Novel method to process cystic fibrosis sputum for determination of oxidative state

A Hector, F Jonas, M Kappler, M Feilcke, D Hartl… - Respiration, 2010 - karger.com
A Hector, F Jonas, M Kappler, M Feilcke, D Hartl, M Griese
Respiration, 2010karger.com
Background: Induced sputum is the most commonly used method to analyze airway
inflammation in cystic fibrosis (CF) patients ex vivo. Due to the complex matrix of the sample
material, precise and reliable analysis of sputum constituents depends critically on
preanalytical issues. Objectives: Here we compared the commonly used method for sputum
processing by dithiothreitol (DTT) with a novel mechanical method in regard to basal cellular
parameters, neutrophil markers and glutathione (GSH) levels. Methods: Sputum samples …
Background
Induced sputum is the most commonly used method to analyze airway inflammation in cystic fibrosis (CF) patients ex vivo. Due to the complex matrix of the sample material, precise and reliable analysis of sputum constituents depends critically on preanalytical issues.
Objectives
Here we compared the commonly used method for sputum processing by dithiothreitol (DTT) with a novel mechanical method in regard to basal cellular parameters, neutrophil markers and glutathione (GSH) levels.
Methods
Sputum samples from CF patients were processed in parallel with or without the use of DTT. The key improvement of the mechanical method was the processing in many very small aliquots. Cellular and humoral markers were assessed and compared according to Bland-Altman.
Results
Total cell count, cell viability, differential cell count, neutrophil elastase levels and flow cytometrically analyzed neutrophil markers (CD63, CD11b, DHR) did not differ between the two methods. Intracellular and extracellular GSH levels were significantly higher in DTT-treated samples (p= 0.002).
Conclusion
The mechanical sputum-processing method presented had a similar yield of cells and fluids as the conventional DTT method and the advantage of omitting the introduction of reducing agents. This method allows a more reliable analysis of redox-dependent airway inflammation in sputum cells and fluid from CF patients than methods utilizing DTT.
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