Serum Calprotectin Is a Potential Marker in Patients with Asthma

J Korean Med Sci. 2020 Nov 9;35(43):e362. doi: 10.3346/jkms.2020.35.e362.

Abstract

Background: Calprotectin is the major cytosolic protein in neutrophil granulocytes. Although asthma is known to cause eosinophilic inflammation, some patients with asthma have non-eosinophilic inflammation, which is characterized by local neutrophilic inflammation. The aim of this study was to assess calprotectin expression levels in a mouse model of asthma, and to observe the relationship of serum calprotectin level and clinical variables in patients with asthma.

Methods: Mice were sensitized and challenged with 10 μg and 20 μg of Aspergillus fumigatus, respectively; mice treated with saline were used as a control. The levels of calprotectin were determined using enzyme-linked immunosorbent assay, immunoblotting, and immunohistochemical analysis. The serum levels of calprotectin were also assessed in patients with asthma. The relationship between calprotectin and clinicopathological characteristics was determined.

Results: Calprotectin, S100A8, and S100A9 expression was elevated in the mouse lungs, calprotectin levels were higher in the serum of patients with asthma (n = 33) compared with those of healthy individuals (n = 28). Calprotectin levels correlated with forced expiratory volume in one second/forced vital capacity (r = -0.215, P = 0.043), smoke amount (r = 0.413, P = 0.017), body mass index (r = -0.445, P = 0.000), and blood neutrophil percentage (r = 0.300, P = 0.004) in patients with asthma.

Conclusion: Our data suggest that calprotectin could potentially be used as a biomarker for asthma.

Keywords: Airway Inflammation; Asthma; Calprotectin.

MeSH terms

  • Animals
  • Asthma / blood*
  • Asthma / drug therapy
  • Biomarkers / blood
  • Biomarkers / metabolism
  • Calgranulin A / blood
  • Calgranulin B / blood
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Humans
  • Immunoblotting
  • Immunohistochemistry
  • Inflammation / blood*
  • Leukocyte L1 Antigen Complex / blood*
  • Lung
  • Mice
  • Respiratory System / metabolism*
  • Vital Capacity

Substances

  • Biomarkers
  • Calgranulin A
  • Calgranulin B
  • Leukocyte L1 Antigen Complex
  • S100A8 protein, human
  • S100A9 protein, human