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Intercellular adhesion molecule 1 and progression of percent emphysema: The MESA Lung Study
Journal article   Open access   Peer reviewed

Intercellular adhesion molecule 1 and progression of percent emphysema: The MESA Lung Study

Carrie P Aaron, Joseph E Schwartz, Suzette J Bielinski, Eric A Hoffman, John H.M Austin, Elizabeth C Oelsner, Kathleen M Donohue, Ravi Kalhan, Cecilia Berardi, Joel D Kaufman, …
Respiratory medicine, Vol.109(2), pp.255-264
02/2015
DOI: 10.1016/j.rmed.2014.10.004
PMCID: PMC4331236
PMID: 25457724
url
https://doi.org/10.1016/j.rmed.2014.10.004View
Published (Version of record) Open Access

Abstract

Endothelial intercellular adhesion molecule (ICAM) 1 binds neutrophils and facilitates their transmigration into the lung; E-selectin facilitates leukocyte rolling. As neutrophils contribute to tissue destruction in emphysema and chronic obstructive pulmonary disease, we hypothesized that soluble ICAM-1 (sICAM-1) and E-selectin (sE-selectin) would be associated with longitudinal progression of emphysema and lung function decline. The Multi-Ethnic Study of Atherosclerosis (MESA) enrolled participants 45–84 years old without clinical cardiovascular disease in 2000–02. The MESA Lung Study assessed percent emphysema (<−950 Hounsfield units) on cardiac (2000–07) and full-lung CT scans (2010–12), and spirometry was assessed twice over five years. sICAM-1 and sE-selectin were measured at baseline. Mixed-effect models adjusted for demographics, anthropometry, smoking, C-reactive protein, sphingomyelin and scanner factors. Among 1865 MESA Lung participants with measurement of sICAM-1 and percent emphysema the mean log-sICAM-1 was 5.5 ± 0.3 ng/mL and percent emphysema increased 0.73 percentage points (95% CI: 0.34, 1.12; P < 0.001) over ten years. A one SD increase in sICAM-1 was associated with an accelerated increase in percent emphysema of 0.23 percentage points over ten years (95% CI: 0.06, 0.39; P = 0.007). No significant association was found for sE-selectin, or between any adhesion molecule and lung function. Higher levels of sICAM-1 were independently associated with progression of percent emphysema in a general population sample.
CT imaging Emphysema Intercellular adhesion molecule-1 Endothelium

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