The role of B-lymphocytes in inflammation in chronic obstructive pulmonary disease and bronchial asthma
https://doi.org/10.18093/0869-0189-2020-30-6-729-734
Abstract
An important role in airway inflammation in cases of bronchial asthma (BA) and chronic obstructive pulmonary disease (COPD) is played by immune responses.
Methods. In order to identify the signs of impaired functioning of the immune system in patients with COPD (n = 39) and BA (n = 37), the number and activity of lymphocytes expressing CD20, CD23, CD25, CD71, CD72, HLA-DR antigens were studied in blood serum; their role in inflammation during the period of exacerbation and a stable course of diseases was evaluated.
Results. Examined patients, being in both stages of the disease, revealed a significant increase in the number of B-lymphocytes of all stages of differentiation. Insufficient apoptosis was also noted, which indicates the activation of the B-cell component of the immune system.
Conclusion. According to the study results, it was found that the increased activity of B-cells, on the one hand, protects the body from colonization by microorganisms and infection (in COPD), by blocking the formation of immunoglobulin E (in BA), on the other hand, the autoantibodies, which they produce, can damage their own tissue, and insufficient apoptosis process may lead to maintenance of the inflammation process.
About the Authors
N. A. RaspopinaRussian Federation
Natal’ya A. Raspopina - Doctor of Medicine, Professor, Department of Pulmonology, Medical Faculty, I.M.Sechenov First MSMU (Sechenov University), Healthcare Ministry of Russia, Professor of Therapy Department, Faculty of Advanced Medical Education, M.F.Vladimirskiy SMRRCI.
Ul. Trubetskaya 8, build. 2, Moscow, 119991; Ul. Shchepkina 61/2, Moscow, 129110; tel.: (903) 591-22-77Competing Interests: declare the absence of conflict of interests
E. G. Shuganov
Russian Federation
Evgeny G. Shuganov, Doctor of Medicine, Professor, Professor of Therapy Department, Faculty of Advanced Medical Education, M.F.Vladimirskiy SMRRCI, Professor, Department of Pulmonology, Medical Faculty, I.M.Sechenov First MSMU (Sechenov University).
Ul. Trubetskaya 8, build. 2, Moscow, 119991; Ul. Shchepkina 61/2, Moscow, 129110; tel.: (495) 631-72-84
Competing Interests: declare the absence of conflict of interests
Zh. M. Salmasi
Russian Federation
Zhean M. Salmasi - Doctor of Medicine, Head of Department of Pathological Physiology and Clinical Pathophysiology, Medical Faculty.
Ul. Ostrovityanova 1, Moscow, 117997; tel.: (495) 434-63-12
Competing Interests: declare the absence of conflict of interests
A. E. Shuganov
Russian Federation
Aleksandr E. Shuganov - Candidate of Medicine, Researcher.
Ul. Shchepkina 61/2, Moscow, 129110; tel.: (906) 753-38-79
Competing Interests: declare the absence of conflict of interests
References
1. Aisanov Z.R., Avdeev S.N., Arkhipov V.V. et al. National clinical guidelines on diagnosis and treatment of chronic obstructive pulmonary disease: a clinical decision-making algorithm. Pul'monologiya. 2017; 27 (1): 13-20. DOI: 10.18093/0869-0189-2017-27-1-13-20 (in Russian).
2. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. Updated 2015. Available at: www.ginasthma.com
3. Polverino F., Baraldo S., Bazzan E. et al. A novel insight into adaptive immunity in chronic obstructive pulmonary disease: B cell activating factor belonging to the tumor necrosis factor family. Am. J. Respir. Crit. Care Med. 2010; 182 (8): 1011-1019. DOI: 10.1164/rccm.200911-1700OC.
4. Polverino F., Seys L.J., Bracke K.R. et al. B cells in chronic obstructive pulmonary disease: moving to center stage. Am. J. Physiol. Lung Cell. Mol. Physiol. 2016; 311 (4): L687-695. DOI: 10.1152/ajplung.00304.2016.
5. Poryadin G.V., Salmasi Zh.M., Kazimirskiy A.N., Semenova L.Yu. [Immunopathogenesis of atopic diseases formation]. Byulleten'sibirskoymeditsiny. 2017; 16 (4): 233-241. DOI: 10.20538/1682-0363-2017-4-233-241 (in Russian).
6. Makarkov A.I., Poryadin G.V., Salmasi Zh.M. [Mechanisms of regulation of the expression of surface structures of differentiated lymphocytes]. Immunologiya. 1997; 18 (3): 4-8 (in Russian).
7. Poryadin G.V., Orshanko A.M., Salmasi J.M. et al. [Activation processes in the lymphocytes of patients with latent sensitization]. Patologicheskaya fiziologiya i eksperi-mental'naya terapiya. 2009: (1): 23-24 (in Russian).
8. Rovina N., Koutsoukou A., Koulouris N.G. Inflammation and immune response in COPD: Where do we stand? Mediators Inflamm. 2013; 2013: 413735. DOI: 10.1155/2013/413735.
9. Poryadin G.V., Salmasi J.M., Kazimirsky A.N. Features of the immunopathogenesis of atopic diseases: from expression of surface markers of lymphocytes to immunopathogenesis. Pathophysiology. 2018; 25 (3): 225. DOI: 10.1016/j.patho-phys.2018.07.140.
10. Kuklina E.M., Smirnova, E.N., Baybina V.I. et al. [B-lym-phocytes as antigen-presenting cells in autoimmune pathologies]. Vestnik Permskogo federal'nogo issledovatel'skogo tsen-tra. 2017; (3): 36-40. Available at: https://cyberleninka.ru/article/n/v-limfotsity-kak-antigenprezentiruyuschie-kletki-pri-autoimmunnyh-patologiyah/viewer (in Russian).
11. Poryadin G.V., Salmasi Zh.M., Kazimirskiy A.N. [Comparative characteristics of markers of Fas-dependent apoptosis in patients with bronchial asthma and COPD]. Rossiyskiy immunologicheskiy zhurnal. 2013: 7 (2-3): 207 (in Russian).
12. Singh B., Arora S., Khanna V. Association of severity of COPD with IgE and interleukin-1beta. MonaldiArch. Chest Dis. 2010: 73 (2): 86-87. DOI: 10.4081/monaldi.2010.303.
13. Packard T.A., Li Q.Z., Cosgrove G.P. et al. COPD is associated with production of autoantibodies to a broad spectrum of self-antigens, correlative with disease phenotype. Immunol. Res. 2013; 55: 48-57. DOI: 10.1007/s12026-012-8347-x.
14. Toyoshima M., Chida K., Suda T., Sato M. Is autoimmunity really related to the pathogenesis of COPD? Am. J. Respir. Crit. Care Med. 2011; 184 (10): 1212-1213. DOI: 10.1164/ajr-ccm.184.10.1212a.
15. Li K., Wu D., Chen X. et al. Current and emerging biomarkers of cell death in human disease. Biomed Res. Int. 2014; 2014: 690103. DOI: 10.1155/2014/690103.
16. Kim J.H., Jang Y.J. Role of natural killer cells in airway inflammation. Allergy Asthma Immunol. Res. 2018; 10 (5): 448-456. DOI: 10.4168/aair.2018.10.5.448.
Review
For citations:
Raspopina N.A., Shuganov E.G., Salmasi Zh.M., Shuganov A.E. The role of B-lymphocytes in inflammation in chronic obstructive pulmonary disease and bronchial asthma. PULMONOLOGIYA. 2020;30(6):729-734. (In Russ.) https://doi.org/10.18093/0869-0189-2020-30-6-729-734