Decreased Apoptotic Rate of Alveolar Macrophages of Patients with Idiopathic Pulmonary Fibrosis

Introduction. Increased apoptosis of epithelial cells and decreased apoptosis of myofibroblasts are involved in the pathogenesis of IPF. The apoptotic profile of alveolar macrophages (AMs) in IPF is unclear. Aim. To investigate whether AMs of patients with IPF exhibit a different apoptotic profile c...

Full description

Saved in:
Bibliographic Details
Main Authors: Fotios Drakopanagiotakis, Areti Xifteri, Evaggelos Tsiambas, Andreas Karameris, Konstantina Tsakanika, Napoleon Karagiannidis, Demetrios Mermigkis, Vlasis Polychronopoulos, Demosthenes Bouros
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Pulmonary Medicine
Online Access:http://dx.doi.org/10.1155/2012/981730
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832564687564177408
author Fotios Drakopanagiotakis
Areti Xifteri
Evaggelos Tsiambas
Andreas Karameris
Konstantina Tsakanika
Napoleon Karagiannidis
Demetrios Mermigkis
Vlasis Polychronopoulos
Demosthenes Bouros
author_facet Fotios Drakopanagiotakis
Areti Xifteri
Evaggelos Tsiambas
Andreas Karameris
Konstantina Tsakanika
Napoleon Karagiannidis
Demetrios Mermigkis
Vlasis Polychronopoulos
Demosthenes Bouros
author_sort Fotios Drakopanagiotakis
collection DOAJ
description Introduction. Increased apoptosis of epithelial cells and decreased apoptosis of myofibroblasts are involved in the pathogenesis of IPF. The apoptotic profile of alveolar macrophages (AMs) in IPF is unclear. Aim. To investigate whether AMs of patients with IPF exhibit a different apoptotic profile compared to normal subjects. Methods. We analyzed, by immunohistochemistry, the expression of the apoptotic markers fas, fas ligand , bcl-2, and bax in AM obtained from bronchoalveolar lavage fluid (BALF) of 20 newly diagnosed, treatment-naive IPF patients and of 16 controls. Apoptosis of AM was evaluated by Apoptag immunohistochemistry. IPF patients received either interferon-g and corticosteroids or azathioprine and corticosteroids for six months. Results. BALF AMs undergoing apoptosis were significantly less in IPF patients. No difference was found in the expression of fas or fas ligand, bcl-2 and bax between IPF and control group. No difference was found between the respiratory function parameters of the two treatment groups after six months. A positive correlation was found between the number of bcl-2 positive stained macrophages and DLCO after treatment. Conclusions. The decreased apoptotic rate of AM of patients with IPF is not associated with decreased expression of apoptosis mediators involved in the external or internal apoptotic pathway.
format Article
id doaj-art-6679f107601b49469bd24df97e506ed6
institution Kabale University
issn 2090-1836
2090-1844
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Pulmonary Medicine
spelling doaj-art-6679f107601b49469bd24df97e506ed62025-02-03T01:10:28ZengWileyPulmonary Medicine2090-18362090-18442012-01-01201210.1155/2012/981730981730Decreased Apoptotic Rate of Alveolar Macrophages of Patients with Idiopathic Pulmonary FibrosisFotios Drakopanagiotakis0Areti Xifteri1Evaggelos Tsiambas2Andreas Karameris3Konstantina Tsakanika4Napoleon Karagiannidis5Demetrios Mermigkis6Vlasis Polychronopoulos7Demosthenes Bouros83rd Respiratory Medicine Department, Sismanoglio General Hospital, 15126 Marousi, Greece3rd Respiratory Medicine Department, Sismanoglio General Hospital, 15126 Marousi, GreeceDepartment of Pathology and Computerized Image Analysis, 417 NIMTS Hospital, 11521 Athens, GreeceDepartment of Pathology and Computerized Image Analysis, 417 NIMTS Hospital, 11521 Athens, GreeceBronchoalveolar Lavage Unit, Sismanoglio General Hospital, 15126 Marousi, Greece3rd Respiratory Medicine Department, Sismanoglio General Hospital, 15126 Marousi, Greece3rd Respiratory Medicine Department, Sismanoglio General Hospital, 15126 Marousi, Greece3rd Respiratory Medicine Department, Sismanoglio General Hospital, 15126 Marousi, GreeceDepartment of Pneumonology, University Hospital of Alexandroupolis and Medical School of Democritus University of Thrace, 68100 Alexandroupolis, GreeceIntroduction. Increased apoptosis of epithelial cells and decreased apoptosis of myofibroblasts are involved in the pathogenesis of IPF. The apoptotic profile of alveolar macrophages (AMs) in IPF is unclear. Aim. To investigate whether AMs of patients with IPF exhibit a different apoptotic profile compared to normal subjects. Methods. We analyzed, by immunohistochemistry, the expression of the apoptotic markers fas, fas ligand , bcl-2, and bax in AM obtained from bronchoalveolar lavage fluid (BALF) of 20 newly diagnosed, treatment-naive IPF patients and of 16 controls. Apoptosis of AM was evaluated by Apoptag immunohistochemistry. IPF patients received either interferon-g and corticosteroids or azathioprine and corticosteroids for six months. Results. BALF AMs undergoing apoptosis were significantly less in IPF patients. No difference was found in the expression of fas or fas ligand, bcl-2 and bax between IPF and control group. No difference was found between the respiratory function parameters of the two treatment groups after six months. A positive correlation was found between the number of bcl-2 positive stained macrophages and DLCO after treatment. Conclusions. The decreased apoptotic rate of AM of patients with IPF is not associated with decreased expression of apoptosis mediators involved in the external or internal apoptotic pathway.http://dx.doi.org/10.1155/2012/981730
spellingShingle Fotios Drakopanagiotakis
Areti Xifteri
Evaggelos Tsiambas
Andreas Karameris
Konstantina Tsakanika
Napoleon Karagiannidis
Demetrios Mermigkis
Vlasis Polychronopoulos
Demosthenes Bouros
Decreased Apoptotic Rate of Alveolar Macrophages of Patients with Idiopathic Pulmonary Fibrosis
Pulmonary Medicine
title Decreased Apoptotic Rate of Alveolar Macrophages of Patients with Idiopathic Pulmonary Fibrosis
title_full Decreased Apoptotic Rate of Alveolar Macrophages of Patients with Idiopathic Pulmonary Fibrosis
title_fullStr Decreased Apoptotic Rate of Alveolar Macrophages of Patients with Idiopathic Pulmonary Fibrosis
title_full_unstemmed Decreased Apoptotic Rate of Alveolar Macrophages of Patients with Idiopathic Pulmonary Fibrosis
title_short Decreased Apoptotic Rate of Alveolar Macrophages of Patients with Idiopathic Pulmonary Fibrosis
title_sort decreased apoptotic rate of alveolar macrophages of patients with idiopathic pulmonary fibrosis
url http://dx.doi.org/10.1155/2012/981730
work_keys_str_mv AT fotiosdrakopanagiotakis decreasedapoptoticrateofalveolarmacrophagesofpatientswithidiopathicpulmonaryfibrosis
AT aretixifteri decreasedapoptoticrateofalveolarmacrophagesofpatientswithidiopathicpulmonaryfibrosis
AT evaggelostsiambas decreasedapoptoticrateofalveolarmacrophagesofpatientswithidiopathicpulmonaryfibrosis
AT andreaskarameris decreasedapoptoticrateofalveolarmacrophagesofpatientswithidiopathicpulmonaryfibrosis
AT konstantinatsakanika decreasedapoptoticrateofalveolarmacrophagesofpatientswithidiopathicpulmonaryfibrosis
AT napoleonkaragiannidis decreasedapoptoticrateofalveolarmacrophagesofpatientswithidiopathicpulmonaryfibrosis
AT demetriosmermigkis decreasedapoptoticrateofalveolarmacrophagesofpatientswithidiopathicpulmonaryfibrosis
AT vlasispolychronopoulos decreasedapoptoticrateofalveolarmacrophagesofpatientswithidiopathicpulmonaryfibrosis
AT demosthenesbouros decreasedapoptoticrateofalveolarmacrophagesofpatientswithidiopathicpulmonaryfibrosis