Tuberc Respir Dis.  2017 Apr;80(2):153-158. 10.4046/trd.2017.80.2.153.

Down-Regulation of Serum High-Mobility Group Box 1 Protein in Patients with Pulmonary Tuberculosis and Nontuberculous Mycobacterial Lung Disease

Affiliations
  • 1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 2Department of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 3Department of Internal Medicine and Lung Institute of Medical Research Center, Seoul National University College of Medicine, Seoul, Korea.
  • 4Department of Microbiology, Institute for Immunology and Immunological Diseases, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea. sjshin@yuhs.ac

Abstract

BACKGROUND
Recently, increased levels of high-mobility group box 1 protein (HMGB1) have been identified in various inflammatory conditions and infections. However, no studies have evaluated the HMGB1 level in nontuberculous mycobacterial (NTM) lung disease, and compared it to mycobacterial lung disease.
METHODS
A total of 60 patients newly diagnosed with NTM lung disease, 44 culture-positive pulmonary tuberculosis (TB) patients, and 34 healthy controls, were included in this study. The serum HMGB1 concentrations were quantified using HMGB1 enzyme-linked immunosorbent assay kits.
RESULTS
Serum HMGB1 level in patients with pulmonary TB or NTM lung disease, was significantly lower than that of the healthy controls. In addition, the serum HMGB1 level in TB patients was significantly lower than patients with NTM lung disease. However, the levels in NTM patient subgroups did not differ according to the causative species, disease progression, and disease phenotype.
CONCLUSION
Although low levels of serum HMGB1 has the potential to be a marker of mycobacterial lung disease, these levels were unable to differentiate disease progression and disease phenotype in NTM lung diseases.

Keyword

HMGB1 Protein; Nontuberculous Mycobacteria; Tuberculosis

MeSH Terms

Disease Progression
Down-Regulation*
Enzyme-Linked Immunosorbent Assay
HMGB1 Protein
Humans
Lung Diseases*
Lung*
Nontuberculous Mycobacteria
Phenotype
Tuberculosis
Tuberculosis, Pulmonary*
HMGB1 Protein

Figure

  • Figure 1 Levels of serum high mobility group box chromosomal protein 1 (HMGB1). (A) Amount of HMGB1 in the sera of healthy controls (HC; n=34), patients with nontuberculous mycobacteria (NTM) lung disease (n=60), and tuberculosis (TB) patients (n=44). (B) HMGB1 levels according to etiology (Mycobacterium avium [n=20], M. intracellulare [n=20], M. abscessus [n=10], and M. massiliense [n=10]). (C) HMGB1 levels according to disease progression (stable [n=19] vs. progressive [n=41]). The data are presented as Tukey's box-and-whisker plots. **p<0.01, ***p<0.001 for the results of comparisons between patients and controls.


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