Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4 Pt 1
pubmed:dateCreated
1996-6-10
pubmed:abstractText
Acute inflammation in the lung is characterized by a phase of tissue injury followed by a phase of tissue repair. When the latter is excessive, fibrosis occurs. Alveolar macrophages (AM) can produce cytokines involved in both phases of acute lung inflammation, notably interleukin-6 (IL-6), involved in injury and transforming growth factor-beta (TGF-beta), mediating repair. We hypothesized that AM were activated in both phases, and studied IL-6 and TGF-beta production by AM during complications of lung transplantation, acute rejection (AR), and cytomegalovirus pneumonitis (CMVP). In addition, we analyzed these cytokines in bronchiolitis obliterans (BO), a fibrotic complication of lung transplantation linked to previous AR and CMVP. At the onset of AR and CMVP, IL-6 secretion increased, whereas AM TGF-beta content was increased, but not its secretion. In contrast, with time, IL-6 reached control value whereas TGF-beta secretion rose significantly. In BO, IL-6 was not oversecreted, but TGF-beta increased, notably before functional abnormalities occurred. These results show that during acute complications of lung transplantation, AM display an early activation with oversecretion of IL-6, which is involved in tissue injury, counterbalanced by a late activation in which TGF-beta predominates, mediating tissue repair. The results provide new insights into the pathogenesis of BO, which is linked to acute complications of lung transplantation through this biphasic AM activation.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
1073-449X
pubmed:author
pubmed:issnType
Print
pubmed:volume
153
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1431-6
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:8616577-Adolescent, pubmed-meshheading:8616577-Adult, pubmed-meshheading:8616577-Bronchiolitis Obliterans, pubmed-meshheading:8616577-Bronchoalveolar Lavage Fluid, pubmed-meshheading:8616577-Child, pubmed-meshheading:8616577-Cytomegalovirus Infections, pubmed-meshheading:8616577-Female, pubmed-meshheading:8616577-Graft Rejection, pubmed-meshheading:8616577-Humans, pubmed-meshheading:8616577-Immunohistochemistry, pubmed-meshheading:8616577-Interleukin-6, pubmed-meshheading:8616577-Lung, pubmed-meshheading:8616577-Lung Transplantation, pubmed-meshheading:8616577-Macrophages, Alveolar, pubmed-meshheading:8616577-Male, pubmed-meshheading:8616577-Middle Aged, pubmed-meshheading:8616577-Pneumonia, Viral, pubmed-meshheading:8616577-Postoperative Complications, pubmed-meshheading:8616577-Transforming Growth Factor beta
pubmed:year
1996
pubmed:articleTitle
Balance between alveolar macrophage IL-6 and TGF-beta in lung-transplant recipients. Marseille and Montréal Lung Transplantation Group.
pubmed:affiliation
Chest Medicine and Allergy Department, U INSERM 387, St.-Marguerite Hospital, Marseilles, France.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't