Immunohistochemical staining for transcription factor MafB in alveolar macrophages is correlated with spirometric measures of airflow limitation in smokers.
OBJECTIVE
Alveolar macrophages (AM) play an important role in the pathogenesis of COPD, and their numbers are significantly increased in patients with COPD. We previously demonstrated that expression of the transcription factor, MafB, was upregulated in AM of mice exposed to cigarette smoke. The aim of this study was to investigate whether the expression of MafB is associated with the degree of airflow limitation (AFL) in smokers.


METHODS
Lung tissue specimens were obtained from male patients undergoing resection of small peripheral lung tumours. The patients were classified into three groups according to smoking index and FEV1 /FVC: (i) non-smokers or non-heavy ex-smokers without AFL (FEV1 /FVC ≥ 0.7, smoking index ≤ 400) (n=8); (ii) heavy current smokers without AFL (FEV1 /FVC ≥ 0.7, smoking index ≥ 800) (n=8); and (iii) heavy current smokers with AFL (FEV1 /FVC < 0.6, smoking index ≥ 800) (n=8). The intensity of immunostaining for MafB in AM was quantified by image analysis.


RESULTS
Immunostaining for MafB was significantly enhanced in AM of smokers with AFL compared with AM of subjects without AFL. Smoking index, FEV1/FVC and FEF(25-75%) (% predicted) were significantly correlated with the intensity of MafB immunostaining. Multiple linear regression analysis revealed that FEV1 % was also an independent negative predictor of the intensity of MafB immunostaining.


CONCLUSIONS
The degree of immunostaining for MafB in AM was correlated with the degree of AFL in smokers. MafB may be involved in the pathophysiology of COPD.
Sato
Michiko
M
Department of Cardiology, Pulmonology and Nephrology Cardiovascular, Thoracic and Pediatric Surgery, Yamagata University School of Medicine, Yamagata, Japan.
Shibata
Yoko
Y
Kimura
Tomomi
T
Yamauchi
Keiko
K
Abe
Shuichi
S
Inoue
Sumito
S
Kishi
Hiroyuki
H
Oizumi
Hiroyuki
H
Kubota
Isao
I
D000368:Aged; D006801:Humans; D007150:Immunohistochemistry; D008168:Lung / Q000737:chemistry* / Q000503:physiopathology; D016676:Macrophages, Alveolar / Q000737:chemistry / Q000378:metabolism*; D051258:MafB Transcription Factor / Q000032:analysis / Q000096:biosynthesis*; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000503:physiopathology*; D012907:Smoking / Q000503:physiopathology*; D013147:Spirometry
C490407:MAFB protein, human; D051258:MafB Transcription Factor