2013, Número 4
<< Anterior Siguiente >>
Neumol Cir Torax 2013; 72 (4)
La célula de Clara: La biología celular y molecular con implicaciones fisiopatológicas. Una revisión de la literatura
Donado-Moré AF, Camargo-Mendoza JP, Franco-Maz PG, Malaver-Caicedo LF
Idioma: Español
Referencias bibliográficas: 95
Paginas: 306-322
Archivo PDF: 556.99 Kb.
RESUMEN
Las células de Clara son una de las principales poblaciones celulares que habitan los bronquíolos, donde juegan un papel fundamental como células progenitoras en caso de lesión del parénquima de esta porción del árbol bronquial. Su principal función es la producción de la proteína secretoria de la célula de Clara (CCSP), un polipéptido con función principalmente antiinflamatoria e inmunosupresora. Su utilidad en el diagnóstico de múltiples enfermedades que afectan al aparato respiratorio (como varias neumoconiosis, fibrosis pulmonar idiopática, asma y sarcoidosis, entre otras) ha sido estudiada desde hace años, aunque no se ha llegado a un consenso universal en torno a su aplicación clínica. El presente artículo constituye una aproximación general al conocimiento morfofisiológico de este tipo celular y a las implicaciones fisiopatológicas de la CCSP en algunas de las enfermedades del aparato respiratorio.
REFERENCIAS (EN ESTE ARTÍCULO)
Woywodt A, Lefrack S, Matteson E. Tainted eponyms in medicine: the “Clara” cell joins the list. Eur Respir J 2010;36:706-708.
Winkelmann A, Noack T. The Clara cell: a “Third Reich eponym”? Eur Respir J 2010;36:722-727.
González-López E, Cuerda-Galindo E. The use of corpses and organs in research and medical education. Lessons from history. Med Clin 2012;138:441-444.
Ross M, Pawlina W. Aparato respiratorio. Histología. Texto y atlas color con biología celular y molecular. 5a. ed. Argentina: Médica Panamericana; 2007.p.676-677.
Ochs M, Weibel ER. Functional design of the human lung for gas exchange. In: Fishman AP, Elias JA, Fishman JA, Grippi MA, Senior RM, Pack AI, editors. Fishman’s pulmonary diseases and disorders. 4th. ed. USA: McGraw-Hill Medical; 2008.p.29-30.
Boers JE, Ambergen AW, Thunnissen FB. Number and proliferation of Clara cells in normal human airway epithelium. Am J Respir Crit Care Med 1999;159:1585-1591.
Coppens JT, van Winkle LS, Pinkerton K, Plopper CG. Distribution of Clara cell secretory protein expression in the tracheobronchial airways of rhesus monkeys. Am J Physiol Lung Cell Mol Physiol 2007;292:1155-1162.
Fraser RS, Müller NL, Colman N, Paré PD. Las vías aéreas y la ventilación pulmonar. En: Fraser RS, Müller NL, Colman N, Paré PD, editores. Diagnóstico de las enfermedades del tórax. Vol. I. 4a. ed. Argentina: Médica Panamericana; 2002.p.9-10.
Blundell R. The biology of Clara cells-review paper. Int J Mol Med Adv Sci 2006;2:307-311.
Lumsden AB, McLean A, Lamb D. Goblet and Clara cells of human distal airways: evidence for smoking induced changes in their numbers. Thorax 1984;39:844-849.
Broeckaert F, Clippe A, Knoops B, Hermans C, Bernard A. Clara cell secretory protein (cc16): features as a peripheral lung biomarker. Ann N Y Acad Sci 2000;923:68-77.
Mukherjee A, Zhang Z, Chilton B. Uteroglobin: a steroid-inducible immunomodulatory protein that founded the secretoglobin superfamily. Endocr Rev 2007;28:707-725.
Umland TC, Swaminathan S, Singh G, et al. Structure of a human Clara cell phospholipid-binding protein-ligand complex at 1.9 A resolution. Nat Struct Biol 1994;1:538-545.
Singh G, Singh J, Katyal SL, et al. Identification, cellular localization, isolation, and characterization of human Clara cell-specific 10 KD protein. J Histochem Cytochem 1988;36:73-80.
Reynolds S, Malkinson A. Clara cell: progenitor for the bronchiolar epithelium. Int J Biochem Cell Biol 2010;42:1-4.
Khoor A, Gray ME, Singh G, Stahlman MT. Ontogeny of Clara cell-specific protein and Its mRNA: their association with neuroepithelial bodies in human fetal lung and in bronchopulmonary dysplasia. J Histochem Cytochem 1996;44:1429-1438.
Perni SC, Vardhana S, Kalish R, Chasen S, Witkin SS. Clara cell protein 16 concentration in mid-trimester amniotic fluid: association with fetal gender, fetal G > A +38 CC16 gene polymorphism and pregnancy outcome. J Reprod Inmunol 2005;68:85-90.
Klug J, Beier HM, Bernard A, et al. Uteroglobin/Clara cell 10-kDa family of proteins: nomenclature committee report. Ann N Y Acad Sci 2000;923:348-354.
Singh G, Katyal S. Clara cell proteins. Ann N Y Acad Sci 2000;923:43-58.
Broeckaert F, Bernard A. Clara cell secretory protein (CC16): characteristics and perspectives as lung peripheral biomarker. Clin Exp Immunol 2000;30:469-475.
Jorens PG, Sibille Y, Goulding NJ, et al. Potential role of Clara cell protein, an endogenous phospholipase A2 inhibitor, in acute lung injury. Eur Respir J 1995;8:1647-1653.
Chowdhury B, Mantile-Selvaggi G, Miele L, Cordella-Miele E, Zhang Z, Mukherjee AB. Lys 43 and Asp 46 in alpha-helix 3 of uteroglobin are essential for its phospholipase A2 inhibitory activity. Biochem Biophys Res Commun 2002;295:877-883.
Johansson S, Andersson K, Wennergren G, Wennerås C, Rudin A. CC16 Inhibits the migration of eosinophils towards the formyl peptide fMLF but not towards PGD2. Inflammation 2009;32:65-69.
Snyder JC, Reynolds SD, Hollingsworth JW, Li Z, Kaminski N, Stripp BR. Clara cells attenuate the inflammatory response through regulation of macrophage behavior. Am J Respir Cell Mol Biol 2010;42:161-171.
Reynolds SD, Reynolds PR, Snyder JC, Whyte F, Paavola KJ, Stripp BR. CCSP regulates cross talk between secretory cells and both ciliated cells and macrophages of the conducting airway. Am J Physiol Lung Cell Mol Physiol 2007;293:114-123.
Beasley MB, Travis WD, Rubin E. The respiratory system. In: Rubin R, Strayer D, Rubin E. Rubin’s pathology. Clinicopathologic Foundations of Medicine. 6th. ed. USA: Wolters-Kluwer; 2007.p.597.
Mohan H. El aparato respiratorio. En: Mohan H, editor. Patología. 6a. ed. Argentina: Médica Panamericana; 2010.p.501.
Yousem SA, Beasley MB. Bronchioloalveolar carcinoma: a review of current concepts and evolving issues. Arch Pathol Lab Med 2007;131:1027-1032.
Tan MA, Teichberg S, Roberts B, Hajdu S. Ultrastructural findings in metastatic bronchioloalveolar carcinoma. Ann Cli Lab Sci 2003;33:289-294.
Travis WD, Brambilla E, Noguchi M, et al. International association for the study of lung cancer/american thoracic society/european respiratory society international multidisciplinary classification of lung adenocarcinoma. J Thorac Oncol 2011;6:244-285.
Linnoila RI, Szabo E, DeMayo F, Witschi H, Sabourin C, Malkinson A. The role of CC10 in pulmonary carcinogenesis: from a marker to tumor suppression. Ann N Y Acad Sci 2000;923:249-267.
Chang A, Ramsay P, Zhao B, et al. Physiological regulation of uteroglobin/CCSP expression. Ann N Y Acad Sci 2000;923:181-192.
Ramsay P, Luo Z, Major A, et al. Multiple mechanisms for oxygen-induced regulation of the Clara cell secretory protein gene. FASEB J 2003;17:2142-2144.
Berg T, Cassel TN, Schwarze PE, Nord M. Glucocorticoids regulate the CCSP and CYP2B1 promoters via C/EBP beta and delta in lung cells. Biochem Biophys Res Commun 2002;293:907-912.
Kim S, Shim JJ, Burgel PR, et al. IL-13-induced Clara cell secretory protein expression in airway epithelium: role of EGFR signaling pathway. Am J Physiol Lung Cell Mol Physiol 2002;283:67-75.
Yao XL, Levine SJ, Cowan MJ, Logun C, Shelhamer JH. Tumor necrosis factor-alfa stimulates human Clara cell secretory protein production by human airway epithelial cells. Am J Respir Cell Mol Biol 1998;19:629-635.
Cowan MJ, Huang X, Yao XL, Shelhamer JH. Tumor necrosis factor alpha stimulation of human Clara cell secretory protein production by human airway epithelial cells. Ann N Y Acad Sci 2000;923:193-201.
Yao XL, Ikezono T, Cowan M, Logun C, Angus CW, Shelhamer JH. Interferon-gamma stimulates human Clara cell secretory protein production by human airway epithelial cells. Am J Physiol 1998;274:864-869.
Ramsay PL, Luo Z, Magdaleno SM, et al. Transcriptional regulation of CCSP by interferon-gamma in vitro and in vivo. Am J Physiol Lung Cell Mol Physiol 2003;284:108-y la ventilación pulmonar. En: Fraser RS, Müller NL, Colman N, Paré PD, editores. Diagnóstico de las enfermedades del tórax. Vol. I. 4a. ed. Argentina: Médica Panamericana; 2002.p.9-10.118.
Burmeister R, Boe IM, Nykjaer A, et al. A two-receptor pathway for catabolism of Clara cell secretory protein in the kidney. J Biol Chem 2001;276:13295-13301.
Martín-Granado A, Vázquez-Moncholí C, Luis-Yanes MI, López-Méndez M, García-Nieto V. Determination of Clara cell protein urinary elimination as a marker of tubular dysfunction. Pediatr Nephrol 2009;24:747-752.
De Jongh R, Vranken J, Kenis G, et al. Clara cell protein: concentrations in cerebrospinal fluid, serum and amniotic fluid. Cytokine 1998;10:441-444.
Helleday R, Segerstedt B, Forsberg B, et al. Exploring the time dependence of serum Clara cell protein as a biomarker of pulmonary injury in humans. Chest 2006;130:672-675.
Bernard A, Hermans C, Van Houte G. Transient increase of serum Clara cell protein (CC16) after exposure to smoke. Occup Environ Med 1997;54: 63-65.
Broeckaert F, Arsalane K, Hermans C, et al. Serum Clara cell protein: a sensitive biomarker of increased lung epithelium permeability caused by ambient ozone. Environ Health Perspect 2000;108:533-537.
Blomberg A, Mudway I, Svensson M, et al. Clara cell protein as a biomarker for ozone-induced lung injury in humans. Eur Respir J 2003;22:883-888.
Rubenfeld GD, Caldwell E, Peabody E, et al. Incidence and outcomes of acute lung injury. N Engl J Med 2005;353:1685-1693.
Kropski JA, Fremont RD, Calfee CS, Ware LB. Clara cell protein (CC16), a marker of lung epithelial injury, is decreased in plasma and pulmonary edema fluid from patients with acute lung injury. Chest 2009;135:1440-1447.
McAuley DF, Matthay MA. Clara cell protein CC16. A new lung epithelial biomarker for acute lung injury. Chest 2009;135:1408-1410.
Shijubo N, Itoh Y, Yamaguchi T, et al. Serum and BAL Clara cell 10 kDa protein (CC10) levels and CC10-positive bronchiolar cells are decreased in smokers. Eur Respir J 1997;10:1108-1114.
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. Eur Respir J 2002;20:1152-1161.
Andersson O, Cassel TN, Sköld CM, Eklund A, Lund J, Nord M. Clara cell secretory protein. Levels in BAL fluid after smoking cessation. Chest 2000;118:180-182.
Kumar V, Cotran R, Robbins S. Enfermedades ambientales. En: Kumar V, Cotran R, Robbins S, editores. Patología humana. 6a. ed. México: McGraw-Hill Interamericana; 1999.p.243-244.
Beasley MB, Travis WD, Rubin E. The respiratory system. En: Rubin R, Strayer D, Rubin E. Rubin’s pathology Clinicopathologic Foundations of Medicine. 6th. ed. Philadelphia: Wolters-Kluwer; 2012.p.537-603.
Bernard AM, Gonzalez-Lorenzo JM, Siles E, Trujillano G, Lauwerys R. Early decrease of serum Clara cell protein in silica-exposed workers. Eur Respir J 1994;7:1932-1937.
Wang SX, Liu P, Wei MT, et al. Roles of serum Clara cell protein 16 and surfactant protein-D in the early diagnosis and progression of silicosis. J Occup Environ Med 2007;49:834-839.
Lesur O, Bernard AM, Bégin RO. Clara cell protein (CC-16) and surfactant-associated protein A (SP-A) in asbestos-exposed workers. Chest 1996;109:467-474.
Petrek M, Hermans C, Kolek V, Fialová J, Bernard A. Clara cell protein (CC16) in serum and bronchoalveolar lavage fluid of subjects exposed to asbestos. Biomarkers 2002;7:58-67.
Liu Z, Lu X, Zhang XH, et al. Clara cell 10-kDa protein expression in chronic rhinosinusitis and its cytokine-driven regulation in sinonasal mucosa. Allergy 2009;64:149-157.
Irander K, Palm JP, Borres MP, Ghafouri B. Clara cell protein in nasal lavage fluid and nasal nitric oxide-biomarkers with anti-inflammatory properties in allergic rhinitis. Clin Mol Allergy 2002;doi:10.1186.
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;62:178-183.
Shijubo N, Itoh Y, Yamaguchi T, et al. Serum levels of Clara cell 10-kDa protein are decreased in patients with asthma. Lung 1999;177:45-52.
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. J Pharm Biomed Anal 2004;34:823-826.
Martin AC, Laing IA, Khoo SK, et al. Acute asthma in children: Relationships among CD14 and CC16 genotypes, plasma levels, and severity. Am J Respir Crit Care Med 2006;173:617-622.
de Burbure C, Pignatti P, Corradi M, et al. Uteroglobin-related protein 1 and clara cell protein in induced sputum of patients with asthma and rhinitis. Chest 2007;131:172-179.
Johansson S, Kristjánsson S, Bjarnarson SP, Wennergren G, Rudin A. Clara cell protein 16 (CC16) serum levels in infants during respiratory syncytial virus infection. Acta Paediatr 2009;98:579-581.
Braido F, Riccio AM, Guerra L, et al. Clara cell 16 protein in COPD sputum: a marker of small airways damage? Respir Med 2007;101:2119-2124.
Lomas DA, Silverman EK, Edwards LD, Miller BE, Coxson HO, Tal-Singer R. Evaluation of serum CC-16 as a biomarker for COPD in the ECLIPSE cohort. Thorax 2008;63:1058-1063.
Lesur O, Bernard A, Arsalane K, et al. Clara cell protein (CC-16) induces a phospholipase A2-mediated inhibition of fibroblast migration in vitro. Am J Respir Crit Care Med 1995;152:290-297.
Kucejko W, Chyczewska E, Naumnik W, Ossolińska M. Concentration of surfactant protein D, Clara cell protein CC-16 and IL-10 in bronchoalveolar lavage (BAL) in patients with sarcoidosis, hypersensivity pneumonitis and idiopathic pulmonary fibrosis. Folia Histochem Cytobiol 2009;47:225-230.
Starosta V, Ratjen F, Rietschel E, Paul K, Griese M. Anti-inflammatory cytokines in cystic fibrosis lung disease. Eur Respir J 2006;28:581-587.
Nord M, Schubert K, Cassel TN, Andersson O, Riise GC. Decreased serum and bronchoalveolar lavage levels of Clara cell secretory protein (CC16) is associated with bronchiolitis obliterans syndrome and airway neutrophilia in lung transplant recipients. Transplantation 2002;73:1264-1269.
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 allogeneic stem-cell transplantation. Transplantation 2005;79:1411-1416.
Lesur O, Langevin S, Berthiaume Y, et al. Outcome value of Clara cell protein in serum of patients with acute respiratory distress syndrome. Intensive Care Med 2006;32:1167-1174.
Determann RM, Millo JL, Waddy S, Lutter R, Garrard CS, Schultz MJ. Plasma CC16 levels are associated with development of ALI/ARDS in patients with ventilator-associated pneumonia: a retrospective observational study. BMC Pulm Med 2009;9:doi:10.1186.
Ramsay PL, DeMayo FJ, Hegemier SE, Wearden ME, Smith CV, Welty SE. Clara cell secretory protein oxidation and expression in premature infants who develop bronchopulmonary dysplasia. Am J Respir Crit Care Med 2001;164:155-161.
Schrama AJ, Bernard A, Poorthuis BJ, Zwinderman AH, Berger HM, Walther FJ. Cord blood Clara cell protein CC16 predicts the development of bronchopulmonary dysplasia. Eur J Pediatr 2008;167:1305-1312.
Chen J, Lam S, Pilon A, McWilliams A, Macaulay C, Szabo E. Higher levels of the anti-inflammatory protein CC10 are associated with improvement in bronchial dysplasia and sputum cytometric assessment in individuals at high risk for lung cancer. Clin Cancer Res 2008;14:1590-1597.
Shijubo N, Itoh Y, Shigehara K, et al. Association of Clara cell 10-kDa protein, spontaneous regression and sarcoidosis. Eur Respir J 2000;16:414-419.
Hermans C, Petrek M, Kolek V, et al. Serum Clara cell protein (CC16), a marker of the integrity of the air-blood barrier in sarcoidosis. Eur Respir J 2001;18:507-514.
Janssen R, Sato H, Grutters JC, et al. Study of Clara cell 16, KL-6, and surfactant protein-D in serum as disease markers in pulmonary sarcoidosis. Chest 2003;124:2119-2125.
Bernard A, Marchandise FX, Depelchin S, Lauwerys R, Sibille Y. Clara cell protein in serum and bronchoalveolar lavage. Eur Respir J 1992;5:1231-1238.
Nomori H, Horio H, Kobayashi R, Morinaga S, Hirabayashi Y. Protein 1 (Clara cell protein) serum levels in lung cancer patients receiving chemotherapy. Eur Respir J 1995;8:1654-1657.
Diamond JM, Kawut SM, Lederer DJ, et al. Elevated plasma Clara cell secretory protein concentration is associated with high-grade primary graft dysfunction. Am J Transplant 2011;11:561-567.
Hermans C, Lesur O, Weynand B, Pieters T, Lambert M, Bernard A. Clara cell protein (CC16) in pleural fluids: a marker of leakage through the visceral pleura. Am J Respir Crit Care Med 1998;157:962-969.
Vanspauwen MJ, Linssen CF, Bruggeman CA, et al. Clara cell protein in bronchoalveolar lavage fluid: a predictor of ventilator-associated pneumonia? Crit Care 2011;doi:10.1186/cc9418.
Ruslan M. The innate immune system. In: Paul WE, editor. Fundamental inmunology. 5th. ed. Philadelphia: Lippincott; 2003.p.510.
Mason RJ, Lewis JF. Pulmonary surfactant. In: Mason RJ, Broaddus VC, Murray JF, Nadel JA, editors. Murray and Nadel’s textbook of respiratory medicine. 4th. ed. Philadelphia: Elsevier Saunders; 2005.p.303-310.
Rawlins EL, Okubo T, Xue Y, et al. The role of Scgb1a1 + Clara cells in the long-term maintenance and repair of lung airway, but not alveolar, epithelium. Cell Stem Cell 2009;4:525-524.
Giangreco A, Arwert EN, Rosewell IR, Snyder J, Watt FM, Stripp BR. Stem cells are dispensable for lung homeostasis but restore airways after injury. Proc Natl Acad Sci U S A 2009;106:9286-9291.
Wong AP, Keating A, Waddell TK. Airway regeneration: the role of the Clara cell secretory protein and the cells that express it. Cytotherapy 2009;11:676-687.
Hong KU, Reynolds SD, Giangreco A, Hurley CM, Stripp BR. Clara cell secretory protein-expressing cells of the airway neuroepithelial body microenvironment include a label-retaining subset and are critical for epithelial renewal after progenitor cell depletion. Am J Respir Cell Mol Biol 2001;24:671-681.
Ling TY, Kuo MD, Li CL, et al. Identification of pulmonary Oct-4+ stem/progenitor cells and demonstration of their susceptibility to SARS coronavirus (SARS-CoV) infection in vitro. Proc Natl Acad Sci U S A 2006;103:9530-9535.
Kim CF, Jackson EL, Woolfenden AE, et al. Identification of bronchioalveolar stem cells in normal lung and lung cancer. Cell 2005;121:823-835.
Nolen-Walston RD, Kim CF, Mazan MR, et al. Cellular kinetics and modeling of bronchioalveolar stem cell response during lung regeneration. Am J Physiol Lung Cell Mol Physiol 2008;294:1158-1165.