692
Views
108
CrossRef citations to date
0
Altmetric
Research Article

A critical review of the use of Clara cell secretory protein (CC16) as a biomarker of acute or chronic pulmonary effects

, , , , , & show all
Pages 445-467 | Received 02 Oct 2006, Published online: 08 Oct 2008

References

  • Anderson SD. How does exercise cause asthma attacks?. Current Opinion in Allergy and Clinical Immunology 2006; 6: 37–42
  • Andersson L, Lundberg PA, Barregard L. Methodological aspects on measurement of Clara cell protein in urine as a biomarker for airway toxicity, compared with serum levels. Journal of Applied Toxicology 2007; 27: 60–66
  • Arsalane K, Broeckaert F, Knoops B, Wiedig M, Toubeau G, Bernard A. Clara cell specific protein (CC16) expression after acute lung inflammation induced by intratracheal lipopolysaccharide administration. American Journal of Respiratory and Critical Care Medicine 2000; 161: 1624–1630
  • Barbet JP, Chauveau M, Labbe S, Lockhart A. Breathing dry air causes acute epithelial damage and inflammation of the guinea pig trachea. Journal of Applied Physiology 1988; 64: 1851–1857
  • Benson M, Jansson L, Adner M, Luts A, Uddman R, Cardell LO. Gene profiling reveals decreased expression of uteroglobin and other anti-inflammatory genes in nasal fluid cells from patients with intermittent allergic rhinitis. Clinical and Experimental Allergy 2005; 35: 473–478
  • Benson M, Fransson M, Martinsson T, Naluai AT, Uddman R, Cardell LO. Inverse relation between nasal fluid Clara Cell Protein 16 levels and symptoms and signs of rhinitis in allergen-challenged patients with intermittent allergic rhinitis. Allergy 2007; 62: 178–83
  • Bernard A, Hermans C. Biomonitoring of early effects on the kidney or lung. The Science of the Total Environment 1997; 199: 205–211
  • Bernard A, Hermans C, Van Houte G. Transient increase of serum Clara cell protein (CC16) after exposure to smoke. Occupational and Environmental Medicine 1997; 54: 63–65
  • Bernard A, Marchandise FX, Depelchin S, Lauwerys R, Sibille Y. Clara cell protein in serum and bronchoalveolar lavage. The European Respiratory Journal 1992; 5: 1231–1238
  • Bernard A, Dumont X, Roels H, Lauwerys R, Dierynck I, De Ley M, Stroobant V, de Hoffmann E. The molecular mass and concentrations of protein 1 or Clara cell protein in biological fluids: A reappraisal. Clinica Chimica Acta 1993; 223: 189–191
  • Bernard AN, Thielemans R, Lauwerys R, Langhendries JP, Van Lierde M, Freund MM. Clara cell protein in human amniotic fluid: a potential marker of fetal lung growth. Pediatric Research 1994a; 36: 771–775
  • Bernard AM, Gonzalez-Lorenzo JM, Siles E, Trujillano G, Lauwerys R. Early decrease of serum Clara cell protein in silica-exposed workers. European Respiratory Journal 1994b; 7: 1932–1937
  • Bernard A, Carbonnelle S, Michel O, Higuet S, De Burbure C, Buchet JP, Hermans C, Dumont X, Doyle I. Lung hyperpermeability and asthma prevalence in schoolchildren: unexpected associations with the attendance at indoor chlorinated swimming pools. Occupational and Environmental Medicine 2003; 60: 385–394
  • Bernard A, Carbonnelle S, Nickmilder M, de Burbure C. Non-invasive biomarkers of pulmonary damage and inflammation: Application to children exposed to ozone and trichloramine. Toxicology and Applied Pharmacology 2005; 206: 185–190
  • Blomberg A, Mudway I, Svensson M, Hagenbjork-Gustafsson A, Thomasson L, Helleday R, Dumont X, Forsberg B, Nordberg G, Bernard A. Clara cell protein as a biomarker for ozone-induced lung injury in humans. European Respiratory Journal 2003; 22: 883–888
  • Boers JE, Ambergen AW, Thunnissen FBJM. Number and proliferation of Clara cells in normal human airway epithelium. American Journal of Respiratory and Critical Care Medicine 1999; 159: 1585–1591
  • Bonetto G, Corradi M, Carraro S, Zanconato S, Alinovi R, Folesani G, Da Dalt L, Mutti A, Baraldi E. Longitudinal monitoring of lung injury in children after acute chlorine exposure in a swimming pool. American Journal of Respiratory and Critical Care Medicine 2006; 174: 545–9
  • Brigham KL, Meyrick B. Endotoxin and lung injury. American Review of Respiratory Disease 1986; 133: 913–927
  • Broeckaert F, Bernard A. Clara cell secretory protein (CC16): characteristics and perspectives as lung peripheral biomarker. Clinical and Experimental Allergy 2000; 30: 469–475
  • Broeckaert F, Clippe A, Knoops B, Hermans C, Bernard A. Clara cell secretory protein (CC16): features as a peripheral lung biomarker. Annals New York Academy of Science 2000a; 923: 68–77
  • Broeckaert F, Arsalane K, Hermans C, Bergamaschi E, Brustolin A, Mutti A, Bernard A. Serum clara cell protein: a sensitive biomarker of increased lung epithelium permeability caused by ambient ozone. Environmental Health Perspectives 2000b; 108: 533–537
  • Candelaria PV, Backer V, Laing IA, Porsbjerg C, Nepper-Christensen S, de Klerk N, Goldblatt J, Le Souef PN. Association between asthma-related phenotypes and the CC16 A38G polymorphism in an unselected population of young adult Danes. Immunogenetics 2005; 57: 25–32
  • Carbonnelle S, Francaux M, Doyle I, Dumont X, de Burbure C, Morel G, Michel O, Bernard A. Changes in serum pneumoproteins caused by short-term exposures to nitrogen trichloride in indoor chlorinated swimming pools. Biomarkers 2002; 7: 464–478
  • Cookson WO, Sharp PA, Faux JA, Hopkin JM. Linkage between immunoglobulin E responses underlying asthma and rhinitis and chromosome 11q. Lancet 1989; 1: 1292–1295
  • de Burbure C, Pignatti P, Corradi M, Malerba M, Clippe A, Dumont X, Moscato G, Mutti A, Bernard A. Uteroglobin-related protein 1 and clara cell protein in induced sputum of patients with asthma and rhinitis. Chest 2007; 131: 172–179
  • Drobnic F, Freixa A, Casan P, Sanchis J, Guardino X. Assessment of chlorine exposure in swimmers during training. Medicine and Science in Sports and Exercise 1996; 28: 271–274
  • Gagnaire F, Azim S, Bonnet P, Hecht G, Hery M. Comparison of the sensory irritation response in mice to chlorine and nitrogen trichloride. Journal of Applied Toxicology 1994; 14: 405–409
  • Gao PS, Mao XQ, Kawai M, Enomoto T, Sasaki S, Tanabe O, Yoshimura K, Shaldon SR, Dake Y, Kitano H, Coull P, Shirakawa T, Hopkin JM. Negative association between asthma and variants of CC16(CC10) on chromosome 11q13 in British and Japanese populations. Human Genetics 1998; 103: 57–59
  • Gioldassi XM, Papadimitriou H, Mikraki V, Karamanos NK. Clara cell secretory protein: determination of serum levels by an enzyme immunoassay and its importance as an indicator of bronchial asthma in children. Journal of Pharmaceutical and Biomedical Analysis 2004; 34: 823–826
  • Halatek T, Hermans C, Broeckaert F, Wattiez R, Wiedig M, Toubeau G, Falmagne P, Bernard A. Quantification of Clara cell protein in rat and mouse biological fluids using a sensitive immunoassay. European Respiratory Journal 1998; 11: 726–733
  • Halatek T, Gromadzinska J, Wasowicz W, Rydzynski K. Serum clara-cell protein and β2-microglobulin as early markers of occupational exposure to nitric oxides. Inhalation Toxicology 2005a; 17: 87–97
  • Halatek T, Sinczuk-Walczak H, Rydzynski K. Prognostic significance of low serum levels of Clara cell phospholipid-binding protein in occupational aluminium neurotoxicity. Journal of Inorganic Biochemistry 2005b; 99: 1904–1911
  • Hashimoto S, Nakagawa K, Sueishi K. Monkey Clara cell 10 kDa protein (CC10): a characterization of the amino acid sequence with an evolutional comparison with humans, rabbits, rats and mice. American Journal of Respiratory Cell and Molecular Biology 1996; 15: 361–366
  • Haughton MA, Mason RS. Immunonephelometric assay of vitamin D-binding. protein. Clinical Chemistry 1992; 38: 1796–801
  • Helenius I, Haahtela T. Allergy and asthma in elite summer sport athletes. Journal of Allergy and Clinical Immunology 2000; 106: 444–452
  • Helleday R, Segerstedt B, Forsberg B, Nordberg G, Svensson M, Bernard A, et al. Diurnal variation in serum levels of Clara cell protein (CC16) in humans. (Abstract). European Respiratory Journal 2003; 22(Suppl. 45)75s
  • Helleday R, Segerstedt B, Forsberg B, Mudway I, Nordberg G, Bernard A, Blomberg A. Exploring the time dependence of serum clara cell protein as a biomarker of pulmonary injury in humans. Chest 2006; 130: 672–675
  • Hermans C, Bernard A. Lung epithelium-specific proteins. Characteristics and potential applications. State of the Art American Journal of Respiratory and Critical Care Medicine 1999; 159: 646–678
  • Hermans C, Aly O, Nyberg BI, Peterson C, Bernard A. Determinants of Clara cell protein (CC16) concentration in serum: a reassessment with two different immunoassays. Clinica Chimica Acta 1998; 272: 101–110
  • Hermans C, Knoops B, Wiedig M, Arsalane K, Toubeau G, Falmagne P, Bernard A. Clara cell protein as a marker of Clara cell damage and bronchoalveolar blood barrier permeability. European Respiratory Journal 1999; 13: 1014–1021
  • Hermans C, Dong P, Robin M, Jadoul M, Bernard A, Bersten AD, Doyle IR. Determinants of serum levels of surfactant proteins A and B and Clara cell protein CC16. Biomarkers 2003; 8: 461–471
  • Hery M, Hecht G, Gendre JC, Hubert G, Rebuffaud I. Exposure to chloramines in the atmosphere of indoor swimming pools. Annals of Occupational Hygiene 1995; 39: 427–439
  • Johansson S, Keen C, Stahl A, Wennergren G, Benson M. Low levels of CC16 in nasal fluid of children with birch pollen-induced rhinitis. Allergy 2005; 60: 638–642
  • Johnston CJ, Finkelstein JN, Oberdorster G, Reynolds SD, Stripp BR. Clara cell secretory protein-deficient mice differ from wild-type mice in inflammatory chemokine expression to oxygen and ozone, but not to endotoxin. Experimental Lung Research 1999; 25: 7–21
  • Jorens PG, Sibille Y, Goulding NJ, van Overveld FJ, Herman AG, Bossaert L, De Backer WA, Lauwerys R, Flower RJ, Bernard A. Potential role of Clara cell protein, an endogenous phospholipase A2 inhibitor, in acute lung injury. European Respiratory Journal 1995; 8: 1647–1653
  • Lagerkvist BJ, Bernard A, Blomberg A, Bergstrom E, Forsberg B, Holmstrom K, Karp K, Lundstrom NG, Segerstedt B, Svensson M, Nordberg G. Pulmonary epithelial integrity in children: relationship to ambient ozone exposure and swimming pool attendance. Environmental Health Perspectives 2004; 112: 1768–1771
  • Laing IA, Goldblatt J, Eber E, Hayden CM, Rye PJ, Gibson NA, Palmer LJ, Burton PR, Le Souëf PN. A polymorphism of the CC16 gene is associated with an increased risk of asthma. Medical Genetics 1998; 35: 463–467
  • Laing IA, Hermans C, Bernard A, Burton PR, Goldblatt J, Le Souef PN. Association between plasma CC16 levels, the A38G polymorphism, and asthma. American Journal of Respiratory and Critical Care Medicine 2000; 161: 124–127
  • Lesur O, Langevin S, Berthiaume Y, Légaré M, Skrobik Y, Bellemare JF, Levy B, Fortier Y, Lauzier F, Bravo G, Nickmilder M, Rousseau E, Bernard A. The prognostic value of bronchiolar epithelial Clara cell specific protein in the serum of patients with acute respiratory distress syndrome (ARDS). Intensive Care Medicine 2006; 32: 1167–1174
  • Mango GW, Johnston CJ, Reynolds SD, Finkelstein JN, Plopper CG, Stripp BR. Clara cell secretory protein deficiency increases oxidant stress response in conducting airways. American Journal of Physiology. Lung Cellular and Molecular Physiology 1998; 275: L348–L356
  • Mansur AH, Fryer AA, Hepple M, Strange RC, Spiteri MA. An association study between the Clara cell secretory protein CC16 A38G polymorphism and asthma phenotypes. Clinical and Experimental Allergy 2002; 32: 994–999
  • Mao XQ, Shirakawa T, Kawai M, Enomoto T, Sasaki S, Dake Y, Kitano H, Hagihara A, Hopkin JM, Morimoto K. Association between asthma and an intragenic variant of CC16 on chromosome 11q13. Clinical Genetics 1998; 53: 54–56
  • Massin N, Bohadana AB, Wild P, Hery M, Toamain JP, Hubert G. Respiratory symptoms and bronchial responsiveness in lifeguards exposed to nitrogen trichloride in indoor swimming pools. Occupational and Environmental Medicine 1998; 55: 258–263
  • Mattsson J, Remberger M, Andersson O, Sundberg B, Nord M. Decreased serum levels of Clara cell secretory protein (CC16) are associated with bronchiolitis obliterans and may permit early diagnosis in patients after allogenic stem-cell transplantation. Transplantation 2005; 79: 1411–1416
  • Michel O, Murdoch R, Bernard A. Inhaled LPS induces blood release of Clara cell specific protein (CC16) in human beings. Journal of Allergy and Clinical Immunology 2005; 115: 1143–1147
  • Nanson CJ, Burgess JL, Robin M, Bernard AM. Exercise alters serum pneumoprotein concentrations. Respiration Physiology 2001; 127: 259–265
  • Needham L. 2005. Chloracne: How relevant is it to dioxin poisoning? Presentation, Dioxin. Proceedings of Organohalogen Compounds – 2005. Volume 67 (CO) 1711–1714.
  • Nickmilder M, Carbonnelle S, Bernard A. House cleaning with chlorine bleach and the risks of allergic and respiratory diseases in children. Pediatric Allergy and Immunology 2007; 18: 27–35
  • Nomori H, Horio H, Takagi M, Kobayashi R, Hirabayashi Y. Clara cell protein correlation with hyperlipidemia. Chest 1996; 110: 680–684
  • Robin M, Dong P, Hermans C, Bernard A, Bersten AD, Doyle IR. Serum levels of CC16, SP-A and SP-B reflect tobacco-smoke exposure in asymptomatic subjects. European Respiratory Journal 2002; 20: 1152–1161
  • Saadat M, Saadat I, Saboori Z, Emad A. Combination of CC16, GSTM1, and GSTT1 genetic polymorphisms is associated with asthma. Journal of Allergy and Clinical Immunology 2004; 13: 996–998
  • Sengler C, Heinzmann A, Jerkic SP, Haider A, Sommerfeld C, Niggemann B, Lau S, Forster J, Schuster A, Kamin W, Bauer C, Laing I, LeSouef P, Wahn U, Deichmann K, Nickel R. Clara cell protein 16 (CC16) gene polymorphism influences the degree of airway responsiveness in asthmatic children. Journal of Allergy and Clinical Immunology 2003; 111: 515–519
  • Sharma S, Ghosh B. Association of an intragenic microsatellite marker in the CC16 gene with asthma in the Indian population. Journal of Human Genetics 2004; 49: 677–683
  • Shijubo N, Itoh Y, Yamaguchi T, Shibuya Y, Morita Y, Hirasawa M, Okutani R, Kawai T, Abe S. Serum and BAL Clara cell 10 kDa protein (CC10) levels and CC10-positive bronchiolar cells are decreased in smokers. European Respiratory Journal 1997; 10: 1108–1114
  • Shijubo N, Itoh Y, Yamaguchi T, Hirasawa M, Yamada T, Kawai T, Abe S. 1999. Serum levels of Clara cell 10-kDa protein are decreased in patients with asthma. Lung 45–52.
  • Shijubo N, Itoh Y, Yamaguchi T, Abe S. Development of an enzyme-linked immunosorbent assay for Clara cell 10-kDa protein: in pursuit of clinical significance of sera in patients with asthma and sarcoidosis. Annals of the New York Academy of Science 2000; 923: 268–279
  • Shijubo N, Kawabata I, Sato N, Itoh Y. Clinical aspects of Clara cell 10-kDa protein/uteroglobin (secretoglobin 1A1). Current Pharmaceutical Design 2003; 9: 1139–1149
  • Singh G, Katyal SL. Clara cells and Clara cell 10 kD protein (CC10). American Journal of Respiratory Cell and Molecular Biology 1997; 17: 141–143
  • Steiner D, Jeggli S, Tschopp A, Bernard A, Oppliger A, Hilfiker S, Hotz P. Clara cell protein and surfactant protein B in garbage collectors and in wastewater workers exposed to bioaerosols. International Archives of Occupational and Environmental Health 2005; 78: 189–197
  • Thickett KM, McCoach JS, Gerber JM, Sadhra S, Burge PS. Occupational asthma caused by chloramines in indoor swimming-pool air. European Respiratroy Journal 2002; 19: 827–832
  • van Herwerden L, Harrap SB, Wong ZY, Abramson MJ, Kutin JJ, Forbes AB, Raven J, Lanigan A, Walters EH. Linkage of high-affinity IgE receptor gene with bronchial hyperreactivity, even in absence of atopy. Lancet 1995; 346: 1262–1265
  • van Miert E, Dumont X, Bernard A. CC16 as a marker of lung epithelial hyperpermeability in an acute model of rats exposed to mainstream smoke. Toxicology Letters 2005; 159: 115–123
  • van Vyve T, Chanez P, Bernard A, Bousquet J, Godard P, Lauwerijs R, Sibille Y. Protein content in bronchoalveolar lavage fluid of patients with asthma and control subjects. Journal of Allergy and Clinical Immunology 1995; 95: 60–68
  • Ye Q, Fujita M, Ouchi H, Inoshima I, Maeyama T, Kuwano K, Horiuchi Y, Hara N, Nakanishi Y. Serum CC-10 in inflammatory lung diseases. Respiration 2004; 71: 505–510
  • Yoneda K. Ultrastructural localization of phospholipases in the Clara cell of the rat bronchiole. American Journal of Pathology 1978; 93: 745–752

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.