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Original Research

Sputum Vitamin D Binding Protein (VDBP) GC1S/1S Genotype Predicts Airway Obstruction: A Prospective Study in Smokers with COPD

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Pages 1049-1059 | Published online: 15 May 2020

Figures & data

Figure 1 The workflow of the study design.

Abbreviations: VDBP, vitamin D binding protein; GC, VDBP also known as group-specific component-globulin; GC1F, rs7041-T/rs4588-C; GC1S, rs7041-G/rs4588-C; GC2, rs7041-T/rs4588-A; COPD, chronic obstructive pulmonary disease; Smokers, smokers without COPD.
Figure 1 The workflow of the study design.

Table 1 Clinical Characteristics of Study Subjects at Baseline and at the Four-Year Follow-Up (n=233)

Table 2 Frequencies of the GC rs7041 and the GC rs4588 Genotypes in the Study Cohort

Figure 2 Secreted VDBP is upregulated in the sputum of smokers with COPD.

Notes: (A) Representative 2D gel of the sputum from a characteristic COPD patient (stage II). Altered protein spots of VDBP indicated by 1 and 2. Histogram corresponding to the spot numbers indicates the protein levels in non-smokers (NS), smokers (S) and COPD patients (C). (B) A representative mass spectrum (MS) of the altered VDBP. Peptides marked with grey arrows matched to all three isoforms whereas the black arrows matched only to isoforms 1 and 3. The schematic presentation of VDBP shows the signal peptide (SP) and the sequence coverage of the spot-specific peptides detected by MS. The N-terminal peptide of the mature VDBP indicated by an asterisk. (C) Western blot of the sputum from non-smokers (NS, n = 7) and smokers with COPD stage II (COPD, n = 7).

Abbreviations: VDBP, vitamin D binding protein; COPD, chronic obstructive pulmonary disease; NS, non-smokers; S, smokers without COPD; C, COPD; MS, mass spectrum; SP, signal peptide.
Figure 2 Secreted VDBP is upregulated in the sputum of smokers with COPD.Notes: (A) Representative 2D gel of the sputum from a characteristic COPD patient (stage II). Altered protein spots of VDBP indicated by 1 and 2. Histogram corresponding to the spot numbers indicates the protein levels in non-smokers (NS), smokers (S) and COPD patients (C). (B) A representative mass spectrum (MS) of the altered VDBP. Peptides marked with grey arrows matched to all three isoforms whereas the black arrows matched only to isoforms 1 and 3. The schematic presentation of VDBP shows the signal peptide (SP) and the sequence coverage of the spot-specific peptides detected by MS. The N-terminal peptide of the mature VDBP indicated by an asterisk. (C) Western blot of the sputum from non-smokers (NS, n = 7) and smokers with COPD stage II (COPD, n = 7).

Figure 3 Levels of VDBP and 25-OH vitamin D at baseline for (A) sputum VDBP, (B) plasma VDBP and (C) plasma 25-OH vitamin D.

Abbreviations: VDBP, vitamin D binding protein; COPD, chronic obstructive pulmonary disease; Smokers, smokers without COPD; COPD St I, smokers with COPD stage I; COPD St II+, smokers with COPD stage II+.
Figure 3 Levels of VDBP and 25-OH vitamin D at baseline for (A) sputum VDBP, (B) plasma VDBP and (C) plasma 25-OH vitamin D.

Figure 4 Sputum levels of VDBP according to the GC rs7041 and rs4588 at baseline for (A) GC rs7041, (B) GC rs74588 and (C) GC1S/1S in rs7041/rs74588.

Abbreviations: VDBP, vitamin D binding protein; GC, VDBP also known as group-specific component-globulin; rs7041, T->G, Asp (432) Glu; rs4588, C->A, Thr (436) Lys; GC1S, rs7041-G/rs4588-C; COPD, chronic obstructive pulmonary disease; Smokers, smokers without COPD; COPD St I, smokers with COPD stage I; COPD St II+, smokers with COPD stage II+.
Figure 4 Sputum levels of VDBP according to the GC rs7041 and rs4588 at baseline for (A) GC rs7041, (B) GC rs74588 and (C) GC1S/1S in rs7041/rs74588.

Table 3 Correlation Between Sputum VDBP and Clinical Characteristics at Baseline and Follow-Up for Different Genotypes

Table 4 Multivariate Regression Analysis of Predicted FEV1% at Follow-Up as the Dependent Variable Among Subjects with Different Genotypes

Figure 5 Correlation between sputum VDBP and predicted FEV1% at follow-up based on GC1S/1S genotype.

Abbreviations: VDBP, vitamin D binding protein; GC, VDBP also known as group-specific component-globulin; GC1S, rs7041-G/rs4588-C; FEV1: forced expiratory volume in 1 s; Log10, the logarithm base 10.
Figure 5 Correlation between sputum VDBP and predicted FEV1% at follow-up based on GC1S/1S genotype.