Abstract
Mice deficient in granulocyte-macrophage colony stimulating factor (GM-CSF) develop pulmonary alveolar proteinosis (PAP). We found that bronchoalveolar lavage fluid (BALF) from 11 patients with idiopathic pulmonary alveolar proteinosis (IPAP) suppressed the growth of peripheral blood monocytes and TF-1 cells, a cell line dependent on either GM-CSF or interleukin-3 (IL-3). The inhibitory effect of PAP-BALF occurred only when TF-1 cells were cultured with GM-CSF but not when cultured with IL-3, suggesting that PAP-BALF contains a factor that specifically interferes with GM-CSF function. 125I-GM-CSF binding to TF-1 cells was prevented in the presence of BALF from IPAP patients. Furthermore, cross-linking of 125I-GM-CSF to IPAP-BALF produced two major bands on SDS-PAGE; these bands were not observed in normal BALF. These data suggest that IPAP is caused by expression of binding factor(s) which inhibit GM-CSF function in the lung.
MeSH terms
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Binding, Competitive
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Biological Factors / analysis
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Biological Factors / metabolism
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Biological Factors / pharmacology*
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Bronchoalveolar Lavage Fluid / chemistry*
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Cell Division / drug effects
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Cell Line
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Cell Survival / drug effects
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Cells, Cultured
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Cross-Linking Reagents
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Granulocyte-Macrophage Colony-Stimulating Factor / antagonists & inhibitors*
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Granulocyte-Macrophage Colony-Stimulating Factor / metabolism
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Granulocyte-Macrophage Colony-Stimulating Factor / pharmacology
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Humans
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Interleukin-3 / pharmacology
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Lung / chemistry
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Lung / metabolism*
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Molecular Weight
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Monocytes
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Protein Binding
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Pulmonary Alveolar Proteinosis / etiology
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Pulmonary Alveolar Proteinosis / metabolism*
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Pulmonary Alveolar Proteinosis / pathology
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Receptors, Granulocyte-Macrophage Colony-Stimulating Factor / antagonists & inhibitors
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Receptors, Granulocyte-Macrophage Colony-Stimulating Factor / metabolism
Substances
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Biological Factors
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Cross-Linking Reagents
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Interleukin-3
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Receptors, Granulocyte-Macrophage Colony-Stimulating Factor
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Granulocyte-Macrophage Colony-Stimulating Factor