RT Journal Article SR Electronic T1 Extracellular matrix composition in COPD JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 1362 OP 1373 DO 10.1183/09031936.00192611 VO 40 IS 6 A1 Raquel Annoni A1 Tatiana Lanças A1 Ryan Yukimatsu Tanigawa A1 Marcus de Medeiros Matsushita A1 Sandra de Morais Fernezlian A1 Andreina Bruno A1 Luiz Fernando Ferraz da Silva A1 Peter J. Roughley A1 Salvatore Battaglia A1 Marisa Dolhnikoff A1 Pieter S. Hiemstra A1 Peter J. Sterk A1 Klaus F. Rabe A1 Thais Mauad YR 2012 UL http://erj.ersjournals.com/content/40/6/1362.abstract AB Extracellular matrix (ECM) composition has an important role in determining airway structure. We postulated that ECM lung composition of chronic obstructive pulmonary disease (COPD) patients differs from that observed in smoking and nonsmoking subjects without airflow obstruction. We determined the fractional areas of elastic fibres, type-I, -III and -IV collagen, versican, decorin, biglycan, lumican, fibronectin and tenascin in different compartments of the large and small airways and lung parenchyma in 26 COPD patients, 26 smokers without COPD and 16 nonsmoking control subjects. The fractional area of elastic fibres was higher in non-obstructed smokers than in COPD and nonsmoking controls, in all lung compartments. Type-I collagen fractional area was lower in the large and small airways of COPD patients and in the small airways of non-obstructed smokers than in nonsmokers. Compared with nonsmokers, COPD patients had lower versican fractional area in the parenchyma, higher fibronectin fractional area in small airways and higher tenascin fractional area in large and small airways compartments. In COPD patients, significant correlations were found between elastic fibres and fibronectin and lung function parameters. Alterations of the major ECM components are widespread in all lung compartments of patients with COPD and may contribute to persistent airflow obstruction.