Autor: |
Samukawa Takuya, Hamada Tsutomu, Uto Hirofumi, Yanagi Masakazu, Tsukuya Go, Nosaki Tsuyoshi, Maeda Masahiro, Hirano Takashi, Tsubouchi Hirohito, Inoue Hiromasa |
Jazyk: |
angličtina |
Rok vydání: |
2012 |
Předmět: |
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Zdroj: |
BMC Pulmonary Medicine, Vol 12, Iss 1, p 55 (2012) |
Druh dokumentu: |
article |
ISSN: |
1471-2466 |
DOI: |
10.1186/1471-2466-12-55 |
Popis: |
Abstract Background Napsin A, an aspartic protease, is mainly expressed in alveolar type-II cells and renal proximal tubules and is a putative immunohistochemical marker for pulmonary adenocarcinomas. This study sought to determine whether napsin A could be measured in the serum to evaluate its relationship to idiopathic pulmonary fibrosis (IPF) and determine whether renal dysfunction might affect serum napsin A levels. Methods Serum levels of napsin A were measured in 20 patients with IPF, 34 patients with lung primary adenocarcinoma, 12 patients with kidney diseases, and 20 healthy volunteers. Surfactant protein (SP)-A, SP-D, and Krebs von den Lungen-6 (KL-6) levels in serum and pulmonary function tests were also evaluated in IPF patients. Results Circulating levels of napsin A were increased in patients with IPF, as compared with healthy controls, and they correlated with the severity of disease. Moreover, the serum napsin A levels were not elevated in patients with pulmonary adenocarcinoma or renal dysfunction. The distinguishing point between IPF and the controls was that the area under the receiver operating characteristic curve (ROC) of napsin A was larger than that of KL-6, SP-A, or SP-D. Conclusion These findings suggest that serum napsin A may be a candidate biomarker for IPF. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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