H. Takahashi et al., CATHEPSIN-L ACTIVITY IS INCREASED IN ALVEOLAR MACROPHAGES AND BRONCHOALVEOLAR LAVAGE FLUID OF SMOKERS, The American review of respiratory disease, 147(6), 1993, pp. 1562-1568
Elastinolytic enzymes derived from alveolar macrophages (AM) are consi
dered to play an important role in the development of emphysema associ
ated with cigarette smoking. In this study, the enzyme activity and mR
NA expression of cathepsin L were quantitated in AM and bronchoalveola
r lavage (BAL) fluid obtained from current smokers and compared with t
hose from nonsmokers. Activity was measured with the synthetic substra
te Z-Phe-Arg-MCA combined with a novel cathepsin B inhibitor, CA-074.
We found that the specific activity of cathepsin L was significantly e
levated in BAL cells from smokers (7.1 +/- 0.7 mumol/mg protein/h, mea
n +/- SEM) compared with cells from nonsmokers (2.9 +/- 0.3) (p < 0.01
). The expression of cathepsin L mRNA in BAL cells as determined by do
t-blot analysis was also higher in BAL cells from smokers, which was c
omparable to the increase in the enzyme activity. About 5 to 6% of the
specific activity of cathepsin L in BAL cell lysates was detected in
unconcentrated BAL fluid; specific activity was also significantly hig
her in samples from smokers (0.38 +/- 0.04 mumol/mg protein/h) than fr
om nonsmokers (0.14 +/-0.02). In addition, procathepsin L (42 kD) and
the mature form of cathepsin L (33 kD) were demonstrated in BAL fluid
by immunoblot analyses. These data suggest that cigarette smoking indu
ces mRNA expression and the synthesis of cathepsin L in AM and the rel
ease of procathepsin from AM into extracellular milieu. Furthermore, i
ncreased activity levels of cathepsin L in extracellular compartments
may contribute to the proteolysis of elastin in the process of lung de
struction associated with cigarette smoking.