Increased extracellular matrix (ECM) deposition in the airway wall contribu
tes to the airway wall remodeling observed in asthmatics. Although alterati
ons in collagen have been well described, less is known about changes in ot
her components of the ECM, particularly proteoglycans (PGs). Endobronchial
biopsies were obtained from seven patients with mild atopic asthma and six
normal control subjects. Tissues were blocked in OCT and frozen in isopenta
ne. Sections were immunostained with antibodies for the small leucine-rich
PGs, lumican, biglycan, decorin, and fibromodulin and for versican, a large
chondroitin sulfate PG. We calculated the area of positive staining in the
subepithelial layer, correcting for basement membrane length. Lumican, big
lycan, and versican were localized predominantly in the subepithelial layer
of the airway wall in all groups. PG deposition was significantly increase
d in asthmatics as compared with that in control subjects. Furthermore, the
degree of PG immunoreactivity was significantly correlated with airway res
ponsiveness in the asthmatics (lumican; r = -0.77, p < 0.05; biglycan: r =
-0.76, p < 0.05; versican: r = -0.74, p = 0.06). Our results suggest that P
Gs may play a role in airway wall remodeling and thereby, airway mechanics
in asthma.