RT Journal Article SR Electronic T1 Macrophage morphology in sputum samples from paediatric CF patients JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP PA1302 DO 10.1183/13993003.congress-2015.PA1302 VO 46 IS suppl 59 A1 Rina Shah A1 Abigail Whitehosue A1 Naseem Mushtaq A1 Jonathan Grigg YR 2015 UL http://erj.ersjournals.com/content/46/suppl_59/PA1302.abstract AB Introduction: Respiratory failure, secondary to persistent respiratory infections and chronic inflammation, is the leading cause of death in cystic fibrosis (CF). Studies show that samples from patients with CF contain a higher number of “small macrophages” when analysed through flow cytometry; resulting in lower phagocytic capabilities but higher inflammatory properties [1].Aims: We sought to explore whether morphological differences are found in sputum macrophages from paediatric CF patients.Methods: Sputum was collected from 5 CF patients and healthy controls (aged 7-16 years). Samples were processed and stained with a Hemacolor kit. Images of cells were taken at (x100) and morphology was analysed using Image J [2].Results: Total macrophage size was significantly smaller (p<0.005 **) in CF sputum (225.1 µm2 ± 41.85) vs controls (552.4 µm2 ± 57.18). Macrophage nuclei were also significantly smaller (p<0.05 *) in CF (64.59 µm2 ± 6.652 vs 96.13 µm2 ± 7.584). Figure 1. Conclusion: Cytospin findings are compatible with the conclusion that significant morphological changes occur in macrophages of paediatric CF patients in particular the visible presence of “small macrophages”. This information gives further insight into the function of macrophages within the diseased lung.1. Garratt, L.W., et al., Small macrophages are present in early childhood respiratory disease. J Cyst Fibros, 2012. 11(3): p. 201-8.2. Image J. Available from: http://imagej.nih.gov/ij/.