title: Levels of transferrin in bronchoalveolar lavage fluid in sarcoidosis.
abstract: There has been only one report showing high levels of transferrin (Tf) in bronchoalveolar lavage fluid (BALF) in patients with sarcoidosis. This study was designed to assess the levels of Tf in both BALF and serum and to examine the relationship between the levels of Tf and other disease markers in sarcoidosis. Subjects were 64 sarcoidosis and 10 healthy controls. Tf in BALF and serum was measured by nephelometric assay. Median Tf levels in BALF from sarcoidosis was 0.70 (range, 0.00-3.97) mg/dl, which was significantly higher compared with controls (0.36 (range, 0.00-1.02) mg/dl; p = 0.005). In contrast, median Tf levels in serum from sarcoidosis was 258 (range, 171- 383) mg/dl, which was significantly lower compared with controls (322 (range, 234-356) mg/dl; p = 0.003). Tf levels in BALF were significantly correlated with both the percentage of lymphocytes (r = 0.617, p = 0.001) and serum angiotensin-converting enzyme activity (r = 0.363, p = 0.003) and serum soluble interleukin-2 receptor (r = 0.450, p = 0.001) in sarcoidosis. Levels of Tf in BALF from patients with sarcoidosis were not influenced by smoking status. The levels of Tf in sarcoidosis are high in BALF, but low in serum. Increased levels of Tf in BALF may reflect the disease activity.
authors.affiliation: Department of Respiratory Medicine, Graduate School of Medicine, Hokkaido University, N-15 W-7, Kitaku, Sapporo, Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Shigemura
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Nasuhara
authors.forename: Satoshi
authors.initials: S
authors.lastname: Konno
authors.forename: Takeshi
authors.initials: T
authors.lastname: Hattori
authors.forename: Chikara
authors.initials: C
authors.lastname: Shimizu
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Matsuno
authors.forename: Masaharu
authors.initials: M
authors.lastname: Nishimura
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000418:Albumins / Q000032:analysis*; D001992:Bronchoalveolar Lavage Fluid / Q000737:chemistry / Q000276:immunology; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D018655:Lymphocyte Count; D008214:Lymphocytes / Q000276:immunology; D008297:Male; D008875:Middle Aged; D009391:Nephelometry and Turbidimetry; D007703:Peptidyl-Dipeptidase A / Q000097:blood; D011237:Predictive Value of Tests; D015375:Receptors, Interleukin-2 / Q000097:blood; D017565:Sarcoidosis, Pulmonary / Q000097:blood / Q000276:immunology / Q000378:metabolism*; D012907:Smoking / Q000009:adverse effects; D014168:Transferrin / Q000032:analysis*; D015854:Up-Regulation; D055815:Young Adult
chemical_list: D000418:Albumins; D015375:Receptors, Interleukin-2; D014168:Transferrin; D007703:Peptidyl-Dipeptidase A