Posttransplant bronchiolitis obliterans syndrome is associated with bronchial epithelial to mesenchymal transition

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dc.contributor.authorHodge, S.
dc.contributor.authorHolmes, M.
dc.contributor.authorBanerjee, B.
dc.contributor.authorMusk, M.
dc.contributor.authorKicic, A.
dc.contributor.authorWaterer, G.
dc.contributor.authorReynolds, P.
dc.contributor.authorHodge, G.
dc.contributor.authorChambers, D.
dc.date.issued2009
dc.description.abstractBronchiolitis obliterans syndrome (BOS) compromises lung transplant outcomes and is characterised by airway epithelial damage and fibrosis. The process whereby the normal epithelial configuration is replaced by fibroblastic scar tissue is poorly understood, but recent studies have implicated epithelial mesenchymal transition (EMT). The primary aim of this study was to assess the utility of flow cytometry in detecting and quantifying EMT in bronchial epithelial cells. Large airway brushings were obtained at 33 bronchoscopies in 16 BOS-free and 6 BOS grade 1–3 patients at 2–120 months posttransplant. Flow cytometry was used to assess expression of the mesenchymal markers αSMA, S100A4 and ED-A FN and HLA-DR. TGF β1 and HGF were measured in Bronchoalveolar lavage (BAL). Expression of all three mesenchymal markers was increased in BOS, as was HLA-DR. BAL HGF, but not TGF β1 was increased in BOS. Longitudinal investigation of one patient revealed a 100% increase in EMT markers concurrent with a 6-fold increase in BAL TGF β1 and the diagnosis of BOS at 17 months posttransplant. Flow cytometric evaluation of bronchial epithelium may provide a novel and rapid means to assess lung allografts at risk of BOS.
dc.description.statementofresponsibilityS. Hodge, M. Holmes, B. Banerjee, M. Musk, A. Kicic, G. Waterer, P. N. Reynolds, G. Hodge and D. C. Chambers
dc.identifier.citationAmerican Journal of Transplantation, 2009; 9(4):727-733
dc.identifier.doi10.1111/j.1600-6143.2009.02558.x
dc.identifier.issn1600-6135
dc.identifier.issn1600-6143
dc.identifier.orcidHodge, S. [0000-0002-3602-9927] [0000-0002-9401-298X]
dc.identifier.orcidReynolds, P. [0000-0002-2273-1774]
dc.identifier.urihttp://hdl.handle.net/2440/57325
dc.language.isoen
dc.publisherBlackwell Munksgaard
dc.source.urihttps://doi.org/10.1111/j.1600-6143.2009.02558.x
dc.subjectBronchiolitis obliterans syndrome
dc.subjectepithelial mesenchymal transition
dc.subjectflow cytometry
dc.subjectlung transplantation
dc.subjectobilterative bronchiolitis
dc.titlePosttransplant bronchiolitis obliterans syndrome is associated with bronchial epithelial to mesenchymal transition
dc.typeJournal article
pubs.publication-statusPublished

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