RT Journal Article SR Electronic T1 Lipoxin A4 receptor expression in smokers with and without COPD JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP p3900 VO 38 IS Suppl 55 A1 Liga Balode A1 Sergejs Isajevs A1 Darja Svirina A1 Uldis Kopeika A1 Gunta Strazda A1 Immanuels Taivans YR 2011 UL http://erj.ersjournals.com/content/38/Suppl_55/p3900.abstract AB Background: The lipoxin A4 receptor, LXA4R/FPRL-1, is a G protein-coupled receptor. LXA4R with high affinity binds anti-inflammatory lipoxin LXA4 and with low affinity - N-formylated proinflammatory peptides. The aim of our study was to evaluate FPRL-1 expression in nonsmokers, asymptomatic smokers and in patients with COPD.Patients and methods: 6 nonsmokers, 7 asymptomatic smokers and 5 moderate COPD patients undergoing lung resection for a solitary peripheral non-small cell carcinoma were enrolled in the study. Immunohistochemical methods were used to evaluate FPRL expression in airways and alveolar walls.Results: FPRL-1 expression was observed in airways epithelial cells, macrophages, lymphocytes and neutrophils. Obtained results showed that asymptomatic smokers had increased numbers of FPRL-1 positive cells in alveolar walls compared to nonsmokers (157±59 vs 38±13 cells/mm2, p= 0.002). At contrast, COPD patients had decreased numbers of FPRL-1 positive cells compared to asymptomatic smokers (23±7 vs 157±59 cells/mm2, p= 0.002). In addition, COPD patients had a tendency of decreased FPRL-1 expression compared to nonsmokers. When all smokers were analyzed together, a significant positive correlation was found between the number of FPRL positive cells and airflow obstruction, FEV1% (Rho=+0.66, p=0.02).Conclusion: Downregulated FPRL-1 in COPD patients may explain persistence of inflammatory process in alveolar area in COPD, whereas upregulation in asymptomatic smokers could serve as adaptive mechanism limiting inflammatory process.