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. 1982 Sep;37(9):652–656. doi: 10.1136/thx.37.9.652

Effect of corticosteroids on sputum sol-phase protease inhibitors in chronic obstructive pulmonary disease.

J Wiggins, J A Elliott, R D Stevenson, R A Stockley
PMCID: PMC459399  PMID: 6984237

Abstract

Corticosteroids caused a reduction in the ratio of sol-phase sputum concentration to serum concentration of albumin in 12 patients with chronic obstructive bronchitis, suggesting a reduction in protein transudation. Alpha-1-antitrypsin values followed the same pattern as those of albumin in both the control and treatment periods, confirming the similar behaviour of the two proteins. The alpha 1-antichymotrypsin ratios were on average three times higher than those of albumin in the control period, confirming the presence of local mechanisms in the lung for preferentially concentrating this protein. The sputum-to-serum ratio of alpha 1-antichymotrypsin, however, rose during steroid treatment with the result that there was a selective increase in this protease inhibitor, which may be of potential benefit to such patients.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Chrzanowski P., Keller S., Cerreta J., Mandl I., Turino G. M. Elastin content of normal and emphysematous lung parenchyma. Am J Med. 1980 Sep;69(3):351–359. doi: 10.1016/0002-9343(80)90004-2. [DOI] [PubMed] [Google Scholar]
  2. Claman H. N. How corticosteroids work. J Allergy Clin Immunol. 1975 Mar;55(3):145–151. doi: 10.1016/0091-6749(75)90010-x. [DOI] [PubMed] [Google Scholar]
  3. Erikson S. Proteases and protease inhibitors in chronic obstructive lung disease. Acta Med Scand. 1978;203(6):449–455. [PubMed] [Google Scholar]
  4. Eriksson S. Studies in alpha 1-antitrypsin deficiency. Acta Med Scand Suppl. 1965;432:1–85. [PubMed] [Google Scholar]
  5. Gadek J. E., Fulmer J. D., Gelfand J. A., Frank M. M., Petty T. L., Crystal R. G. Danazol-induced augmentation of serum alpha 1-antitrypsin levels in individuals with marked deficiency of this antiprotease. J Clin Invest. 1980 Jul;66(1):82–87. doi: 10.1172/JCI109838. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Gadek J. E., Hunninghake G. W., Fells G. A., Zimmerman R. L., Keogh B. A., Crystal R. G. Evaluation of the protease-antiprotease theory of human destructive lung disease. Bull Eur Physiopathol Respir. 1980;16 (Suppl):27–40. doi: 10.1016/b978-0-08-027379-2.50005-3. [DOI] [PubMed] [Google Scholar]
  7. Sahn S. A. Corticosteroids in chronic bronchitis and pulmonary emphysema. Chest. 1978 Mar;73(3):389–396. doi: 10.1378/chest.73.3.389. [DOI] [PubMed] [Google Scholar]
  8. Stockley R. A., Burnett D. Alpha,-antitrypsin and leukocyte elastase in infected and noninfected sputum. Am Rev Respir Dis. 1979 Nov;120(5):1081–1086. doi: 10.1164/arrd.1979.120.5.1081. [DOI] [PubMed] [Google Scholar]
  9. Stockley R. A., Mistry M., Bradwell A. R., Burnett D. A study of plasma proteins in the sol phase of sputum from patients with chronic bronchitis. Thorax. 1979 Dec;34(6):777–782. doi: 10.1136/thx.34.6.777. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Tegner H., Ohlsson K., Toremalm N. G., von Mecklenburg C. Effect of human leukocyte enzymes on tracheal mucosa and its mucociliary activity. Rhinology. 1979 Sep;17(3):199–206. [PubMed] [Google Scholar]
  11. Travis J., Bowen J., Baugh R. Human alpha-1-antichymotrypsin: interaction with chymotrypsin-like proteinases. Biochemistry. 1978 Dec 26;17(26):5651–5656. doi: 10.1021/bi00619a011. [DOI] [PubMed] [Google Scholar]
  12. Webb J., Clark T. J., Chilvers C. Time course of response to prednisolone in chronic airflow obstruction. Thorax. 1981 Jan;36(1):18–21. doi: 10.1136/thx.36.1.18. [DOI] [PMC free article] [PubMed] [Google Scholar]

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