Role of hyaluronan and hyaluronan-binding proteins in human asthma.

dc.contributor.author

Liang, Jiurong

dc.contributor.author

Jiang, Dianhua

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Jung, Yoosun

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Xie, Ting

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Ingram, Jennifer

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Church, Tony

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Degan, Simone

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Leonard, Maura

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Kraft, Monica

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Noble, Paul W

dc.date.accessioned

2022-07-01T15:13:04Z

dc.date.available

2022-07-01T15:13:04Z

dc.date.issued

2011-08

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2022-07-01T15:13:03Z

dc.description.abstract

Background

The characteristics of human asthma are chronic inflammation and airway remodeling. Hyaluronan, a major extracellular matrix component, accumulates during inflammatory lung diseases, including asthma. Hyaluronan fragments stimulate macrophages to produce inflammatory cytokines. We hypothesized that hyaluronan and its receptors would play a role in human asthma.

Objective

To investigate the role of hyaluronan and hyaluronan-binding proteins in human asthma.

Methods

Twenty-one subjects with asthma and 25 healthy control subjects underwent bronchoscopy with endobronchial biopsy and bronchoalveolar lavage. Fibroblasts were cultured, and hyaluronan and hyaluronan synthase expression was determined at baseline and after exposure to several mediators relevant to asthma pathobiology. The expression of hyaluronan-binding proteins CD44, TLR (Toll-like receptor)-2, and TLR4 on bronchoalveolar lavage macrophages was determined by flow cytometry. IL-8 production by macrophages in response to hyaluronan fragment stimulation was compared.

Results

Airway fibroblasts from patients with asthma produced significantly increased concentrations of lower-molecular-weight hyaluronan compared with those of normal fibroblasts. Hyaluronan synthase 2 mRNA was markedly increased in asthmatic fibroblasts. Asthmatic macrophages showed a decrease in cell surface CD44 expression and an increase in TLR2 and TLR4 expression. Macrophages from subjects with asthma showed an increase in responsiveness to low-molecular-weight hyaluronan stimulation, as demonstrated by increased IL-8 production.

Conclusion

Hyaluronan homeostasis is deranged in asthma, with increased production by fibroblasts and decreased CD44 expression on alveolar macrophages. Upregulation of TLR2 and TLR4 on macrophages with increased sensitivity to hyaluronan fragments suggests a novel proinflammatory mechanism by which persistence of hyaluronan fragments could contribute to chronic inflammation and airway remodeling in asthma.
dc.identifier

S0091-6749(11)00579-3

dc.identifier.issn

0091-6749

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1097-6825

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https://hdl.handle.net/10161/25442

dc.language

eng

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Elsevier BV

dc.relation.ispartof

The Journal of allergy and clinical immunology

dc.relation.isversionof

10.1016/j.jaci.2011.04.006

dc.subject

Fibroblasts

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Macrophages, Alveolar

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Humans

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Asthma

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Inflammation

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Glucuronosyltransferase

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Hyaluronic Acid

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Cytokines

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Down-Regulation

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Up-Regulation

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Adult

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Female

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Male

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Toll-Like Receptor 2

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Toll-Like Receptor 4

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Airway Remodeling

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Hyaluronan Synthases

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Hyaluronan Receptors

dc.title

Role of hyaluronan and hyaluronan-binding proteins in human asthma.

dc.type

Journal article

duke.contributor.orcid

Ingram, Jennifer|0000-0002-5269-8864

pubs.begin-page

403

pubs.end-page

411.e3

pubs.issue

2

pubs.organisational-group

Duke

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School of Medicine

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Faculty

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Clinical Science Departments

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Medicine

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Pathology

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Surgery

pubs.organisational-group

Medicine, Pulmonary, Allergy, and Critical Care Medicine

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Surgery, Surgical Sciences

pubs.publication-status

Published

pubs.volume

128

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