Gender Differences in Pulmonary Function, Respiratory Symptoms, and Macrophage Proteomics among HIV-Infected Smokers

Background. HIV-infected subjects have an increased incidence of pulmonary emphysema. There are known gender differences in COPD phenotypic expression and diagnosis, but this is not well characterized in lung disease related to HIV. We analyzed a group at risk for the development of COPD (HIV-infect...

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Main Authors: Shiva D. Rahmanian, Karen L. Wood, Shili Lin, Mark A. King, April Horne, Shangbin Yang, Haifeng M. Wu, Philip T. Diaz
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Scientifica
Online Access:http://dx.doi.org/10.1155/2014/613689
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author Shiva D. Rahmanian
Karen L. Wood
Shili Lin
Mark A. King
April Horne
Shangbin Yang
Haifeng M. Wu
Philip T. Diaz
author_facet Shiva D. Rahmanian
Karen L. Wood
Shili Lin
Mark A. King
April Horne
Shangbin Yang
Haifeng M. Wu
Philip T. Diaz
author_sort Shiva D. Rahmanian
collection DOAJ
description Background. HIV-infected subjects have an increased incidence of pulmonary emphysema. There are known gender differences in COPD phenotypic expression and diagnosis, but this is not well characterized in lung disease related to HIV. We analyzed a group at risk for the development of COPD (HIV-infected smokers) to determine gender differences in pulmonary symptoms, pulmonary function tests, and HRCT appearances. Methods. This was a cross-sectional, baseline analysis of a prospective study performed between 2006 and 2010. We performed symptomatic, pulmonary function, and computed tomography assessments in 243 HIV-infected smokers. In a subset bronchoalveolar lavage was performed with proteomic analysis of their alveolar macrophages. Results. The majority of the participants were male 213 (87.6%). There was significantly higher percentage of cough and phlegm production in males. There was also a lower FEV1 and a higher RV in males than females. Proteomic analysis revealed 29 proteins with at least a 2-fold higher expression in males and 13 identified proteins that were higher in females. Conclusions. In this group of HIV-infected smokers, airway symptoms and pulmonary function test abnormalities were higher in men than women. These gender differences may be due to differential expression of certain proteins in this group.
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spelling doaj-art-55c29c5849c54e399a511ed01c04c8032025-02-03T06:42:09ZengWileyScientifica2090-908X2014-01-01201410.1155/2014/613689613689Gender Differences in Pulmonary Function, Respiratory Symptoms, and Macrophage Proteomics among HIV-Infected SmokersShiva D. Rahmanian0Karen L. Wood1Shili Lin2Mark A. King3April Horne4Shangbin Yang5Haifeng M. Wu6Philip T. Diaz7Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, The Ohio State University Medical Center, Columbus, OH, USADivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, The Ohio State University Medical Center, Columbus, OH, USADepartment of Statistics, The Ohio State University, Columbus, OH 43210, USADepartment of Radiology, The Ohio State University Medical Center, Columbus, OH 43210, USADepartment of Pathology, The Ohio State University Medical Center, Columbus, OH 43210, USADepartment of Pathology, The Ohio State University Medical Center, Columbus, OH 43210, USADepartment of Pathology, The Ohio State University Medical Center, Columbus, OH 43210, USADivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, The Ohio State University Medical Center, Columbus, OH, USABackground. HIV-infected subjects have an increased incidence of pulmonary emphysema. There are known gender differences in COPD phenotypic expression and diagnosis, but this is not well characterized in lung disease related to HIV. We analyzed a group at risk for the development of COPD (HIV-infected smokers) to determine gender differences in pulmonary symptoms, pulmonary function tests, and HRCT appearances. Methods. This was a cross-sectional, baseline analysis of a prospective study performed between 2006 and 2010. We performed symptomatic, pulmonary function, and computed tomography assessments in 243 HIV-infected smokers. In a subset bronchoalveolar lavage was performed with proteomic analysis of their alveolar macrophages. Results. The majority of the participants were male 213 (87.6%). There was significantly higher percentage of cough and phlegm production in males. There was also a lower FEV1 and a higher RV in males than females. Proteomic analysis revealed 29 proteins with at least a 2-fold higher expression in males and 13 identified proteins that were higher in females. Conclusions. In this group of HIV-infected smokers, airway symptoms and pulmonary function test abnormalities were higher in men than women. These gender differences may be due to differential expression of certain proteins in this group.http://dx.doi.org/10.1155/2014/613689
spellingShingle Shiva D. Rahmanian
Karen L. Wood
Shili Lin
Mark A. King
April Horne
Shangbin Yang
Haifeng M. Wu
Philip T. Diaz
Gender Differences in Pulmonary Function, Respiratory Symptoms, and Macrophage Proteomics among HIV-Infected Smokers
Scientifica
title Gender Differences in Pulmonary Function, Respiratory Symptoms, and Macrophage Proteomics among HIV-Infected Smokers
title_full Gender Differences in Pulmonary Function, Respiratory Symptoms, and Macrophage Proteomics among HIV-Infected Smokers
title_fullStr Gender Differences in Pulmonary Function, Respiratory Symptoms, and Macrophage Proteomics among HIV-Infected Smokers
title_full_unstemmed Gender Differences in Pulmonary Function, Respiratory Symptoms, and Macrophage Proteomics among HIV-Infected Smokers
title_short Gender Differences in Pulmonary Function, Respiratory Symptoms, and Macrophage Proteomics among HIV-Infected Smokers
title_sort gender differences in pulmonary function respiratory symptoms and macrophage proteomics among hiv infected smokers
url http://dx.doi.org/10.1155/2014/613689
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