Laboratory Medicine ›› 2020, Vol. 35 ›› Issue (6): 570-577.DOI: 10.3969/j.issn.1673-8640.2020.06.012

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Changes of neutrophil oxidative phagocytosis and related receptors in sputum samples of COPD patients

YAN Peiyi1, ZHANG Ji1, TU Huanping2, ZHANG Li1, QIU Yue1, ZHANG Fengying3, HU Yiwen1, JIN Shu4   

  1. 1. Department of Clinical Laboratory,Shanghai People's Hospital of Putuo District,Shanghai 200060,China
    2. Department of Pathology,Shanghai People's Hospital of Putuo District,Shanghai 200060,China
    3. Department of Respiratory,Shanghai People's Hospital of Putuo District,Shanghai 200060,China
    4. Central Laboratory,Shanghai People's Hospital of Putuo District,Shanghai 200060,China
  • Received:2020-01-05 Online:2020-06-30 Published:2020-07-01

Abstract:

Objective To investigate the roles of neutrophil oxidative phagocytosis and related receptors [chemokine C-C receptor -1(CCR1),Toll-like receptor(TLR) 2 and TLR4] in patients with chronic obstructive pulmonary disease(COPD). Methods A flow cytometry method was established to determine neutrophil oxidative phagocytosis and related receptors in sputum samples of COPD patients. By flow cytometry,neutrophil oxidative phagocytosis in peripheral blood and sputum samples of 30 COPD patients(COPD group),30 pneumonia patients(pneumonia group) and 30 healthy subjects(healthy control group) was determined. Neutrophil oxidative phagocytosis and the expression levels of CCR1,TLR2 and TLR4 on the surface were determined. Results The neutrophil oxidative phagocytosis of peripheral blood in pneumonia group and COPD group was lower than that in healthy control group(P<0.05),and there was no statistical significance between pneumonia and COPD groups(P>0.05). There was statistical significance in the expression of CCR1 on the surface of peripheral blood neutrophils among COPD,pneumonia and healthy control groups(P<0.05),but there was no statistical significance for TLR2 and TLR4 expression levels(P>0.05). The neutrophil oxidative phagocytosis in sputum samples in COPD group was lower than that in pneumonia group(P<0.05),the expression level of CCR1 was higher than that in pneumonia group(P<0.05),and there was no statistical significance for the expression levels of TLR2 and TLR4(P>0.05). Pearson correlation analysis showed that the positive rate of neutrophil oxidative phagocytosis in sputum samples in COPD group was negatively correlated with the expression level of CCR1(r=-0.548,P<0.01),and it had no correlation with the expression levels of TLR2 and TLR4(r=-0.206 and -0.219,P>0.05). Conclusions Neutrophil oxidative phagocytosis in sputum samples of COPD patients is decreased,which can increase CCR1 expression level on the surface,suggesting that COPD patients'respiratory neutrophil oxidative phagocytosis injury may be one of the mechanisms of COPD pathogenesis.

Key words: Chemokine C-C receptor-1, Toll-like receptor, Neutrophil, Oxidative phagocytosis, Chronic obstructive pulmonary disease

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