CXCL16/CXCR6 axis arises as a potential peripheral biomarker of early COPD development – results from a pilot study

BackgroundChronic obstructive pulmonary disease (COPD) is mainly caused by long-term exposure to cigarette smoke. Since systemic inflammation is an important component of COPD pathophysiology, its characterization is essential for developing new biomarkers and pharmacological approaches. We have pre...

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Main Authors: Patrice Marques, Irene Bocigas, Elena Domingo, Vera Francisco, Julia Tarrasó, Laura Piqueras, Jaime Signes-Costa, Cruz González, Maria-Jesus Sanz
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1636360/full
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author Patrice Marques
Patrice Marques
Patrice Marques
Irene Bocigas
Elena Domingo
Elena Domingo
Vera Francisco
Julia Tarrasó
Julia Tarrasó
Laura Piqueras
Laura Piqueras
Laura Piqueras
Jaime Signes-Costa
Jaime Signes-Costa
Cruz González
Cruz González
Maria-Jesus Sanz
Maria-Jesus Sanz
Maria-Jesus Sanz
author_facet Patrice Marques
Patrice Marques
Patrice Marques
Irene Bocigas
Elena Domingo
Elena Domingo
Vera Francisco
Julia Tarrasó
Julia Tarrasó
Laura Piqueras
Laura Piqueras
Laura Piqueras
Jaime Signes-Costa
Jaime Signes-Costa
Cruz González
Cruz González
Maria-Jesus Sanz
Maria-Jesus Sanz
Maria-Jesus Sanz
author_sort Patrice Marques
collection DOAJ
description BackgroundChronic obstructive pulmonary disease (COPD) is mainly caused by long-term exposure to cigarette smoke. Since systemic inflammation is an important component of COPD pathophysiology, its characterization is essential for developing new biomarkers and pharmacological approaches. We have previously reported CXCL16/CXCR6 axis upregulation, a key element of leukocyte trafficking in COPD. Given the paucity of data on early-stage COPD patients (GOLD 1), we investigated CXCL16/CXCR6 axis expression in this population and in individuals at risk for developing COPD.DesignBlood samples were collected from 27 GOLD 1 patients, 27 symptomatic smokers with normal lung function (pre-COPD), and 14 non-smokers. CXCR6 expression was assessed in platelets, leukocytes, and leukocyte-platelet aggregates by flow cytometry. Plasma CXCL16 levels were measured by ELISA and lung function by spirometry.ResultsCXCL16 plasma levels and CXCR6 expression on platelets, classical monocytes, B-cells, and leukocyte-platelet aggregates were higher in GOLD 1 patients than in non-smokers and pre-COPD subjects. While CXCR6 expression was similar between the pre-COPD group and non-smokers, plasma levels of CXCL16 were higher in the former. Finally, CXCL16/CXCR6 axis expression negatively correlated with FEV1/FVC ratio.ConclusionThis pilot study provides the first evidence that the CXCL16/CXCR6 axis is upregulated in early-COPD development. Increased CXCL16 plasma levels in GOLD 1 patients and pre-COPD subjects suggest CXCL16 as a potential peripheral biomarker of early COPD development. Given the importance of the CXCL16/CXCR6 axis in leukocyte trafficking, it may emerge as a druggable target to attenuate lung immune cell infiltration and prevent COPD development and progression.
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spelling doaj-art-0071406e8ade4ff696e29a97697b87412025-08-20T03:28:17ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-07-011210.3389/fmed.2025.16363601636360CXCL16/CXCR6 axis arises as a potential peripheral biomarker of early COPD development – results from a pilot studyPatrice Marques0Patrice Marques1Patrice Marques2Irene Bocigas3Elena Domingo4Elena Domingo5Vera Francisco6Julia Tarrasó7Julia Tarrasó8Laura Piqueras9Laura Piqueras10Laura Piqueras11Jaime Signes-Costa12Jaime Signes-Costa13Cruz González14Cruz González15Maria-Jesus Sanz16Maria-Jesus Sanz17Maria-Jesus Sanz18Department of Pharmacology, Faculty of Medicine and Odontology, University of Valencia, Valencia, SpainInstitute of Health Research INCLIVA, University Clinic Hospital of Valencia, Valencia, SpainCIBEREHD-Spanish Biomedical Research Centre in Hepatic and Digestive Diseases, Carlos III Health Institute (ISCIII), Madrid, SpainPneumology Unit, University Clinic Hospital of Valencia, Valencia, SpainDepartment of Pharmacology, Faculty of Medicine and Odontology, University of Valencia, Valencia, SpainInstitute of Health Research INCLIVA, University Clinic Hospital of Valencia, Valencia, SpainInstitute of Health Research INCLIVA, University Clinic Hospital of Valencia, Valencia, SpainInstitute of Health Research INCLIVA, University Clinic Hospital of Valencia, Valencia, SpainPneumology Unit, University Clinic Hospital of Valencia, Valencia, SpainDepartment of Pharmacology, Faculty of Medicine and Odontology, University of Valencia, Valencia, SpainInstitute of Health Research INCLIVA, University Clinic Hospital of Valencia, Valencia, SpainCIBERDEM-Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders, Carlos III Health Institute (ISCIII), Madrid, SpainInstitute of Health Research INCLIVA, University Clinic Hospital of Valencia, Valencia, SpainPneumology Unit, University Clinic Hospital of Valencia, Valencia, SpainInstitute of Health Research INCLIVA, University Clinic Hospital of Valencia, Valencia, SpainPneumology Unit, University Clinic Hospital of Valencia, Valencia, SpainDepartment of Pharmacology, Faculty of Medicine and Odontology, University of Valencia, Valencia, SpainInstitute of Health Research INCLIVA, University Clinic Hospital of Valencia, Valencia, SpainCIBERDEM-Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders, Carlos III Health Institute (ISCIII), Madrid, SpainBackgroundChronic obstructive pulmonary disease (COPD) is mainly caused by long-term exposure to cigarette smoke. Since systemic inflammation is an important component of COPD pathophysiology, its characterization is essential for developing new biomarkers and pharmacological approaches. We have previously reported CXCL16/CXCR6 axis upregulation, a key element of leukocyte trafficking in COPD. Given the paucity of data on early-stage COPD patients (GOLD 1), we investigated CXCL16/CXCR6 axis expression in this population and in individuals at risk for developing COPD.DesignBlood samples were collected from 27 GOLD 1 patients, 27 symptomatic smokers with normal lung function (pre-COPD), and 14 non-smokers. CXCR6 expression was assessed in platelets, leukocytes, and leukocyte-platelet aggregates by flow cytometry. Plasma CXCL16 levels were measured by ELISA and lung function by spirometry.ResultsCXCL16 plasma levels and CXCR6 expression on platelets, classical monocytes, B-cells, and leukocyte-platelet aggregates were higher in GOLD 1 patients than in non-smokers and pre-COPD subjects. While CXCR6 expression was similar between the pre-COPD group and non-smokers, plasma levels of CXCL16 were higher in the former. Finally, CXCL16/CXCR6 axis expression negatively correlated with FEV1/FVC ratio.ConclusionThis pilot study provides the first evidence that the CXCL16/CXCR6 axis is upregulated in early-COPD development. Increased CXCL16 plasma levels in GOLD 1 patients and pre-COPD subjects suggest CXCL16 as a potential peripheral biomarker of early COPD development. Given the importance of the CXCL16/CXCR6 axis in leukocyte trafficking, it may emerge as a druggable target to attenuate lung immune cell infiltration and prevent COPD development and progression.https://www.frontiersin.org/articles/10.3389/fmed.2025.1636360/fullcigarette smokingCOPDGOLD 1CXCL16CXCR6biomarker
spellingShingle Patrice Marques
Patrice Marques
Patrice Marques
Irene Bocigas
Elena Domingo
Elena Domingo
Vera Francisco
Julia Tarrasó
Julia Tarrasó
Laura Piqueras
Laura Piqueras
Laura Piqueras
Jaime Signes-Costa
Jaime Signes-Costa
Cruz González
Cruz González
Maria-Jesus Sanz
Maria-Jesus Sanz
Maria-Jesus Sanz
CXCL16/CXCR6 axis arises as a potential peripheral biomarker of early COPD development – results from a pilot study
Frontiers in Medicine
cigarette smoking
COPD
GOLD 1
CXCL16
CXCR6
biomarker
title CXCL16/CXCR6 axis arises as a potential peripheral biomarker of early COPD development – results from a pilot study
title_full CXCL16/CXCR6 axis arises as a potential peripheral biomarker of early COPD development – results from a pilot study
title_fullStr CXCL16/CXCR6 axis arises as a potential peripheral biomarker of early COPD development – results from a pilot study
title_full_unstemmed CXCL16/CXCR6 axis arises as a potential peripheral biomarker of early COPD development – results from a pilot study
title_short CXCL16/CXCR6 axis arises as a potential peripheral biomarker of early COPD development – results from a pilot study
title_sort cxcl16 cxcr6 axis arises as a potential peripheral biomarker of early copd development results from a pilot study
topic cigarette smoking
COPD
GOLD 1
CXCL16
CXCR6
biomarker
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1636360/full
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