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Faguet, 2001 and Transdermal Drug Delivery: 54. Mycobacterium tuberculosis Protocols, edited Electrically Mediated Delivery of Molecules to byTanya Parish and Neil G. Stoker, 2001 Cells, edited by Mark J. Jaroszeski, Richard Heller, and Richard Gilbert, 2000 M E T H O D S I N M O L E C U L A R M E D I C I N ETM Human Airway Inflammation Sampling Techniques and Analytical Protocols Edited by Duncan F. Rogers and Louise E. Donnelly National Heart and Lung Institute, Imperial College, London, UK Humana Press Totowa, New Jersey ©2001 Humana Press Inc. 999 Riverview Drive, Suite 208 Totowa, New Jersey 07512 www.humanapress.com All rights reserved. No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise without written permis- sion from the Publisher. Methods in Molecular Medicine™ is a trademark of The Humana Press Inc. 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For those organizations that have been granted a photocopy license from the CCC, a separate system of payment has been arranged and is acceptable to Humana Press Inc. The fee code for users of the Transactional Reporting Service is: [0-89603-923-4/01 $10.00 + $00.25]. Printed in the United States of America. 10 9 8 7 6 5 4 3 2 1 Library of Congress Cataloging in Publication Data Main entry under title: Methods in molecular medicine™. Human airway inflammation: smapling techniques and analytical protocols / edited by Duncan F. Rogers and Louise E. Donnelly. p.;cm.—(Methods in molecular medicine; 56) Includes bibliographic references and index. ISBN 0-89603-923-4 (alk. paper) 1. Airway (Medicine)–Inflammation–Diagnosis. 2. Asthma–Diagnosis. 3. Lungs–Diseases, Obstructive Diagnosis. 4. Molecular diagnosis. I. Rogers, D. F. (Duncan F.), 1953–II. Donnelly, Louise E. III. Series [DNLM: 1. Asthma–physiopathology, 2. Gene Expression Regulation. 3. Inflammation– diagnosis. 4. Lung Diseases, Obstructive–pathophysiology. WF 553 H918 2001] RC732.H85 2001 616.2'38075–dc21 00-058136 Preface Rubor (redness), tumor (swelling), calor (heat), and dolor (pain) are the classical signs of inflammation. These features are obvious in the skin, where injury or disease causes flare, wheal, and painful burning sensations. Vasodila- tation underlies the flare and heat, plasma exudation the swelling, and activa- tion of sensory nerves relays pain. In chronic conditions, skin biopsies show inflammatory cell infiltrate. Inflammation is not unique to the skin and contrib- utes to disease and repair processes in other organ systems in the body. From the viewpoint of this volume, lung inflammation is now recognized as central to the pathophysiology of a number of severe respiratory conditions, the two most common being asthma and chronic obstructive pulmonary disease (COPD). In asthma, and to a lesser extent COPD, there is evidence of vasodilatation, with congestion of blood vessels accompanied by reddening of the airway mucosa, and of plasma exudation, leading to swelling of the airway wall. Similarly, although less pronounced than in the skin, there is evidence of pain, for example, the un- pleasant chest sensations associated with asthma attacks. Understanding the patho- genesis of airway inflammation will enable rational design of drugs to effectively treat conditions such as asthma and COPD. However, whereas immediate access to the skin facilitates investigation of disease processes, the lung, although “open to atmosphere,” is much less accessible. Consequently, the investigation of lung inflammation is usually indirect. Thus, a wide variety of research techniques are used. Human Airway Inflammation: Sampling Techniques and Analytical Protocols attempts to draw together many of the important methodologies and protocols for assessing inflammation in human airways. We start with techniques for the collection of samples. These can be such airway liquids as sputum or exhaled gases as nitric oxide (NO). Once collected, the samples can be used for the isolation and characterization of cells or for the measure- ment of markers of inflammation. Techniques to isolate and analyze all of the major inflammatory cells associated with lung inflammation are given. Similarly, protocols to measure many of the inflammatory mediators and enzymes released during lung inflammation are detailed herein. In an attempt to be inclusive and to attract both experienced researchers and the novice, we have included specialized chapters (for example, on tracing intracellular mediator storage), mixed with v vi Preface more general chapters (for example, on Northern blotting). We wanted our vol- ume to have something for everyone interested in assessing lung inflammation. To achieve our aim, we are indebted to our authors for sharing their meth- odological secrets. As we all know, following the published “recipe” does not always (some would say ever) reproduce the data presented. To that end, the “Methods” series includes the authors “Notes.” These are the tips and nuances that convert abject failure into a successful experiment. Our contributors have been most forthcoming on their methods, most of which were painstakingly developed over long periods of time. Another factor that increases the impact of the book is the inclusion of color figures in some of the chapters. We are most grateful to Astra Zeneca and Boehringer Ingelheim, UK for sponsoring color reproduction. Finally, we wish to thank John Walker and Thomas Lanigan for inviting us to put this volume together—it has been an invaluable learning experience for us all. Duncan F. Rogers Louise E. Donnelly Contents Preface ............................................................................................................v Contributors....................................................................................................xi 1 Airway Inflammation and Remodeling in Asthma: Current Concepts Stephen T. Holgate................................................................................1 PART I: SAMPLE COLLECTION:INVASIVE TECHNIQUES 2 Biopsy Techniques: Optimization for Collection and Preservation Marina Saetta and Graziella Turato...................................................19 3 Bronchoalveolar Lavage (BAL): Critical Evaluation of Techniques Christopher Ward and E. Haydn Walters..........................................31 4 Nasal Secretions and Exudations: Collection and Approaches to Analysis Lennard Greiff, Morgan Andersson, and Carl G.A. Persson.........61 PART II. SAMPLE COLLECTION: NONINVASIVE TECHNIQUES 5 Induced Sputum: Selection Method Margaret M. Kelly, Ann Efthimiadis, and Frederick E. Hargreave...................................................................77 6 Induced Sputum: Whole Sample Vera M. Keatings and Julia A. Nightingale.......................................93 7 Measurement of Exhaled Nitric Oxide and Carbon Monoxide Sergei A. Kharitonov...........................................................................99 8 Measurement of Exhaled Hydrocarbons Paolo Paredi, Sergei A. Kharitonov, and Peter J. Barnes............109 9 Breath Condensate as a Vehicle for Collection of Inflammatory Mediators, Especially Hydrogen Peroxide Johan C. de Jongste, Rijn Jöbsis, and H. Rolien Raatgeep........119 PART III. CELL ISOLATIONAND CULTURE 10 Airway Epithelial Cells (Primaries vs Cell Lines) Louise E. Donnelly.............................................................................127 11 Isolation and Culture of Human Alveolar Type II Pneumocytes Ian R. Witherden and Teresa D. Tetley...........................................137 vii viii Contents 12 Pulmonary Artery Endothelial Cells Joachim Seybold and Norbert Suttorp...........................................147 13 Isolation and Culture of Human Airway Smooth Muscle Cells Aili L. Lazaar and Reynold A. Panettieri, Jr...................................155 14 Isolation and Purification of Human Mast Cells and Basophils Bernhard F. Gibbs and Madeleine Ennis .......................................161 15 Neutrophils: Collection, Separation, and Activation Sarah V. Culpitt..................................................................................177 16 Macrophages: Identification, Separation, and Function Leonard W. Poulter and C.M. Burke................................................191 17 Collection, Separation, and Activation of Human T Lymphocytes Yannis Sotsios and Stephen G. Ward.............................................205 18 Eosinophils: Collection, Separation, and Activation Leo Koenderman, Jan van der Linden, Laurien Ulfman, and Paul Coffer..............................................................................217 PART IV. GENE EXPRESSION/REGULATION 19 Analysis of Gene Expression: Reverse Transcription-Polymerase Chain Reaction El-Bdaoui Haddad and Jonathan Roussell....................................229 20 Analysis of Gene Expression: Northern Blotting Jonathan Roussell and El-Bdaoui Haddad....................................247 21 The Technique of In Situ Hybridization Sun Ying and A. Barry Kay..............................................................263 22 Measurement of Airway Mucin Gene Expression Kelly Pritchard, Alinka K. Smith, and Duncan F. Rogers............285 23 Transcription Factors and Inflammatory Gene Regulation: Strategic Approaches Robert Newton and Karl J. Staples............................................... 295 PART V. MEDIATORS:EXPRESSIONAND FUNCTION 24 Inflammatory Mediators in Spontaneously Produced Sputum Adam Hill, Simon Gompertz, Darren Bayley, and Robert Stockley.....................................................................317 25 Flow Cytometry: Measurement of Leukocyte Receptor Expression and Function Adele Hartnell....................................................................................335 Contents ix 26 Measurement of Granulocyte Pharmacodynamics in Whole Blood by Flow Cytometry Shannon A. Bryan, Margaret J. Leckie, Gavin Jenkins, Peter J. Barnes, Timothy J. Williams, Ian Sabroe, and Trevor T. Hansel.....................................................................345 27 Current In Vitro Models of Leukocyte Migration: Methods and Interpretation Jennifer R. Allport, Guillermo Garcia-Cardeña, Yaw-Chyn Lim, and Francis W. Luscinskas.........................................................357 28 Tracing Intracellular Mediator Storage and Mobilization in Eosinophils Salahaddin Mahmudi-Azer, Paige Lacey, and Redwan Moqbel.....................................................................367 29 Measurement of Metalloproteinases Steven D. Shapiro, Diane Kelley and Dale Kobayashi.................383 30 Immunocytochemistry and Immunohistochemistry Jochen Springer and Axel Fischer.................................................391 31 The Measurement of Cysteinyl Leukotrienes in Urine Jay Y. Wescott and Sally E. Wenzel...............................................399 32 Quantitative Analysis of Cyclooxygenase Metabolites of Arachidonic Acid Ryszard Dworski, James R. Sheller, and Brian W. Christman...............................................................411 33 Quantitative Analysis of F Isoprostanes 2 Ryszard Dworski, Brian W. Christman, and James R. Sheller...................................................................423 Index............................................................................................................431 Contributors JENNIFER R. ALLPORT • Vascular Research Division, Department of Pathology, Brigham and Women’s Hospital, Boston, MA MORGAN ANDERSSON • Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital, Lund, Sweden PETER J. BARNES • Department of Thoracic Medicine, National Heart and Lung Institute, Imperial College School of Science, Technology and Medicine, London, UK DARREN BAYLEY • Department of Respiratory Medicine, Queen Elizabeth Hospital, Birmingham, UK SHANNON A. BRYAN • Royal Brompton Clinical Studies Unit, National Heart and Lung Institute, Imperial College School of Science, Technology and Medicine, London, UK C. M. BURKE • Department of Respiratory Medicine, James Connolly Memorial Hospital, Blanchardstown, Dublin, Ireland BRIAN W. CHRISTMAN • Center for Lung Research, Vanderbilt University Medical Center, Nashville, TN PAUL COFFER • Department of Pulmonary Diseases, University Hospital, Utrecht, The Netherlands SARAH V. CULPITT • Department of Thoracic Medicine, National Heart and Lung Institute, Imperial College School of Science, Technology and Medicine, London, UK LOUISE E. DONNELLY • Department of Thoracic Medicine, National Heart and Lung Institute, Imperial College School of Science, Technology and Medicine, London, UK RYSZARD DWORSKI • Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TN ANN EFTHIMIADIS • Firestone Regional Chest and Allergy Unit, St. Joseph’s Hospital, Ontario, Canada MADELEINE ENNIS • Department of Clinical Biochemistry, Institute of Clinical Science, The Queen’s University of Belfast, Belfast, UK AXEL FISCHER • Allergy Research Group, Humboldt University, Charité, Berlin, Germany GUILLERMO GARCIA-CARDEÑA • Vascular Research Division, Department of Pathology, Brigham and Women’s Hospital, Boston, MA xi