{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T03:05:29Z","timestamp":1768705529813,"version":"3.49.0"},"reference-count":39,"publisher":"S. Karger AG","issue":"5","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respiration"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background:&lt;\/i&gt;&lt;\/b&gt; Eicosanoids are small lipid molecules with diverse biological functions in the airways. &lt;b&gt;&lt;i&gt;Objectives:&lt;\/i&gt;&lt;\/b&gt; The aim of this study was to investigate changes in leukotriene B&lt;sub&gt;4&lt;\/sub&gt; (LTB&lt;sub&gt;4&lt;\/sub&gt;), 8-isoprostane, prostaglandin E&lt;sub&gt;2&lt;\/sub&gt; (PGE&lt;sub&gt;2&lt;\/sub&gt;) and cysteinyl-leukotriene (cys-LT) levels in the sputum of patients with chronic obstructive pulmonary disease (COPD) at the onset of a severe exacerbation and during the course of recovery. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; Thirty-seven ex-smoker COPD patients suffering an episode of acute exacerbation were enrolled. Samples were taken (i) on hospital admission and (ii) after regular treatment. Twenty-five stable ex-smoker COPD patients served as controls. Eicosanoids were determined by enzyme immunoassay. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; Sputum PGE&lt;sub&gt;2&lt;\/sub&gt; [39.8 (13.3-103.3) vs. 5.05 (2.3-12.1) pg\/ml, p &lt; 0.001], 8-isoprostane [89.5 (36.9-184.7) vs. 29.7 (13.8-68.8) pg\/ml, p &lt; 0.01] and LTB&lt;sub&gt;4&lt;\/sub&gt; [587.7 (252.9-774.8) vs. 276.1 (105.4-594.7) pg\/ml, p &lt; 0.05] levels were increased in patients with exacerbation compared to stable subjects. After treatment only PGE&lt;sub&gt;2&lt;\/sub&gt; levels decreased significantly [at discharge: 19.6 (4.6-52.5) pg\/ml, p &lt; 0.01], the levels of other eicosanoids remained elevated (p = NS). Sputum cys-LT levels were similar in stable patients and in those with exacerbation and treatment did not influence cys-LTs either. There was a significant correlation between PGE&lt;sub&gt;2&lt;\/sub&gt; and sputum neutrophil and lymphocyte cell counts in patients with exacerbation. &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; Our results suggest that 8-isoprostane, LTB&lt;sub&gt;4&lt;\/sub&gt; and PGE&lt;sub&gt;2&lt;\/sub&gt; but not cys-LTs may be involved in exacerbation-associated inflammatory processes in the airways of patients with COPD. Validation of PGE&lt;sub&gt;2&lt;\/sub&gt; for use as a biomarker of recovery from an exacerbation requires further studies.<\/jats:p>","DOI":"10.1159\/000358099","type":"journal-article","created":{"date-parts":[[2014,4,14]],"date-time":"2014-04-14T07:04:08Z","timestamp":1397459048000},"page":"408-415","source":"Crossref","is-referenced-by-count":21,"title":["Sputum Eicosanoid Profiling in Exacerbations of Chronic Obstructive Pulmonary 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