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The Journal of Immunology, 2000, 165: 3966-3969.
Copyright © 2000 by The American Association of Immunologists

Granzyme Activity in the Inflamed Lung Is Not Controlled by Endogenous Serine Proteinase Inhibitors1

Guy M. Tremblay2,*, Angela M. Wolbink{dagger}, Yvon Cormier* and C. Erik Hack{dagger},{ddagger}

* Centre de Recherche, Hôpital Laval, Institut Universitaire de Cardiologie et de Pneumologie de l’Université Laval, Sainte-Foy (Québec), Canada; {dagger} Central Laboratory of The Netherlands Red Cross Blood Transfusion Services, Amsterdam, The Netherlands; and {ddagger} Department of Clinical Chemistry, Academic Hospital Vrije Universiteit, Amsterdam, The Netherlands

Numerous lung diseases, such as hypersensitivity pneumonitis (HP), are characterized by the presence of activated alveolar CTL and NK cells. Since these cells produce granzymes, granzyme A and B levels in bronchoalveolar lavage (BAL) fluids from 14 normal subjects and 12 patients with HP were measured by ELISA. Median (range) BAL granzyme A and B levels were 4 (0–37) and 0 (0–6) pg/ml in normal subjects. BAL granzyme levels were significantly higher in HP patients, being at 74 (0–1889) and 10 (0–78) pg/ml for granzymes A and B, respectively. In vitro, neither of the three main serine protease inhibitors of the lung, namely {alpha}1-antitrypsin, secretory leukocyte protease inhibitor, and elafin, showed any effect on granzyme A or B activity. In addition, granzyme A was shown to be fully active in BAL fluids. Hence, these data show that granzyme activity may be poorly controlled by protease inhibitors in inflamed tissues. Thus, granzymes could contribute to tissue remodeling and inflammation characterizing HP.




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