula K. Maasilta
Tiina L. S. Vainikka
Hanni S. Alho
Pekka J. Karhunen
Ulla-Stina Salminen
author_sort Outi E. Päiväniemi
collection DOAJ
description The local immunoreactivity of C-reactive protein (CRP) was studied in a heterotopic porcine model of posttranplant obliterative bronchiolitis (OB). Bronchial allografts and control autografts were examined serially 2–28 days after subcutaneous transplantation. The autografts stayed patent. In the allografts, proliferation of inflammatory cells (P<.0001) and fibroblasts (P=.02) resulted in occlusion of the bronchial lumens (P<.01). Influx of CD4+ (P<.001) and CD8+ (P<.0001) cells demonstrated allograft immune response. CRP positivity simultaneously increased in the bronchial walls (P<.01), in macrophages, myofibroblasts, and endothelial cells. Local CRP was predictive of features characteristic of OB (R=0.456–0.879, P< .05−P<.0001). Early obliterative lesions also showed CRP positivity, but not mature, collagen-rich obliterative plugs (P<.05). During OB development, CRP is localized in inflammatory cells, myofibroblasts and endothelial cells probably as a part of the local inflammatory response.
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institution Kabale University
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publishDate 2009-01-01
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series Mediators of Inflammation
spelling doaj-art-1b46b9e94f444bab8aae0cc3fd772abb2025-02-03T05:59:30ZengWileyMediators of Inflammation0962-93511466-18612009-01-01200910.1155/2009/510254510254Local C-Reactive Protein Expression in Obliterative Lesions and the Bronchial Wall in Posttransplant Obliterative BronchiolitisOuti E. Päiväniemi0Paula K. Maasilta1Tiina L. S. Vainikka2Hanni S. Alho3Pekka J. Karhunen4Ulla-Stina Salminen5Department of Cardiothoracic Surgery, Helsinki University Hospital, P.O. Box 340, 00029 Helsinki, FinlandDepartment of Cardiothoracic Surgery, Helsinki University Hospital, P.O. Box 340, 00029 Helsinki, FinlandDepartment of Cardiothoracic Surgery, Helsinki University Hospital, P.O. Box 340, 00029 Helsinki, FinlandDepartment of Cardiothoracic Surgery, Helsinki University Hospital, P.O. Box 340, 00029 Helsinki, FinlandSchool of Medicine, Tampere University, 33104 Tampere, FinlandDepartment of Cardiothoracic Surgery, Helsinki University Hospital, P.O. Box 340, 00029 Helsinki, FinlandThe local immunoreactivity of C-reactive protein (CRP) was studied in a heterotopic porcine model of posttranplant obliterative bronchiolitis (OB). Bronchial allografts and control autografts were examined serially 2–28 days after subcutaneous transplantation. The autografts stayed patent. In the allografts, proliferation of inflammatory cells (P<.0001) and fibroblasts (P=.02) resulted in occlusion of the bronchial lumens (P<.01). Influx of CD4+ (P<.001) and CD8+ (P<.0001) cells demonstrated allograft immune response. CRP positivity simultaneously increased in the bronchial walls (P<.01), in macrophages, myofibroblasts, and endothelial cells. Local CRP was predictive of features characteristic of OB (R=0.456–0.879, P< .05−P<.0001). Early obliterative lesions also showed CRP positivity, but not mature, collagen-rich obliterative plugs (P<.05). During OB development, CRP is localized in inflammatory cells, myofibroblasts and endothelial cells probably as a part of the local inflammatory response.http://dx.doi.org/10.1155/2009/510254
spellingShingle Outi E. Päiväniemi
Paula K. Maasilta
Tiina L. S. Vainikka
Hanni S. Alho
Pekka J. Karhunen
Ulla-Stina Salminen
Local C-Reactive Protein Expression in Obliterative Lesions and the Bronchial Wall in Posttransplant Obliterative Bronchiolitis
Mediators of Inflammation
title Local C-Reactive Protein Expression in Obliterative Lesions and the Bronchial Wall in Posttransplant Obliterative Bronchiolitis
title_full Local C-Reactive Protein Expression in Obliterative Lesions and the Bronchial Wall in Posttransplant Obliterative Bronchiolitis
title_fullStr Local C-Reactive Protein Expression in Obliterative Lesions and the Bronchial Wall in Posttransplant Obliterative Bronchiolitis
title_full_unstemmed Local C-Reactive Protein Expression in Obliterative Lesions and the Bronchial Wall in Posttransplant Obliterative Bronchiolitis
title_short Local C-Reactive Protein Expression in Obliterative Lesions and the Bronchial Wall in Posttransplant Obliterative Bronchiolitis
title_sort local c reactive protein expression in obliterative lesions and the bronchial wall in posttransplant obliterative bronchiolitis
url http://dx.doi.org/10.1155/2009/510254
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