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1 Depts of Immunology and 2 Respiratory Medicine, Palack
University and University Hospital, Olomouc, Czech Republic. 3 Interstitial Lung Disease Unit, Royal Brompton Hospital, London, UK
CORRESPONDENCE: M. Petrek, Dept of Immunology, Palack
University, IP Pavlova str. 6, 775 20 Olomouc, Czech Republic. Fax: 420 585415116. E-mail: petrekm@fnol.cz
Keywords: CC chemokine ligand, lung, lymphotactin, monocyte chemoattractant protein-1, RANTES, XC chemokine ligand
Received: October 26, 2001
Accepted June 16, 2002
This study was supported by the Czech Ministries of Health (IGA 3768-3) and of Schools, Education and Physical Training (MSM 151100002).
The chemokines RANTES (regulated on activation, T-cell expressed and secreted; CC chemokine ligand (CCL)-5) and monocyte inflammatory protein (MIP)-1
Messenger ribonucleic acid (mRNA) expression for all four chemokines was determined by semiquantitative reverse transcriptase-polymerase chain reaction of RNA extracted from unseparated bronchoalveolar cells (17 patients, 12 controls). RANTES, MIP-1
MCP-1, and namely RANTES and SCM-1
In conclusion, chemokines monocyte chemotactive protein-1 and single cysteine motif-1
(CCL-3) have been implicated in the development of alveolitis in pulmonary sarcoidosis. The novel C chemokine single cysteine motif (SCM)-1
(XCL-1) and the CC chemokine monocyte chemoattractant protein (MCP)-1 (CCL-2) are also mononuclear-cell attractants and represent alternative candidate mediators of alveolitis. Therefore, the expression of MCP-1 and SCM-1
was investigated together with the expression of RANTES and MIP-1
in bronchoalveolar lavage fluid (BALF) from control subjects and patients with sarcoidosis. The relationship between chemokine expression and sarcoidosis clinical course was also explored.
and MCP-1 proteins were measured by enzyme-linked immunosobent assay of unconcentrated BALF (60 patients, 17 controls).
mRNA expression was upregulated in sarcoidosis, particularly in patients with more advanced disease. RANTES, and namely MCP-1 concentrations were elevated in BALF samples obtained from patients; MCP-1 levels were most increased in patients with chest radiographic stage 2 disease and also in patients with persistent and recurrent disease.
are, in addition to RANTES, associated with the development of alveolitis in sarcoidosis and their expression parallels the disease course.
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