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Increased serum levels of carbohydrate-deficient transferrin in patients with chronic obstructive pulmonary disease

In English

Författare

Summary, in English

OBJECTIVE: The reason that only a minority of smokers develop chronic obstructive pulmonary disease (COPD) is still largely unknown. Glycosylation defects are involved in the pathological mechanisms in cystic fibrosis (CF), where chronic progressive obstructive lung disease dominates the clinical picture. Whether defects of protein glycosylation occur in COPD has not previously been examined. Increase in carbohydrate-deficient transferrin (CDT) in serum seems to function as an indicator of general defects of N-glycosylation. Recently, one study observed high serum CDT concentrations in CF patients. We examined whether subjects with COPD also have increased serum CDT levels. METHOD AND RESULTS: A total of 131 randomly selected individuals, 45-64 years of age, underwent a medical examination, spirometry and blood tests. Serum CDT was determined using high performance liquid chromatography. In subjects diagnosed as having COPD (n = 15), multiple logistic regression analyses demonstrated a significant relationship between the diagnosis of COPD and CDT, even after all efforts were made to take the influence of age and smoking into account (odds ratio 3.16, 95% CI 1.11-8.95). Also, in subjects with COPD there was an inverse partial correlation between forced expiratory volume in 1 s (FEV1) and serum CDT (r = -0.81, p = 0.001). CONCLUSION: These results suggest that protein glycosylation defects occur in COPD and, in addition, might be involved in the pathogenetic mechanisms of the disease. It seems that further investigation of the protein glycosylation in COPD is warranted.

Avdelning/ar

Publiceringsår

2001

Språk

Engelska

Sidor

341-347

Publikation/Tidskrift/Serie

Scandinavian Journal of Clinical & Laboratory Investigation

Volym

61

Issue

5

Dokumenttyp

Artikel i tidskrift

Förlag

Informa Healthcare

Ämne

  • Gerontology, specializing in Medical and Health Sciences
  • Respiratory Medicine and Allergy

Nyckelord

  • Glycosylation
  • Glycoproteins
  • Fevi
  • Fibrosis
  • Cdt
  • Cystic
  • Copd
  • Smoking

Status

Published

Forskningsgrupp

  • Geriatric Medicine

ISBN/ISSN/Övrigt

  • ISSN: 1502-7686