Document Detail


Aggregations of lymphoid cells in the airways of nonsmokers, smokers, and subjects with asthma.
MedLine Citation:
PMID:  14711796     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Persistent airway inflammation is present in cases with asthma and in smokers with airflow obstruction. Isolated aggregations of lymphoid cells (IALC) may be sites of localized inflammatory cell activation. Their distribution and characteristics in cartilaginous airways were assessed in postmortem tissue from nonsmokers (n=10), smokers (n=9), and cases of nonfatal (n=10) and fatal asthma (n=10). IALC were present in 70-100% of cases, were more often in proximal than distal airways, and 80% were confined to the outer airway wall. IALC with area greater than 0.1 mm2 were more frequent in both asthma groups (p<0.001). Airways with IALC had increased airway dimensions and greater numbers of eosinophils and lymphomononuclear cells. Within IALC, T and B lymphocytes were segregated and comprised more than 90% of all cells. Proliferating, apoptotic, and antigen-presenting cells (Rel B+ and HLA-DR+) were less than 5%, 30-40%, and less than 1% of all cells, respectively, and were similar in each case group. Vascular structures were increased (p < 0.01) in cases of fatal asthma. These findings show that, even in nonsmoking cases and cases without asthma, IALC are common, show cellular organization, and are associated with airway wall inflammation and remodeling. It remains to be determined if IALC contribute to or result from persistent airway inflammation in asthma.
Authors:
John G Elliot; Cathryn M Jensen; Slavko Mutavdzic; Jasmine P Lamb; Neil G Carroll; Alan L James
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2004-01-07
Journal Detail:
Title:  American journal of respiratory and critical care medicine     Volume:  169     ISSN:  1073-449X     ISO Abbreviation:  Am. J. Respir. Crit. Care Med.     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-03-08     Completed Date:  2004-04-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9421642     Medline TA:  Am J Respir Crit Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  712-8     Citation Subset:  AIM; IM    
Affiliation:
Faculty of Regional Professional Studies, Edith Cowan University, Bunbury, WA, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Asthma / immunology*,  pathology*
Bronchi / immunology,  pathology*
Bronchitis / immunology,  pathology
Cell Aggregation / physiology
Female
Humans
Lymphocyte Count
Lymphocytes / physiology*
Male
Middle Aged
Smoking / immunology*,  pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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