Sputum proteomics and airway cell transcripts of current and ex-smokers with severe asthma in U-BIOPRED: an exploratory analysis.
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Takahashi Kentaro, Pavlidis Stelios, Ng Kee Kwong Francois, Hoda Uruj, Rossios Christos, Sun Kai, Loza Matthew, Baribaud Fred, Chanez Pascal, Fowler Steve J, Horvath Ildiko, Montuschi Paolo, Singer Florian, Musial Jacek, Dahlen Barbro, Dahlen Sven-Eric, Krug Norbert, Sandstrom Thomas, Shaw Dominic E, Lutter Rene, Bakke Per, Fleming Louise J, Howarth Peter H, Caruso Massimo, Sousa Ana R, Corfield Julie, Auffray Charles, De Meulder Bertrand, Lefaudeux Diane, Djukanovic Ratko, Sterk Peter J, Guo Yike, Adcock Ian M, Chung Kian Fan, , on behalf of the U-BIOPRED study group
Аннотация
Severe asthma patients with a significant smoking history have airflow obstruction with reported neutrophilia. We hypothesise that multi-omic analysis will enable the definition of smoking and ex-smoking severe asthma molecular phenotypes.The U-BIOPRED cohort of severe asthma patients, containing current-smokers (CSA), ex-smokers (ESA), nonsmokers and healthy nonsmokers was examined. Blood and sputum cell counts, fractional exhaled nitric oxide and spirometry were obtained. Exploratory proteomic analysis of sputum supernatants and transcriptomic analysis of bronchial brushings, biopsies and sputum cells was performed.Colony-stimulating factor (CSF)2 protein levels were increased in CSA sputum supernatants, with azurocidin 1, neutrophil elastase and CXCL8 upregulated in ESA. Phagocytosis and innate immune pathways were associated with neutrophilic inflammation in ESA. Gene set variation analysis of bronchial epithelial cell transcriptome from CSA showed enrichment of xenobiotic metabolism, oxidative stress and endoplasmic reticulum stress compared to other groups. CXCL5 and matrix metallopeptidase 12 genes were upregulated in ESA and the epithelial protective genes, mucin 2 and cystatin SN, were downregulated.Despite little difference in clinical characteristics, CSA were distinguishable from ESA subjects at the sputum proteomic level, with CSA patients having increased CSF2 expression and ESA patients showing sustained loss of epithelial barrier processes.