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Published ahead of print on September 15, 2005, doi:10.1164/rccm.200505-686OC

Am. J. Respir. Crit. Care Med., Volume 172, Number 11, December 2005, 1383-1392

A more recent version of this article appeared on December 1, 2005
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Submitted on May 1, 2005
Accepted on September 15, 2005

A Distinctive Alveolar Macrophage Activation State Induced by Cigarette Smoking

Prescott G Woodruff1, Laura L Koth2*, Yee Hwa Yang3, Madeleine W Rodriguez4, Silvio Favoreto5, Gregory M Dolganov1, Agnes C Paquet4, and David J Erle6

1 Division of Pulmonary and Critical Care Medicine, University of California, San Francisco, San Francisco, CA, USA; Cardiovascular Research Institute, University of California, San Francisco, San Francisco, CA, USA, 2 Division of Pulmonary and Critical Care Medicine, University of California, San Francisco, San Francisco, CA, USA; Department of Medicine, University of California, San Francisco, Lung Biology Center, San Francisco, CA, USA, 3 Department of Medicine, University of California, San Francisco, Lung Biology Center, San Francisco, CA, USA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA, 4 Department of Medicine, University of California, San Francisco, Lung Biology Center, San Francisco, CA, USA, 5 Division of Pulmonary and Critical Care Medicine, University of California, San Francisco, San Francisco, CA, USA, 6 Division of Pulmonary and Critical Care Medicine, University of California, San Francisco, San Francisco, CA, USA; Department of Medicine, University of California, San Francisco, Lung Biology Center, San Francisco, CA, USA; Cardiovascular Research Institute, University of California, San Francisco, San Francisco, CA, USA

* To whom correspondence should be addressed. E-mail: Laura.Koth{at}ucsf.edu.

Rationale: Macrophages are thought to play a central role in emphysema based largely on data from mouse models. However, the relevance of these models to smoking-related lung disease in humans is uncertain. Objectives: We sought to comprehensively characterize the effects of smoking on gene expression in human alveolar macrophages and to compare these with effects seen in transgenic mouse models of emphysema. Methods: We used DNA microarrays with genome-wide coverage to analyze alveolar macrophages from 15 smokers, 15 non-smokers, and 15 asthmatics (disease control). Selected gene expression changes were validated by PCR and ELISA. Expression changes were compared with those identified by microarray analysis of IL-13 overexpressing and integrin {beta}6-deficient mice, which both develop emphysema. Measurements and Main Results: All 15 smokers shared a common pattern of macrophage gene expression that distinguished them from non-smokers, a finding not observed in asthmatics. We identified 110 genes as differentially expressed in smokers despite using conservative statistical methods. MMP-12, a proteinase which plays a critical role in mouse models, was the third most highly induced gene in smokers (9-fold, p<0.0001). However, most changes in smokers were not reflected in mouse models. One such finding was increased osteopontin expression in smokers (4-fold, p=0.006), which was confirmed at the protein level and correlated with the degree of airway obstruction. Conclusions: Smoking induces a remarkably consistent and distinctive pattern of alveolar macrophage activation. These studies identify aspects of mouse models that are directly relevant to human smokers and also reveal novel potential mediators of smoking-related diseases.


Key words: Gene Expression Profiling; Pulmonary Emphysema; Matrix Metalloproteinases; Osteopontin.




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