2000
DOI: 10.1034/j.1399-3003.2000.016003414.x
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Association of Clara cell 10-kDa protein, spontaneous regression and sarcoidosis

Abstract: Sarcoidosis is a systemic granulomatous disorder with a high rate of spontaneous regression. Clara cell 10‐kDa protein (CC10), the predominant product of nonciliated bronchiolar epithelial cells, is a potent immunoregulatory and anti‐inflammatory agent. CC10 levels were measured in sera and bronchoalveolar lavage (BAL) fluids from 31 sarcoidosis patients (nine progressive disease and 22 regressive disease) and their relevance to spontaneous regression investigated. The inhibitory effects of recombinant CC10 on… Show more

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Cited by 23 publications
(25 citation statements)
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“…In all BAL fluid samples tested (n ϭ 5), a high concentration of guanylin [32.6 Ϯ 15.9 nmol͞ml (mean Ϯ SE)] was measured, ranging from 18.9 to 50.4 nmol͞ml BAL fluid sample, that obviously is considerably higher than the reported guanylin concentration in the circulation (23). Hence, the luminal presence of guanylin in terminal airways is basically consistent with the apical secretory characteristics of Clara cells (7) because they also may release the Clara cell protein CC10 luminally into the bronchiolar airways in high concentrations (24). Collectively, for the situation in situ, a luminocrine secretory and air-side acting mode of guanylin in Clara (Fig.…”
Section: Localization Of Guanylin In Clara Cells and Its Presence In mentioning
confidence: 55%
See 1 more Smart Citation
“…In all BAL fluid samples tested (n ϭ 5), a high concentration of guanylin [32.6 Ϯ 15.9 nmol͞ml (mean Ϯ SE)] was measured, ranging from 18.9 to 50.4 nmol͞ml BAL fluid sample, that obviously is considerably higher than the reported guanylin concentration in the circulation (23). Hence, the luminal presence of guanylin in terminal airways is basically consistent with the apical secretory characteristics of Clara cells (7) because they also may release the Clara cell protein CC10 luminally into the bronchiolar airways in high concentrations (24). Collectively, for the situation in situ, a luminocrine secretory and air-side acting mode of guanylin in Clara (Fig.…”
Section: Localization Of Guanylin In Clara Cells and Its Presence In mentioning
confidence: 55%
“…At present, the function of the Clara cells is discussed controversially but mainly correlated to a protective role against oxidative stress and inflammatory response in the respiratory tract and in production of surfactant in terminal airways (24). However, the present data conclusively reveal a particular function of Clara cells in the cGMP-mediated regulation of CFTR in small conducting airways implicating regulation of epithelial electrolyte͞fluid secretion in this critical location through an intriguing air-side route of activation of CFTR by guanylin; this clearly differs from the basolateral bloodside activation route mediated by cAMP and PKA (20).…”
Section: Discussionmentioning
confidence: 99%
“…Decreased amounts of CC 16 in the airways probably reflect toxic effects on the epithelium that might cause both lower release of the protein as well as an increased leakage of the protein to the systemic circulation, thus leading to increased levels in both plasma and urine [18]. Lower levels of CC 16 have been found in bronchoalveolar lavage fluid from smokers [24] and asthmatics [25], and in NLF from subjects with asthma and rhinitis [6]. CC 16 belongs to the uteroglobin family of proteins and is thus related to mammaglobin B.…”
Section: Differences Between Smokers and Nonsmokersmentioning
confidence: 98%
“…BAL analysis was performed on 58 sarcoid cases and 23 healthy subjects as previously described (26). Three 50-ml aliquots of 0.9% sterile saline were instilled into a bronchus in the right middle lobe through a fiberoptic bronchoscope in routine BAL analysis.…”
Section: Bal Analysismentioning
confidence: 99%