Abstract
In cystic fibrosis (CF), chronic airway infection and neutrophil-dominated airway inflammation lead to progressive lung disease. Cytokines play an important role in the inflammatory response. Evidence suggests that cytokine production is altered or dysregulated in CF. Moreover, polymorphisms in cytokines may be linked to disease severity by acting as modifier genes. This article reviews the current state of knowledge regarding individual cytokines and CF lung disease, with an eye towards the possibility that cytokines may be used as outcome measures in clinical trials in CF. In addition, cytokines may eventually serve as targets for novel anti-inflammatory therapies in CF.
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Welsh, M.J., Ramsey, B.W., Accurso, F.J., and Cutting, G.R. (2001), in The Metabolic and Molecular Bases of Inherited Disease, Scriver, C.R., Beaudet, A.L., Valle, D., and Sly, W.S., eds., McGraw Hill, New York, pp. 521–588.
Konstan, M.W. and Berger, M. (1997), Pediatr. Pulmonol. 24, 137–142.
Armstrong, D.S., Grimwood, K., Carzino, R., Carlin, J.B., Olinsky, A., and Phelan, P.D. (1995), Br. Med. J. 310, 1571–1572.
Khan, T.Z., Wagener, J.S., Bost, T., Martinez, J., Accurso, F.J., and Riches, D.W. (1995), Am. J. Respir. Crit. Care Med. 151, 1075–1082.
Balough, K., McCubbin, M., Weinberger, M., Smits, W., Ahrens, R., and Fick, R. (1995), Pediatr. Pulmonol. 20, 63–70.
Abman, S.H., Ogle, J.W., Harbeck, R.J., Butler-Simon, N., Hammond, K.B., and Accurso, F.J. (1991), J. Pediatr. 119, 211–217.
Smith, A.L., Ramsey, B., Redding, G., and Haas, J. (1989), Acta Paediatr. Scand. Suppl. 363, 31–36.
Glligan, P.H. (1991), Clin. Microbiol. Rev. 4, 35–51.
Burns, J.L., Emerson, J., Stapp, J.R., Yim, D.L., Krzewinski, J., Louden, L., et al. (1998), Clin. Infect. Dis. 27, 158–163.
Doring, G. (1994), Am. J. Respir. Crit. Care Med. 150, S114-S117.
Bruce, M.C., Poncz, L., Klinger, J.D., Stern, R.C., Tomashefski, J.F., Jr., and Dearborn, D.G. (1985), Am. Rev. Respir. Dis. 132, 529–535.
Tosi, M.F., Zakem, H., and Berger, M. (1990), J. Clin. Investig. 86, 300–308.
Hubbard, R.C., Fells, G., Gadek, J., Pacholok, S., Humes, J., and Crystal, R.G. (1991), J. Clin. Investig. 88, 891–897.
Sommerhoff, C.P., Nadel, J.A., Basbaum, C.B., and Caughey, G.H. (1990), J. Clin. Investig. 85, 682–689.
Nakamura, H., Yoshimura, K., McElvaney, N.G., and Crystal, R.G. (1992), J. Clin. Investig, 89, 1478–1484.
Wilmott, R.W., Kassab, J.T., Kilian, P.L., Benjamin, W.R., Douglas, S.D., and Wood, R.W. (1990), Am. Rev. Respir. Dis. 142, 365–368.
Bonfield, T.L., Panuska, J.R., Konstan, M.W., Hilliard, K.A., Hilliard, J.B., Ghnaim, H., et al. (1995), Am. J. Respir. Crit. Care Med. 152, 2111–2118.
Smith, J.J., Travis, S.M., Greenberg, E.P., and Welsh, M.J. (1996), Cell 85, 229–236.
Goldman, M.J., Anderson, G.M., Stolzenberg, E.D., Kari, U.P., Zasloff, M., and Wilson, J.M. (1997), Cell 88, 553–560.
Matsui, H., Grubb, B.R., Tarran, R., Randell, S.H., Gatzy, J.T., Davis, C.W., et al. (1998), Cell 95, 1005–1015.
Ma, W. Korngreen, A., Uzlaner, N., Priel, Z., and Silberberg, S.D. (1999), Nature 400, 894–897.
Saiman, L. and Prince, A. (1993), J. Clin. Investig. 92, 1875–1880.
Pier, G.B., Grout, M., Zaidi, T.S., Olsen, J.C., Johnson, L.G., Yankaskas, J.R., et al. (1996), Science 271, 64–67.
Engelhardt, J.F., Yankaskas, J.R., Ernst, S.A., Yang, Y., Marino, C.R., Boucher, R.C., et al. (1992), Nat. Genet. 2, 240–248.
DiMango, E., Ratner, A.J., Bryan, R., Tabibi, S., and Prince, A. (1998), J. Clin. Investig. 101, 2598–2605.
Tirouvanziam, R., de Bentzmann, S., Hubeau, C., Hinnrasky, J., Jacquot, J., Peault, B., et al. (2000), Am. J. Respir. Cell Mol. Biol. 23, 121–127.
Armstrong, D.S., Grimwood, K., Carlin, J.B., Carzino, R., Gutierrez, J.P., Hull, J., et al. (1997), Am. J. Respir. Crit. Care Med. 156, 1197–1204.
Scheid, P., Kempster, L., Griesenbach, U., Davies, J.C., Dewar, A., Weber, P.P., et al. (2001), Eur. Respir. J. 17, 27–35.
Durum, S.K. and Muegge, K. (1996), in Clinical Immunology: Principles and Practice, Rich, R.R., ed., Mosby, St. Louis, pp. 350–362.
Bonfield, T.L., Konstan, M.W., Burfeind, P., Panuska, J.R., Hilliard, J.B., and Berger, M. (1995), Am. J. Respir. Cell. Mol. Biol. 13, 257–261.
Kammouni, W., Figarella, C., Marchand, S., and Merten, M. (1997), Infect. Immun. 65, 5176–5183.
Tabary, O., Zahm, J.M., Hinnrasky, J., Couetil, J.P., Cornillet, P., Guenounou, M., et al. (1998) Am. J. Pathol. 153, 921–930.
Bonfield, T.L., Konstan, M.W., and Berger, M. (1999), J. Allergy Clin. Immunol. 104, 72–78.
Tabary, O., Escotte, S., Couetil, J.P., Hubert, D., Dusser, D., Puchelle, E., et al. (2000), J. Immunol. 164, 3377–3384.
Venkatakrishnan, A., Stecenko, A.A., King, G., Blackwell, T.R., Brigham, K.L., Christman, J.W., et al. (2000), Am. J. Respir. Cell Mol. Biol. 23, 396–403.
Stecenko, A.A., King, G., Torii, K., Breyer, R.M., Dworski, R., Blackwell, T.S., et al. (2001), Inflammation 25, 145–155.
Moss, R.B., Bocian, R.C., Hsu, Y.P., Dong, Y.J., Kemna, M., Wei, T., et al. (1996), Clin. Exp. Immunol. 106, 374–388.
Moss, R.B., Hsu, Y.P., and Olds, L. (2000), Clin. Exp. Immunol. 120, 518–525.
Mosmann, T. (1996), in Clinical Immunology: Principles and Practice, Rich, R.R., ed., Mosby, St. Louis, pp. 217–230.
Wewers, M.D., Gadek, J.E., and Marsh, C.B. (1997) in The Lung: Scientific Foundations, Crystal, R.G. and West, J.B., eds., Lippincott-Raven Publishers, Philadelphia, pp. 117–129.
Le, J. and Vilcek, J. (1987), Lab. Investig. 56, 234–248.
Suter, S., Schaad, U.B., Roux-Lombard, P., Girardin, E., Grau, G., and Dayer, J.M. (1989), Am. Rev. Respir. Dis. 140, 1640–1644.
Levy, E., Gurbindo, C., Lacaille, F., Paradis, K., Thibault, L., and Seidman, E. (1993), Pediatr. Res. 34, 162–166.
Brown, M.A., Morgan, W.J., Finley, P.R., and Scuderi, P. (1991), Pediatr. Pulmonol. 10, 86–91.
Kronborg, G., Hansen, M.B., Svenson, M., Fomsgaard, A., Hoiby, N., and Bendtzen, K. (1993), Pediatr. Pulmonol. 15, 292–297.
Elborn, J.S., Nixon, L., Bell, S.C., and Shale, D.J. (1994), Pediatr. Pulmonol. 17, 411–412.
Wilmott, R.W. (2000), in Cytokines in Pulmonary Disease: Infection and Inflammation, Nelson, S., and Martin, T.R., eds., Marcel Dekker, Inc., New York, pp. 307–330.
Norman, D., Elborn, J.S., Cordon, S.M., Rayner, R.J., Wiseman, M.S., Hiller, E.J., et al. (1991), Thorax 46, 91–95.
Wilmott, R.W., Frenzke, M., Kociela, V., and Peng, L. (1994), Pediatr. Pulmonol. 18, 21–27.
Elborn, J.S., Cordon, S.M., Parker, D., Delamere, F.M., and Shale, D.J. (1993), Respir. Med. 87, 603–607.
Elborn, J.S., Cordon, S.M., Western, P.J., Macdonald, I.A., and Shale, D.J. (1993) Clin. Sci. (Colch.) 85, 563–568.
Salva, P.S., Doyle, N.A., Graham, L., Eigen, H., and Doerschuk, C.M. (1996), Pediatr. Pulmonol. 21, 11–19.
Osika, E., Cavaillon, J.M., Chadelat, K., Boule, M., Fitting, C., Tournier, G., et al. (1999), Eur. Respir. J. 14, 339–346.
Wolter, J.M., Rodwell, R.L., Bowler, S.D., and McCormack, J.G. (1999), Clin. Diagn. Lab. Immunol. 6, 260–265.
Pukhalsky, A.L., Kapranov, N.I., Kalashnikova, E.A., Shmarina, G.V., Shabalova, L.A., Kokarovtseva, S.N., et al. (1999), Mediat. Inflamm. 8, 159–167.
Karpati, F., Hjelte, F.L., and Wretlind, B. (2000), Scand. J. Infect. Dis. 32, 75–79.
Balfour-Lynn, I.M., Klein, N.J., and Dinwiddie, R. (1997), Arch. Dis. Child. 77, 124–130.
Greally, P., Hussain, M.J., Cook, A.J., Sampson, A.P., Piper, P.J., and Price, J.F. (1993), Arch. Dis. Child. 68, 389–392.
Greally, P., Hussain, M.J., Vergani, D., and Price, J.F. (1993), Arch. Dis. Child. 68, 785–787.
Greally, P., Hussain, M.J., Vergani, D., and Price, J.F. (1994), Arch. Dis. Child. 71, 35–39.
Ulich, T.R., Yin, S., Guo, K., Yi, E.S., Remick, D., and del Castillo, J. (1991), Am. J. Pathol. 138, 1097–1101.
Tilg, H., Dinarello, C.A., and Mier, J.W. (1997), Immunol. Today 18, 428–432.
Kube, D., Sontich, U., Fletcher, D., and Davis, P.B. (2001), Am. J. Physiol. Lung Cell Mol. Physiol. 280, L493-L502.
McElvaney, N.G. and Crystal, R.G. (1995), Nat. Med. 1, 182–184.
Ruiz, F.E., Clancy, J.P., Perricone, M.A., Bebok, Z., Hong, J.S., Cheng, S.H., et al. (2001), Hum. Gene Ther. 12, 751–761.
Nixon, L.S., Yung, B., Bell, S.C., Elborn, J.S., and Shale, D.J. (1998), Am. J. Respir. Crit. Care Med. 157, 1764–1769.
Ionescu, A.A., Nixon, L.S., Evans, W.D., Stone, M.D., Lewis-Jenkins, V., Chatham, K., et al. (2000), Am. J. Respir. Crit. Care Med. 162, 789–794.
Aris, R.M., Stephens, A.R., Ontjes, D.A., Denene, B.A., Lark, R.K., Hensler, M.B., et al. (2000), Am. J. Respir. Crit. Care Med. 162, 1674–1678.
Noah, T.L., Black, H.R., Cheng, P.W., Wood, R.E., and Leigh, M.W. (1997), J. Infect. Dis. 175, 638–647.
Fahy, J.V., Kim, K.W., Liu, J., and Boushey, H.A. (1995), J. Allergy Clin. Immunol. 95, 843–852.
Richman-Eisenstat, J.B., Jorens, P.G., Hebert, C.A., Ueki, I., and Nadel, J.A. (1993), Am. J. Physiol. 264, L413-L418.
Mikami, M., Llewellyn-Jones, C.G., Bayley, D., Hill, S.L., and Stockley, R.A. (1998), Am. J. Respir. Crit. Care Med. 157, 723–728.
McElvaney, N.G., Nakamura, H., Birrer, P., Hebert, C.A., Wong, W.L., Alphonso, M., et al. (1992), J. Clin. Investig. 90, 1296–1301.
Dean, T.P., Dai, Y., Shute, J.K., Church, M.K., and Warner J.O. (1993), Pediatr. Res. 34, 159–161.
Hull, J., Skinner, W., Robertson, C., and Phelan, P. (1998), Am. J. Respir. Crit. Care Med. 157, 10–14.
Muhlebach, M.S., Stewart, P.W., Leigh, M.W., and Noah, T.L. (1999), Am. J. Respir. Crit. Care Med. 160, 186–191.
Francoeur, C. and Denis, M. (1995), Inflammation 19, 587–598.
Shah, P.L., Scott, S.F., Knight, R.A., and Hodson, M.E. (1996), Eur. Respir. J. 9, 531–534.
Koller, D.Y., Nething, I., Otto, J., Urbanek, R., and Eichler, I. (1997), Am. J. Respir. Crit. Care Med. 155, 1050–1054.
Sagel, S.D., Kapsner, R., Osberg, I., Sontag, M.K., and Accurso, F.J. (2001), Am. J. Respir. Crit. Care Med. 164, 1425–1431.
Cunningham, S., McColm, J.R., Ho, L.P., Greening, A.P., and Marshall, T.G. (2000), Eur. Respir. J. 15, 955–957.
Ramsey, B.W., Boat, T.F., and for the Consensus Group. (1994), J. Pediatr. 124, 177–192.
Rochat, T., Pastore, F.D., Schlegel-Haueter, S.E., Filthuth, I., Auckenthaler, R., Belli, D., et al. (1996), Eur. Respir. J. 9, 2200–2206.
Sawa, T., Corry, D.B., Gropper, M.A., Ohara, M., Kurahashi, K., and Wiener-Kronish, J.P. (1997), J. Immunol. 159,2858–2866.
Chmiel, J.F., Konstan, M.W., Knesebeck, J.E., Hilliard, J.B., Bonfield, T.L., Dawson, D.V., et al. (1999), Am. J. Respir. Crit. Care Med. 160, 2040–2047.
Asano, K., Chee, C.B., Gaston, B., Lilly, C.M., Gerard, C., Drazen, J.M., et al. (1994), Proc. Natl. Acad. Sci. USA 91, 10,089–10,093.
Kelley, T.J. and Elmer, H.L. (2000), J. Clin. Investig. 106, 403–410.
Cash, H.A., Woods, D.E., McCullough, B., Johanson, W.G., Jr., and Bass, J.A. (1979), Am. Rev. Respir. Dis. 119, 453–459.
Moser, C., Johansen, H.K., Song, Z., Hougen, H.P., Rygaard, J., and Hoiby, N (1997), APMIS 105, 838–842.
Johansen, H.K., Hougen, H.P., Rygaard, J., and Hoiby, N. (1996), Clin. Exp. Immunol. 103, 212–218.
Moser, C., Kjaergaard, S., Pressler, T., Kharazmi, A., Koch, C., and Hoiby, N. (2000), APMIS 108, 329–335.
Wojnarowski, C., Frischer, T., Hofbauer, E., Grabner, C., Mosgoeller, W., Eichler, I., et al. (1999), Eur. Respir. J. 14, 1136–1144.
Rosensweig, J.N., Omori, M., Page, K., Potter, C.J., Perlman, E.J., Thorgeirsson, S.S., et al. (1998), Pediatr. Res. 44, 402–409.
Strieter, R.M. and Kunkel, S.L. (1997), in The Lung: Scientific Foundations, Crystal, R.G. and West, J.B., eds., Lippincott-Raven Publishers, Philadelphia, pp. 155–186.
Schwiebert, L.M., Estell, K., and Propst, S.M. (1999), Am. J. Physiol. 276, C700-C710.
Hull, J. and Thomson, A.H. (1998), Thorax 53, 1018–1021.
Arkwright, P.D., Laurie, S., Super, M., Pravica, V., Schwarz, M.J., Webb, A.K., et al. (2000), Thorax 55, 459–462.
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This research was supported by the Cystic Fibrosis Foundation, the Mike McMorris Cystic Fibrosis Center, and Grant #M01 RR00069, General Clinical Research Centers Program, NCRR, NIH.
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Sagel, S.D., Accurso, F.J. Monitoring inflammation in CF. Clinic Rev Allerg Immunol 23, 41–57 (2002). https://doi.org/10.1385/CRIAI:23:1:041
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DOI: https://doi.org/10.1385/CRIAI:23:1:041