Abstract
The protein content of tracheal secretions and of bronchial lavage and bronchoalveolar lavage fluid was compared with that of sputum in 33 patients who underwent fibreoptic bronchoscopy. The secretion-to-serum concentration ratios for albumin, alpha 1-antitrypsin, alpha 1-antichymotrypsin, and immunoglobulin A (IgA) fell progressively as samples were obtained from further down the bronchial tree, probably reflecting greater sample dilution. The secretion-to-serum protein ratios when standardised for the corresponding albumin ratio were similar in all secretions studied. In particular, the IgA ratios were about eight times those of albumin and alpha 1-antichymotrypsin ratios were about twice those of albumin, suggesting similar degrees of "local production" of these proteins in all secretions studied. Some patients showed considerable differences in IgA ratios between sputum and bronchial lavage fluid. The significance of these differences is not clear.
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Selected References
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- Lee C. T., Fein A. M., Lippmann M., Holtzman H., Kimbel P., Weinbaum G. Elastolytic activity in pulmonary lavage fluid from patients with adult respiratory-distress syndrome. N Engl J Med. 1981 Jan 22;304(4):192–196. doi: 10.1056/NEJM198101223040402. [DOI] [PubMed] [Google Scholar]
- Mandel M. A., Dvorak K. J., Worman L. W., DeCosse J. J. Immunoglobulin content in the bronchial washings of patients with benign and malignant pulmonary disease. N Engl J Med. 1976 Sep 23;295(13):694–698. doi: 10.1056/NEJM197609232951303. [DOI] [PubMed] [Google Scholar]
- Masson P. L., Heremans J. F., Prignot J. Studies on the proteins of human bronchial secretions. Biochim Biophys Acta. 1965 Dec 16;111(2):466–478. doi: 10.1016/0304-4165(65)90056-5. [DOI] [PubMed] [Google Scholar]
- Merrill W. W., Goodenberger D., Strober W., Matthay R. A., Naegel G. P., Reynolds H. Y. Free secretory component and other proteins in human lung lavage. Am Rev Respir Dis. 1980 Jul;122(1):156–161. doi: 10.1164/arrd.1980.122.1.156. [DOI] [PubMed] [Google Scholar]
- Merrill W. W., Goodman M., Matthay R. A., Naegel G. P., Vandevoorde J. P., Myl A. D., Reynolds H. Y. Quantitation of carcinoembryonic antigen in the lung lining fluid of normal smokers and nonsmokers. Am Rev Respir Dis. 1981 Jan;123(1):29–31. doi: 10.1164/arrd.1981.123.1.29. [DOI] [PubMed] [Google Scholar]
- Mogi G., Watanabe N., Maeda S., Umehara T. Laryngeal secretions. An immunochemical and immunohistological study. Acta Otolaryngol. 1979 Jan-Feb;87(1-2):129–141. doi: 10.3109/00016487909126397. [DOI] [PubMed] [Google Scholar]
- Ohlsson K., Akesson U. alpha1-Antichymotrypsin interaction with cationic proteins from granulocytes. Clin Chim Acta. 1976 Dec 1;73(2):285–291. doi: 10.1016/0009-8981(76)90174-1. [DOI] [PubMed] [Google Scholar]
- Reynolds H. Y., Newball H. H. Analysis of proteins and respiratory cells obtained from human lungs by bronchial lavage. J Lab Clin Med. 1974 Oct;84(4):559–573. [PubMed] [Google Scholar]
- Stockley R. A., Burnett D., Afford S. C. The immunological measurements of 'free' secretory piece and its relationship to local IgA production. Clin Exp Immunol. 1981 Jul;45(1):124–130. [PMC free article] [PubMed] [Google Scholar]
- Stockley R. A., Burnett D. Alpha 1-antichymotrypsin in infected and noninfected sputum. Am Rev Respir Dis. 1980 Jul;122(1):81–88. doi: 10.1164/arrd.1980.122.1.81. [DOI] [PubMed] [Google Scholar]
- 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]
- Stockley R. A., Burnett D. Local IgA production in patients with chronic bronchitis: effect of acute respiratory infection. Thorax. 1980 Mar;35(3):202–206. doi: 10.1136/thx.35.3.202. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 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]
- Tegner H. Quantitation of human granulocyte protease inhibitors in non-purulent bronchial lavage fluids. Acta Otolaryngol. 1978 Mar-Apr;85(3-4):282–289. doi: 10.3109/00016487809111936. [DOI] [PubMed] [Google Scholar]
- Warr G. A., Martin R. R., Sharp P. M., Rossen R. D. Normal human bronchial immunoglobulins and proteins: effects of cigarette smoking. Am Rev Respir Dis. 1977 Jul;116(1):25–30. doi: 10.1164/arrd.1977.116.1.25. [DOI] [PubMed] [Google Scholar]
