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An exploratory study investigating biomarkers associated with autoimmune pulmonary alveolar proteinosis (aPAP)
by
Gupta, Abhya
, Trapnell, Bruce C.
, Schoelch, Corinna
, Gahlemann, Martina
, Ittrich, Carina
, Campo, Ilaria
, Meloni, Federica
, Sauter, Wiebke
in
692/53
/ 692/699/1785
/ Alveoli
/ Asthma
/ Asthma - complications
/ Asthma - diagnosis
/ Autoantibodies
/ Autoimmune Diseases
/ Biomarkers
/ Carcinoembryonic antigen
/ Chronic obstructive pulmonary disease
/ Colony-stimulating factor
/ Granulocyte-Macrophage Colony-Stimulating Factor
/ Humanities and Social Sciences
/ Humans
/ L-Lactate dehydrogenase
/ Lactic acid
/ Lung diseases
/ multidisciplinary
/ Obstructive lung disease
/ Plasma
/ Prospective Studies
/ Pulmonary Alveolar Proteinosis - diagnosis
/ Pulmonary Disease, Chronic Obstructive - complications
/ Respiratory function
/ Science
/ Science (multidisciplinary)
/ Sputum
2022
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An exploratory study investigating biomarkers associated with autoimmune pulmonary alveolar proteinosis (aPAP)
by
Gupta, Abhya
, Trapnell, Bruce C.
, Schoelch, Corinna
, Gahlemann, Martina
, Ittrich, Carina
, Campo, Ilaria
, Meloni, Federica
, Sauter, Wiebke
in
692/53
/ 692/699/1785
/ Alveoli
/ Asthma
/ Asthma - complications
/ Asthma - diagnosis
/ Autoantibodies
/ Autoimmune Diseases
/ Biomarkers
/ Carcinoembryonic antigen
/ Chronic obstructive pulmonary disease
/ Colony-stimulating factor
/ Granulocyte-Macrophage Colony-Stimulating Factor
/ Humanities and Social Sciences
/ Humans
/ L-Lactate dehydrogenase
/ Lactic acid
/ Lung diseases
/ multidisciplinary
/ Obstructive lung disease
/ Plasma
/ Prospective Studies
/ Pulmonary Alveolar Proteinosis - diagnosis
/ Pulmonary Disease, Chronic Obstructive - complications
/ Respiratory function
/ Science
/ Science (multidisciplinary)
/ Sputum
2022
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An exploratory study investigating biomarkers associated with autoimmune pulmonary alveolar proteinosis (aPAP)
by
Gupta, Abhya
, Trapnell, Bruce C.
, Schoelch, Corinna
, Gahlemann, Martina
, Ittrich, Carina
, Campo, Ilaria
, Meloni, Federica
, Sauter, Wiebke
in
692/53
/ 692/699/1785
/ Alveoli
/ Asthma
/ Asthma - complications
/ Asthma - diagnosis
/ Autoantibodies
/ Autoimmune Diseases
/ Biomarkers
/ Carcinoembryonic antigen
/ Chronic obstructive pulmonary disease
/ Colony-stimulating factor
/ Granulocyte-Macrophage Colony-Stimulating Factor
/ Humanities and Social Sciences
/ Humans
/ L-Lactate dehydrogenase
/ Lactic acid
/ Lung diseases
/ multidisciplinary
/ Obstructive lung disease
/ Plasma
/ Prospective Studies
/ Pulmonary Alveolar Proteinosis - diagnosis
/ Pulmonary Disease, Chronic Obstructive - complications
/ Respiratory function
/ Science
/ Science (multidisciplinary)
/ Sputum
2022
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An exploratory study investigating biomarkers associated with autoimmune pulmonary alveolar proteinosis (aPAP)
Journal Article
An exploratory study investigating biomarkers associated with autoimmune pulmonary alveolar proteinosis (aPAP)
2022
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Overview
Autoimmune pulmonary alveolar proteinosis (aPAP) is a rare lung disorder involving production of autoantibodies against endogenous granulocyte–macrophage colony-stimulating factor (GM-CSF). This study aimed to identify biomarkers that could be used to monitor for aPAP, particularly in patients treated with anti-GM-CSF antibodies. This was an exploratory, prospective, observational, single-center study. Pre-specified biomarkers were evaluated between baseline and Day 120 in serum/plasma, whole blood, sputum and exhaled breath condensate from patients with aPAP, healthy volunteers, and patients with chronic obstructive pulmonary disease (COPD) and asthma (not treated with anti-GM-CSF and with no evidence of aPAP). Pulmonary function tests were also performed. Overall, 144 individuals were enrolled (aPAP: n = 34, healthy volunteers: n = 24, COPD: n = 40 and asthma: n = 46). Plasma GM-CSF levels were lower, and Krebs von den Lungen 6 and GM-CSF autoantibody ranges were higher, in patients with aPAP compared with other populations. Surfactant proteins-A and -D, lactate dehydrogenase and carcinoembryonic antigen ranges partially or completely overlapped across populations. Most plasma biomarkers showed high sensitivity and specificity for detection of aPAP; GM-CSF and GM-CSF autoantibody concentrations demonstrated equivalent sensitivity for differentiating aPAP. In addition to characteristic GM-CSF autoantibodies, assessment of plasma GM-CSF may identify individuals at risk of developing aPAP.
Trial registration: EudraCT, 2012-003475-19. Registered 23 July 2012—
https://eudract.ema.europa.eu/
.
Publisher
Nature Publishing Group UK,Nature Publishing Group,Nature Portfolio
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