1. Oxidative stress and abnormal bioactive lipids in early cystic fibrosis lung disease
- Author
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Scholte, Bob, Horati, Hamed, Veltman, Mieke, Vreeken, RJ, Garratt, LW, Tiddens, H.A.W.M., Janssens, Hettie, Stick, SM, Arest, CF, and Pediatrics
- Subjects
0301 basic medicine ,Pulmonary and Respiratory Medicine ,Male ,Ceramide ,Isoprostane ,Cystic Fibrosis ,Cell Count ,Isoprostanes ,medicine.disease_cause ,Cystic fibrosis ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Tandem Mass Spectrometry ,medicine ,Humans ,Oxylipins ,Lung ,Inflammation ,Sphingolipids ,medicine.diagnostic_test ,Sphingosine ,business.industry ,Lipid metabolism ,respiratory system ,medicine.disease ,Sphingolipid ,respiratory tract diseases ,Oxidative Stress ,030104 developmental biology ,Bronchoalveolar lavage ,030228 respiratory system ,chemistry ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Immunology ,Lipidomics ,Disease Progression ,Female ,business ,Bronchoalveolar Lavage Fluid ,Oxidative stress ,Biomarkers - Abstract
Background Clinical data indicate that airway inflammation in children with cystic fibrosis (CF) arises early, is associated with structural lung damage, and predicts progression. In bronchoalveolar lavage fluid (BALF) from CFTR mutant mice, several aspects of lipid metabolism are abnormal that contributes to lung disease. We aimed to determine whether lipid pathway dysregulation is also observed in BALF from children with CF, to identify biomarkers of early lung disease and potential therapeutic targets. Methods A comprehensive panel of lipids that included Sphingolipids, oxylipins, isoprostanes and lysolipids, all bioactive lipid species known to be involved in inflammation and tissue remodeling, were measured in BALF from children with CF (1–6 years, N = 33) and age-matched non-CF patients with unexplained inflammatory disease (N = 16) by HPLC-MS/MS. Lipid data were correlated with chest CT scores and BALF inflammation biomarkers. Results The ratio of long chain to very long chain ceramide species (LCC/VLCC) and lysolipid levels were enhanced in CF compared to non-CF patients, despite comparable neutrophil counts and bacterial load. In CF patients both LCC/VLCC and lysolipid levels correlated with inflammation and chest CT scores. The ceramide precursors Sphingosine, Sphinganine, Sphingomyelin, correlated with inflammation, whilst the oxidative stress marker isoprostane correlated with inflammation and chest CT scores. No correlation between lipids and current bacterial infection in CF (N = 5) was observed. Conclusions Several lipid biomarkers of early CF lung disease were identified, which point toward potential disease monitoring and therapeutic approaches that can be used to complement CFTR modulators.
- Published
- 2019