title: Expression of adhesion molecules during apoptosis of circulating neutrophils in COPD.
abstract: OBJECTIVE
  Neutrophil accumulation occurs in the lungs of patients with COPD. This can be due to increased recruitment and/or delayed tissue clearance. Previous studies have described alterations in circulating neutrophils in these patients that can facilitate the former. Dysregulation of neutrophil apoptosis may contribute to the latter. This study investigated the potential abnormalities of the apoptotic process in COPD patients.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  Outpatient clinic in a urban, tertiary hospital.
  
  
  METHODS
  Fourteen stable patients with COPD, 8 smokers with normal lung function, and 8 healthy nonsmoking subjects.
  
  
  RESULTS
  We cultured circulating neutrophils that had been harvested from the study subjects at 2, 6, and 24 h. Apoptosis was assessed using flow cytometry by annexin binding and CD16 expression. The surface expression of the adhesion molecules Mac-1 (CD11b) and L-selectin (CD62L) also was determined by flow cytometry. The percentage of apoptotic neutrophils increased with time similarly in all groups. However, the surface expression of Mac-1 (CD11b) was higher, and that of L-selectin (CD62L) was lower, during apoptosis in the neutrophils of patients with COPD.
  
  
  CONCLUSIONS
  These results show that, quantitatively, in vitro neutrophil apoptosis in COPD patients occurred at a rate similar to that found in healthy individuals and smokers with normal lung function. Qualitatively, however, the increased surface expression of Mac-1 (CD11b) and the decreased surface expression of L-selectin (CD62L) observed in the apoptotic neutrophils of COPD patients indicate increased activation during the apoptotic process. This may be relevant for the pathogenesis of COPD.
authors.affiliation: Serveis de Analisis Cliniques, Hospital Universitari Son Dureta, Palma de Mallorca, Spain. anoguera@hsd.es
authors.forename: Aina
authors.initials: A
authors.lastname: Noguera
authors.forename: Ernest
authors.initials: E
authors.lastname: Sala
authors.forename: Antonia R
authors.initials: AR
authors.lastname: Pons
authors.forename: Julio
authors.initials: J
authors.lastname: Iglesias
authors.forename: William
authors.initials: W
authors.lastname: MacNee
authors.forename: Alvar G N
authors.initials: AG
authors.lastname: Agustí
mesh_terms: D017209:Apoptosis; D039481:CD11b Antigen / Q000096:biosynthesis; D015815:Cell Adhesion Molecules / Q000096:biosynthesis*; D006801:Humans; D019041:L-Selectin / Q000096:biosynthesis; D008297:Male; D008875:Middle Aged; D009504:Neutrophils / Q000276:immunology*; D011446:Prospective Studies; D029424:Pulmonary Disease, Chronic Obstructive / Q000097:blood* / Q000276:immunology*
chemical_list: D039481:CD11b Antigen; D015815:Cell Adhesion Molecules; D019041:L-Selectin