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An accumulation of apoptotic airway epithelial cells, if not efficiently cleared by efferocytosis, can undergo secondary necrosis, with the potential for inflammation of surrounding tissues. Apoptosis may occur via the <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content> cell granzyme <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> pathway. The role of granzyme <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">NEA<\/jats:styled-content> is not known. The aim of this study was to investigate production of granzyme <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> and its inhibitor proteinase inhibitor (<jats:styled-content style=\"fixed-case\">PI<\/jats:styled-content>)\u20109 by <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content> cells from induced sputum and compare expression between eosinophilic, <jats:styled-content style=\"fixed-case\">NEA<\/jats:styled-content> and healthy controls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We investigated <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content> cell intracellular granzyme <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> and its inhibitor, <jats:styled-content style=\"fixed-case\">PI<\/jats:styled-content>\u20109, in sputum from healthy control subjects (<jats:italic>n<\/jats:italic>\u2009=\u200910), and patients with <jats:styled-content style=\"fixed-case\">NEA<\/jats:styled-content> (<jats:italic>n<\/jats:italic>\u2009=\u200922) or eosinophilic asthma (<jats:styled-content style=\"fixed-case\">EA<\/jats:styled-content>) (<jats:italic>n<\/jats:italic>\u2009=\u200915) using flow cytometry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Granzyme <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> expression and the ratio of granzyme <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> to <jats:styled-content style=\"fixed-case\">PI<\/jats:styled-content>\u20109 positive cells were highest in those with <jats:styled-content style=\"fixed-case\">NEA<\/jats:styled-content> for both <jats:styled-content style=\"fixed-case\">CD3<\/jats:styled-content>+ and <jats:styled-content style=\"fixed-case\">CD4<\/jats:styled-content>+ <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content> cells. The expression of granzyme <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> was not statistically different between patients with <jats:styled-content style=\"fixed-case\">NEA<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">EA<\/jats:styled-content>; however, the ratio of granzyme <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> to <jats:styled-content style=\"fixed-case\">PI<\/jats:styled-content>\u20109 positive cells for <jats:styled-content style=\"fixed-case\">CD3<\/jats:styled-content>+ <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content> cells was significantly higher in those with <jats:styled-content style=\"fixed-case\">NEA<\/jats:styled-content> compared with <jats:styled-content style=\"fixed-case\">EA<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Induced sputum provides a non\u2010invasive tool for investigating <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content> cell cytotoxic mediators in the various asthma subtypes. Granzyme <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> expression is increased in <jats:styled-content style=\"fixed-case\">NEA<\/jats:styled-content> and the contribution of granzyme <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> to chronic inflammation requires further study.<\/jats:p><\/jats:sec>","DOI":"10.1111\/resp.12213","type":"journal-article","created":{"date-parts":[[2013,12,23]],"date-time":"2013-12-23T09:04:49Z","timestamp":1387789489000},"page":"280-287","source":"Crossref","is-referenced-by-count":8,"title":["Altered sputum granzyme <scp>B<\/scp> and granzyme <scp>B<\/scp>\/proteinase inhibitor\u20109 in patients with non\u2010eosinophilic asthma"],"prefix":"10.1111","volume":"19","author":[{"given":"Jodie L","family":"Simpson","sequence":"first","affiliation":[{"name":"Centre for Asthma and Respiratory Disease The University of Newcastle  Newcastle New South Wales Australia"},{"name":"Department of Respiratory and Sleep Medicine John Hunter Hospital Hunter Medical Research Institute  Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter G","family":"Gibson","sequence":"additional","affiliation":[{"name":"Centre for Asthma and Respiratory Disease The University of Newcastle  Newcastle New South Wales Australia"},{"name":"Department of Respiratory and Sleep Medicine John Hunter Hospital Hunter Medical Research Institute  Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian A","family":"Yang","sequence":"additional","affiliation":[{"name":"School of Medicine The University of Queensland  Brisbane Queensland Australia"},{"name":"The Prince Charles Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Upham","sequence":"additional","affiliation":[{"name":"School of Medicine The University of Queensland  Brisbane Queensland Australia"},{"name":"Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"James","sequence":"additional","affiliation":[{"name":"Sir Charles Gairdner Hospital  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul N","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Department of Thoracic Medicine Royal Adelaide Hospital  Adelaide South Australia Australia"},{"name":"Lung Research Laboratory, Hanson Institute  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Hodge","sequence":"additional","affiliation":[{"name":"Department of Thoracic Medicine Royal Adelaide Hospital  Adelaide South Australia Australia"},{"name":"Lung Research Laboratory, Hanson Institute  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"AMAZES Study Research Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,12,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1843.2006.00784.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201109-1640OC"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2006.073429"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.160.3.9812110"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm\/148.3.713"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)01813-9"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.06.00137704"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.05.00077604"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2222.2009.03244.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1159\/000088436"},{"key":"e_1_2_7_12_1","first-page":"419","article-title":"Epithelial cell apoptosis and lung remodeling","volume":"4","author":"Kuwano K","year":"2007","journal-title":"Cell. 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