Skip to main content
Log in

Alpha-1 Antitrypsin: A Potent Anti-Inflammatory and Potential Novel Therapeutic Agent

  • Review
  • Published:
Archivum Immunologiae et Therapiae Experimentalis Aims and scope

Abstract

Alpha-1 antitrypsin (AAT) has long been thought of as an important anti-protease in the lung where it is known to decrease the destructive effects of major proteases such as neutrophil elastase. In recent years, the perception of this protein in this simple one dimensional capacity as an anti-protease has evolved and it is now recognised that AAT has significant anti-inflammatory properties affecting a wide range of inflammatory cells, leading to its potential therapeutic use in a number of important diseases. This present review aims to discuss the described anti-inflammatory actions of AAT in modulating key immune cell functions, delineate known signalling pathways and specifically to identify the models of disease in which AAT has been shown to be effective as a therapy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  • Abboud RT, Ford GT, Chapman KR (2001) Alpha1-antitrypsin deficiency: a position statement of the Canadian Thoracic Society. Can Respir J 8(2):81–88

    PubMed  CAS  Google Scholar 

  • Ahn CM, Sandler H, Glass M, Saldeen T (1993) Effect of a synthetic leukocyte elastase inhibitor on thrombin-induced pulmonary edema in the rat. Exp Lung Res 19(2):125–135

    Article  PubMed  CAS  Google Scholar 

  • Al-Niaimi F, Lyon C (2011) Severe ulcerative panniculitis caused by alpha 1-antitrypsin deficiency: remission induced and maintained with intravenous alpha 1-antitrypsin. J Am Acad Dermatol 65(1):227–229

    Article  PubMed  Google Scholar 

  • Al-Omari M, Korenbaum E, Ballmaier M, Lehmann U, Jonigk D, Manstein DJ, Welte T, Mahadeva R, Janciauskiene S (2011) The acute phase protein, alpha1-antitrypsin, inhibits neutrophil calpain I and induces random migration. Mol Med 17(9-10):865–874

    PubMed  CAS  Google Scholar 

  • Aoshiba K, Nagai A, Takizawa T (1991) Effects of proteinase inhibitors on polymorphonuclear neutrophil polarization. Tohoku J Exp Med 165(3):165–170

    Article  PubMed  CAS  Google Scholar 

  • Ballou SP, Lozanski G (1992) Induction of inflammatory cytokine release from cultured human monocytes by C-reactive protein. Cytokine 4(5):361–368

    Article  PubMed  CAS  Google Scholar 

  • Barnett VT, Sekosan M, Khurshid A (1999) Wegener’s granulomatosis and alpha1-antitrypsin-deficiency emphysema: proteinase-related diseases. Chest 116(1):253–255

    Article  PubMed  CAS  Google Scholar 

  • Baslund B, Petersen J, Permin H, Wiik A, Wieslander J (1994) Measurements of proteinase 3 and its complexes with alpha 1-proteinase inhibitor and anti-neutrophil cytoplasm antibodies (ANCA) in plasma. J Immunol Methods 175(2):215–225

    Article  PubMed  CAS  Google Scholar 

  • Beatty K, Bieth J, Travis J (1980) Kinetics of association of serine proteinases with native and oxidized alpha-1-proteinase inhibitor and alpha-1-antichymotrypsin. J Biol Chem 255(9):3931–3934

    PubMed  CAS  Google Scholar 

  • Berger M, Sorensen RU, Tosi MF, Dearborn DG, Doring G (1989) Complement receptor expression on neutrophils at an inflammatory site, the Pseudomonas-infected lung in cystic fibrosis. J Clin Invest 84(4):1302–1313

    Article  PubMed  CAS  Google Scholar 

  • Bergin DA, Reeves EP, Meleady P, Henry M, McElvaney OJ, Carroll TP, Condron C, Chotirmall SH, Clynes M, O’Neill SJ, McElvaney NG (2010) Alpha-1 Antitrypsin regulates human neutrophil chemotaxis induced by soluble immune complexes and IL-8. J Clin Invest 120(12):4236–4250

    Article  PubMed  CAS  Google Scholar 

  • Birrer P, McElvaney NG, Rudeberg A, Sommer CW, Liechti-Gallati S, Kraemer R, Hubbard R, Crystal RG (1994) Protease-antiprotease imbalance in the lungs of children with cystic fibrosis. Am J Respir Crit Care Med 150(1):207–213

    PubMed  CAS  Google Scholar 

  • Bjork I, Nordling K, Larsson I, Olson ST (1992) Kinetic characterization of the substrate reaction between a complex of antithrombin with a synthetic reactive-bond loop tetradecapeptide and four target proteinases of the inhibitor. J Biol Chem 267(27):19047–19050

    PubMed  CAS  Google Scholar 

  • Blanco I, Beritze N, Arguelles M, Carcaba V, Fernandez F, Janciauskiene S, Oikonomopoulou K, de Serres FJ, Fernandez-Bustillo E, Hollenberg MD (2010a) Abnormal overexpression of mastocytes in skin biopsies of fibromyalgia patients. Clin Rheumatol 29(12):1403–1412

    Article  PubMed  Google Scholar 

  • Blanco I, Canto H, de Serres FJ, Fernandez-Bustillo E, Rodriguez MC (2004) Alpha1-antitrypsin replacement therapy controls fibromyalgia symptoms in 2 patients with PI ZZ alpha1-antitrypsin deficiency. J Rheumatol 31(10):2082–2085

    PubMed  Google Scholar 

  • Blanco I, Canto H, Flores J, Camblor C, Carcaba V, de Serres FJ, Janciauskiene S, Bustillo EF (2008) Long-term augmentation therapy with alpha-1 antitrypsin in an MZ-AAT severe persistent asthma. Monaldi Arch Chest Dis 69(4):178–182

    PubMed  CAS  Google Scholar 

  • Blanco I, Janciauskiene S, Nita I, Fernandez-Bustillo E, Carcaba V, Gallo C, Alvarez-Rico M, de Serres F, Beridze N (2010b) Low plasma levels of monocyte chemoattractant protein-1 (MCP-1), tumor necrosis factor-alpha (TNFalpha), and vascular endothelial growth factor (VEGF) in patients with alpha1-antitrypsin deficiency-related fibromyalgia. Clin Rheumatol 29(2):189–197

    Article  PubMed  Google Scholar 

  • Blanco I, Lara B, de Serres F (2011) Efficacy of alpha1-antitrypsin augmentation therapy in conditions other than pulmonary emphysema. Orphanet J Rare Dis 6:14

    Article  PubMed  Google Scholar 

  • Bosco D, Meda P, Morel P, Matthey-Doret D, Caille D, Toso C, Buhler LH, Berney T (2005) Expression and secretion of alpha1-proteinase inhibitor are regulated by proinflammatory cytokines in human pancreatic islet cells. Diabetologia 48(8):1523–1533

    Article  PubMed  CAS  Google Scholar 

  • Bourne HR, Lichtenstein LM, Melmon KL, Henney CS, Weinstein Y, Shearer GM (1974) Modulation of inflammation and immunity by cyclic AMP. Science 184(132):19–28

    Article  PubMed  CAS  Google Scholar 

  • Boutten A, Dehoux M, Deschenes M, Rouzeau JD, Bories PN, Durand G (1992) Alpha 1-acid glycoprotein potentiates lipopolysaccharide-induced secretion of interleukin-1 beta, interleukin-6 and tumor necrosis factor-alpha by human monocytes and alveolar and peritoneal macrophages. Eur J Immunol 22(10):2687–2695

    Article  PubMed  CAS  Google Scholar 

  • Boutten A, Venembre P, Seta N, Hamelin J, Aubier M, Durand G, Dehoux MS (1998) Oncostatin M is a potent stimulator of alpha1-antitrypsin secretion in lung epithelial cells: modulation by transforming growth factor-beta and interferon-gamma. Am J Respir Cell Mol Biol 18(4):511–520

    PubMed  CAS  Google Scholar 

  • Brand P, Schulte M, Wencker M, Herpich CH, Klein G, Hanna K, Meyer T (2009) Lung deposition of inhaled alpha1-proteinase inhibitor in cystic fibrosis and alpha1-antitrypsin deficiency. Eur Respir J 34(2):354–360

    Article  PubMed  CAS  Google Scholar 

  • Brantly M, Nukiwa T, Crystal RG (1988) Molecular basis of alpha-1-antitrypsin deficiency. Am J Med 84(6A):13–31

    PubMed  Google Scholar 

  • Brennan S (2007) Revisiting alpha1-antitrypsin therapy in cystic fibrosis: can it still offer promise? Eur Respir J 29(2):229–230

    Article  PubMed  CAS  Google Scholar 

  • Bucurenci N, Blake DR, Chidwick K, Winyard PG (1992) Inhibition of neutrophil superoxide production by human plasma alpha 1-antitrypsin. FEBS Lett 300(1):21–24

    Article  PubMed  CAS  Google Scholar 

  • Campos MA, Alazemi S, Zhang G, Wanner A, Salathe M, Baier H, Sandhaus RA (2009) Exacerbations in subjects with alpha-1 antitrypsin deficiency receiving augmentation therapy. Respir Med 103(10):1532–1539

    Article  PubMed  Google Scholar 

  • Cantin AM, Woods DE (1999) Aerosolized prolastin suppresses bacterial proliferation in a model of chronic Pseudomonas aeruginosa lung infection. Am J Respir Crit Care Med 160(4):1130–1135

    PubMed  CAS  Google Scholar 

  • Carroll TP, Greene CM, O’Connor CA, Nolan AM, O’Neill SJ, McElvaney NG (2010) Evidence for unfolded protein response activation in monocytes from individuals with alpha-1 antitrypsin deficiency. J Immunol 184(8):4538–4546

    Article  PubMed  CAS  Google Scholar 

  • Cella G, Bellotto F, Tona F, Sbarai A, Mazzaro G, Motta G, Fareed J (2001) Plasma markers of endothelial dysfunction in pulmonary hypertension. Chest 120(4):1226–1230

    Article  PubMed  CAS  Google Scholar 

  • Chan ED, Kaminska AM, Gill W, Chmura K, Feldman NE, Bai X, Floyd CM, Fulton KE, Huitt GA, Strand MJ, Iseman MD, Shapiro L (2007) Alpha-1-antitrypsin (AAT) anomalies are associated with lung disease due to rapidly growing mycobacteria and AAT inhibits Mycobacterium abscessus infection of macrophages. Scand J Infect Dis 39(8):690–696

    Article  PubMed  CAS  Google Scholar 

  • Chang WS, Wardell MR, Lomas DA, Carrell RW (1996) Probing serpin reactive-loop conformations by proteolytic cleavage. Biochem J 314(Pt 2):647–653

    PubMed  CAS  Google Scholar 

  • Chapman KR, Stockley RA, Dawkins C, Wilkes MM, Navickis RJ (2009) Augmentation therapy for alpha1 antitrypsin deficiency: a meta-analysis. COPD 6(3):177–184

    Article  PubMed  Google Scholar 

  • Chen XL, Zhou L, Yang J, Shen FK, Zhao SP, Wang YL (2010) Hepatocellular carcinoma-associated protein markers investigated by MALDI-TOF MS. Mol Med Report 3(4):589–596

    PubMed  CAS  Google Scholar 

  • Chen ZQ, He SH (2004) Cloning and expression of human colon mast cell carboxypeptidase. World J Gastroenterol 10(3):342–347

    PubMed  CAS  Google Scholar 

  • Chowdhury MM, Williams EJ, Morris JS, Ferguson BJ, McGregor AD, Hedges AR, Stamatakis JD, Pope FM (2002) Severe panniculitis caused by homozygous ZZ alpha1-antitrypsin deficiency treated successfully with human purified enzyme (Prolastin). Br J Dermatol 147(6):1258–1261

    Article  PubMed  CAS  Google Scholar 

  • Churg A, Wang RD, Xie C, Wright JL (2003) Alpha-1-Antitrypsin ameliorates cigarette smoke-induced emphysema in the mouse. Am J Respir Crit Care Med 168(2):199–207

    Article  PubMed  Google Scholar 

  • Churg A, Wang X, Wang RD, Meixner SC, Pryzdial EL, Wright JL (2007) Alpha1-antitrypsin suppresses TNF-alpha and MMP-12 production by cigarette smoke-stimulated macrophages. Am J Respir Cell Mol Biol 37(2):144–151

    Article  PubMed  CAS  Google Scholar 

  • Cichy J, Potempa J, Travis J (1997) Biosynthesis of alpha1-proteinase inhibitor by human lung-derived epithelial cells. J Biol Chem 272(13):8250–8255

    Article  PubMed  CAS  Google Scholar 

  • Clemmensen I, Christensen F (1976) Inhibition of urokinase by complex formation with human alpha1-antitrypsin. Biochim Biophys Acta 429(2):591–599

    PubMed  CAS  Google Scholar 

  • Cox DW, Huber O (1976) Rheumatoid arthritis and alpha-1-antitrypsin. Lancet 1(7971):1216–1217

    PubMed  CAS  Google Scholar 

  • Cox DW, Huber O (1980) Association of severe rheumatoid arthritis with heterozygosity for alpha 1-antitrypsin deficiency. Clin Genet 17(2):153–160

    Article  PubMed  CAS  Google Scholar 

  • Crystal RG (1990) Alpha 1-antitrypsin deficiency, emphysema, and liver disease. Genetic basis and strategies for therapy. J Clin Invest 85(5):1343–1352

    Article  PubMed  CAS  Google Scholar 

  • Curiel DT, Chytil A, Courtney M, Crystal RG (1989) Serum alpha 1-antitrypsin deficiency associated with the common S-type (Glu264—Val) mutation results from intracellular degradation of alpha 1-antitrypsin prior to secretion. J Biol Chem 264(18):10477–10486

    PubMed  CAS  Google Scholar 

  • Daemen MA, Heemskerk VH, van’t Veer C, Denecker G, Wolfs TG, Vandenabeele P, Buurman WA (2000) Functional protection by acute phase proteins alpha(1)-acid glycoprotein and alpha(1)-antitrypsin against ischemia/reperfusion injury by preventing apoptosis and inflammation. Circulation 102(12):1420–1426

    PubMed  CAS  Google Scholar 

  • de Serres FJ, Blanco I, Fernandez-Bustillo E (2007) PI S and PI Z alpha-1 antitrypsin deficiency worldwide. A review of existing genetic epidemiological data. Monaldi Arch Chest Dis 67(4):184–208

    PubMed  Google Scholar 

  • Dhami R, Gilks B, Xie C, Zay K, Wright JL, Churg A (2000) Acute cigarette smoke-induced connective tissue breakdown is mediated by neutrophils and prevented by alpha1-antitrypsin. Am J Respir Cell Mol Biol 22(2):244–252

    PubMed  CAS  Google Scholar 

  • Dirksen A, Dijkman JH, Madsen F, Stoel B, Hutchison DC, Ulrik CS, Skovgaard LT, Kok-Jensen A, Rudolphus A, Seersholm N, Vrooman HA, Reiber JH, Hansen NC, Heckscher T, Viskum K, Stolk J (1999) A randomized clinical trial of alpha(1)-antitrypsin augmentation therapy. Am J Respir Crit Care Med 160(5 Pt 1):1468–1472

    PubMed  CAS  Google Scholar 

  • Dirksen A, Piitulainen E, Parr DG, Deng C, Wencker M, Shaker SB, Stockley RA (2009) Exploring the role of CT densitometry: a randomised study of augmentation therapy in alpha1-antitrypsin deficiency. Eur Respir J 33(6):1345–1353

    Article  PubMed  CAS  Google Scholar 

  • Dobrinich R, Spagnuolo PJ (1991) Binding of C-reactive protein to human neutrophils. Inhibition of respiratory burst activity. Arthritis Rheum 34(8):1031–1038

    Article  PubMed  CAS  Google Scholar 

  • Dowd SK, Rodgers GC, Callen JP (1995) Effective treatment with alpha 1-protease inhibitor of chronic cutaneous vasculitis associated with alpha 1-antitrypsin deficiency. J Am Acad Dermatol 33(5 Pt 2):913–916

    Article  PubMed  CAS  Google Scholar 

  • du Bois RM, Bernaudin JF, Paakko P, Hubbard R, Takahashi H, Ferrans V, Crystal RG (1991) Human neutrophils express the alpha 1-antitrypsin gene and produce alpha 1-antitrypsin. Blood 77(12):2724–2730

    PubMed  Google Scholar 

  • Duranton J, Bieth JG (2003) Inhibition of proteinase 3 by [alpha]1-antitrypsin in vitro predicts very fast inhibition in vivo. Am J Respir Cell Mol Biol 29(1):57–61

    Article  PubMed  CAS  Google Scholar 

  • Eden E, Hammel J, Rouhani FN, Brantly ML, Barker AF, Buist AS, Fallat RJ, Stoller JK, Crystal RG, Turino GM (2003) Asthma features in severe alpha1-antitrypsin deficiency: experience of the National Heart, Lung, and Blood Institute Registry. Chest 123(3):765–771

    Article  PubMed  Google Scholar 

  • Eden E, Strange C, Holladay B, Xie L (2006) Asthma and allergy in alpha-1 antitrypsin deficiency. Respir Med 100(8):1384–1391

    Article  PubMed  Google Scholar 

  • Elzouki AN, Segelmark M, Wieslander J, Eriksson S (1994) Strong link between the alpha 1-antitrypsin PiZ allele and Wegener’s granulomatosis. J Intern Med 236(5):543–548

    Article  PubMed  CAS  Google Scholar 

  • Eriksson S, Carlson J, Velez R (1986) Risk of cirrhosis and primary liver cancer in alpha 1-antitrypsin deficiency. N Engl J Med 314(12):736–739

    Article  PubMed  CAS  Google Scholar 

  • Esnault VL, Testa A, Audrain M, Roge C, Hamidou M, Barrier JH, Sesboue R, Martin JP, Lesavre P (1993) Alpha 1-antitrypsin genetic polymorphism in ANCA-positive systemic vasculitis. Kidney Int 43(6):1329–1332

    Article  PubMed  CAS  Google Scholar 

  • Fernandez-Torres R, Garcia-Silva J, Robles O, Otero A, Vazquez MA, Fonseca E (2009) Alfa-1-antitrypsin deficiency panniculitis acquired after liver transplant and successfully treated with retransplant. J Am Acad Dermatol 60(4):715–716

    Article  PubMed  Google Scholar 

  • Fitton HL, Pike RN, Carrell RW, Chang WS (1997) Mechanisms of antithrombin polymerisation and heparin activation probed by the insertion of synthetic reactive loop peptides. Biol Chem 378(9):1059–1063

    Article  PubMed  CAS  Google Scholar 

  • Forney JR, Yang S, Healey MC (1997a) Antagonistic effect of human alpha-1-antitrypsin on excystation of Cryptosporidium parvum oocysts. J Parasitol 83(4):771–774

    Article  PubMed  CAS  Google Scholar 

  • Forney JR, Yang S, Healey MC (1997b) Synergistic anticryptosporidial potential of the combination alpha-1-antitrypsin and paromomycin. Antimicrob Agents Chemother 41(9):2006–2008

    PubMed  CAS  Google Scholar 

  • Fregonese L, Stolk J, Frants RR, Veldhuisen B (2008) Alpha-1 antitrypsin Null mutations and severity of emphysema. Respir Med 102(6):876–884

    Article  PubMed  Google Scholar 

  • Gallimore MJ (1975) Serum inhibitors in fibrinolysis. Br J Haematol 31(2):217–231

    Article  PubMed  CAS  Google Scholar 

  • Gearing AJ, Beckett P, Christodoulou M, Churchill M, Clements J, Davidson AH, Drummond AH, Galloway WA, Gilbert R, Gordon JL et al (1994) Processing of tumour necrosis factor-alpha precursor by metalloproteinases. Nature 370(6490):555–557

    Article  PubMed  CAS  Google Scholar 

  • Geller DE, Kesser KC (2010) The I-neb Adaptive Aerosol Delivery System enhances delivery of alpha1-antitrypsin with controlled inhalation. J Aerosol Med Pulm Drug Deliv 23(Suppl 1):S55–S59

    PubMed  CAS  Google Scholar 

  • Geraghty P, Rogan MP, Greene CM, Brantly ML, O’Neill SJ, Taggart CC, McElvaney NG (2008) Alpha-1-antitrypsin aerosolised augmentation abrogates neutrophil elastase-induced expression of cathepsin B and matrix metalloprotease 2 in vivo and in vitro. Thorax 63(7):621–626

    Article  PubMed  CAS  Google Scholar 

  • Gibbons AM, McElvaney NG, Taggart CC, Cryan SA (2009) Delivery of rSLPI in a liposomal carrier for inhalation provides protection against cathepsin L degradation. J Microencapsul 26(6):513–522

    Article  PubMed  CAS  Google Scholar 

  • Gossage JR, Kuratomi Y, Davidson JM, Lefferts PL, Snapper JR (1993) Neutrophil elastase inhibitors, SC-37698 and SC-39026, reduce endotoxin-induced lung dysfunction in awake sheep. Am Rev Respir Dis 147(6 Pt 1):1371–1379

    PubMed  CAS  Google Scholar 

  • Gottlieb DJ, Luisetti M, Stone PJ, Allegra L, Cantey-Kiser JM, Grassi C, Snider GL (2000) Short-term supplementation therapy does not affect elastin degradation in severe alpha(1)-antitrypsin deficiency. The American-Italian AATD Study Group. Am J Respir Crit Care Med 162(6):2069–2072

    PubMed  CAS  Google Scholar 

  • Greene CM, Miller SD, Carroll T, McLean C, O’Mahony M, Lawless MW, O’Neill SJ, Taggart CC, McElvaney NG (2008) Alpha-1 antitrypsin deficiency: a conformational disease associated with lung and liver manifestations. J Inherit Metab Dis 31(1):21–34

    Article  PubMed  CAS  Google Scholar 

  • Griese M, Latzin P, Kappler M, Weckerle K, Heinzlmaier T, Bernhardt T, Hartl D (2007) Alpha1-Antitrypsin inhalation reduces airway inflammation in cystic fibrosis patients. Eur Respir J 29(2):240–250

    Article  PubMed  CAS  Google Scholar 

  • Grimstein C, Choi YK, Satoh M, Lu Y, Wang X, Campbell-Thompson M, Song S (2010a) Combination of alpha-1 antitrypsin and doxycycline suppresses collagen-induced arthritis. J Gene Med 12(1):35–44

    Article  PubMed  CAS  Google Scholar 

  • Grimstein C, Choi YK, Wasserfall CH, Satoh M, Atkinson MA, Brantly ML, Campbell-Thompson M, Song S (2010b) Alpha-1 antitrypsin protein and gene therapies decrease autoimmunity and delay arthritis development in mouse model. J Transl Med 9:21

    Article  CAS  Google Scholar 

  • Gross B, Grebe M, Wencker M, Stoller JK, Bjursten LM, Janciauskiene S (2009) New Findings in PiZZ alpha1-antitrypsin deficiency-related panniculitis. Demonstration of skin polymers and high dosing requirements of intravenous augmentation therapy. Dermatology 218(4):370–375

    Article  PubMed  CAS  Google Scholar 

  • Hartl D, Latzin P, Hordijk P, Marcos V, Rudolph C, Woischnik M, Krauss-Etschmann S, Koller B, Reinhardt D, Roscher AA, Roos D, Griese M (2007) Cleavage of CXCR1 on neutrophils disables bacterial killing in cystic fibrosis lung disease. Nat Med 13(12):1423–1430

    Article  PubMed  CAS  Google Scholar 

  • He SH, Xie H, Zhang XJ, Wang XJ (2004) Inhibition of histamine release from human mast cells by natural chymase inhibitors. Acta Pharmacol Sin 25(6):822–826

    PubMed  CAS  Google Scholar 

  • Hubbard RC, Fells G, Gadek J, Pacholok S, Humes J, Crystal RG (1991) Neutrophil accumulation in the lung in alpha 1-antitrypsin deficiency. Spontaneous release of leukotriene B4 by alveolar macrophages. J Clin Invest 88(3):891–897

    Article  PubMed  CAS  Google Scholar 

  • Hubbard RC, McElvaney NG, Sellers SE, Healy JT, Czerski DB, Crystal RG (1989) Recombinant DNA-produced alpha 1-antitrypsin administered by aerosol augments lower respiratory tract antineutrophil elastase defenses in individuals with alpha 1-antitrypsin deficiency. J Clin Invest 84(4):1349–1354

    Article  PubMed  CAS  Google Scholar 

  • Iba T, Kidokoro A, Fukunaga M, Takuhiro K, Yoshikawa S, Sugimotoa K (2006) Pretreatment of sivelestat sodium hydrate improves the lung microcirculation and alveolar damage in lipopolysaccharide-induced acute lung inflammation in hamsters. Shock 26(1):95–98

    Article  PubMed  CAS  Google Scholar 

  • Janciauskiene S, Larsson S, Larsson P, Virtala R, Jansson L, Stevens T (2004) Inhibition of lipopolysaccharide-mediated human monocyte activation, in vitro, by alpha1-antitrypsin. Biochem Biophys Res Commun 321(3):592–600

    Article  PubMed  CAS  Google Scholar 

  • Janciauskiene S, Nita I, Subramaniyam D, Li Q, Lancaster JR Jr, Matalon S (2008) Alpha1-antitrypsin inhibits the activity of the matriptase catalytic domain in vitro. Am J Respir Cell Mol Biol 39(6):631–637

    Article  PubMed  CAS  Google Scholar 

  • Janciauskiene SM, Nita IM, Stevens T (2007) Alpha1-antitrypsin, old dog, new tricks. Alpha1-antitrypsin exerts in vitro anti-inflammatory activity in human monocytes by elevating cAMP. J Biol Chem 282(12):8573–8582

    Article  PubMed  CAS  Google Scholar 

  • Jie Z, Cai Y, Yang W, Jin M, Zhu W, Zhu C (2003) Protective effects of alpha 1-antitrypsin on acute lung injury in rabbits induced by endotoxin. Chin Med J (Engl) 116(11):1678–1682

    CAS  Google Scholar 

  • Johansson B, Malm J, Persson T, Janciauskiene S, Andersson P, Carlson J, Egesten A (2001) Alpha-1-antitrypsin is present in the specific granules of human eosinophilic granulocytes. Clin Exp Allergy 31(3):379–386

    Article  PubMed  CAS  Google Scholar 

  • Kakimoto K, Matsukawa A, Yoshinaga M, Nakamura H (1995) Suppressive effect of a neutrophil elastase inhibitor on the development of collagen-induced arthritis. Cell Immunol 165(1):26–32

    Article  PubMed  CAS  Google Scholar 

  • Kalis M, Kumar R, Janciauskiene S, Salehi A, Cilio CM (2010) Alpha 1-antitrypsin enhances insulin secretion and prevents cytokine-mediated apoptosis in pancreatic beta-cells. Islets 2(3):185–189

    Article  PubMed  Google Scholar 

  • Kalsheker N, Morley S, Morgan K (2002) Gene regulation of the serine proteinase inhibitors alpha1-antitrypsin and alpha1-antichymotrypsin. Biochem Soc Trans 30(2):93–98

    Article  PubMed  CAS  Google Scholar 

  • Karoli NA, Rebrov AP, Iudakova Iu N (2004) Vascular endothelial dysfunction in patients with chronic obstructive lung diseases. Probl Tuberk Bolezn Legk 4:19-23

    PubMed  Google Scholar 

  • Kawabata K, Hagio T, Matsumoto S, Nakao S, Orita S, Aze Y, Ohno H (2000) Delayed neutrophil elastase inhibition prevents subsequent progression of acute lung injury induced by endotoxin inhalation in hamsters. Am J Respir Crit Care Med 161(6):2013–2018

    PubMed  CAS  Google Scholar 

  • Kilpatrick L, McCawley L, Nachiappan V, Greer W, Majumdar S, Korchak HM, Douglas SD (1992) Alpha-1-antichymotrypsin inhibits the NADPH oxidase-enzyme complex in phorbol ester-stimulated neutrophil membranes. J Immunol 149(9):3059–3065

    PubMed  CAS  Google Scholar 

  • Knappstein S, Ide T, Schmidt MA, Heusipp G (2004) Alpha 1-antitrypsin binds to and interferes with functionality of EspB from atypical and typical enteropathogenic Escherichia coli strains. Infect Immun 72(8):4344–4350

    Article  PubMed  CAS  Google Scholar 

  • Knoell DL, Ralston DR, Coulter KR, Wewers MD (1998) Alpha 1-antitrypsin and protease complexation is induced by lipopolysaccharide, interleukin-1beta, and tumor necrosis factor-alpha in monocytes. Am J Respir Crit Care Med 157(1):246–255

    PubMed  CAS  Google Scholar 

  • Koczulla R, Bittkowski N, Andress J, Greulich T, Schroth S, Kotke V, Vogelmeier C, Bals R (2008) The German registry of individuals with alpha-1-antitrypsin deficiency: a source for research on patient care. Pneumologie 62(11):655–658

    Article  PubMed  CAS  Google Scholar 

  • Kolarich D, Turecek PL, Weber A, Mitterer A, Graninger M, Matthiessen P, Nicolaes GA, Altmann F, Schwarz HP (2006a) Biochemical, molecular characterization, and glycoproteomic analyses of alpha(1)-proteinase inhibitor products used for replacement therapy. Transfusion 46(11):1959–1977

    Article  PubMed  CAS  Google Scholar 

  • Kolarich D, Weber A, Turecek PL, Schwarz HP, Altmann F (2006b) Comprehensive glyco-proteomic analysis of human alpha1-antitrypsin and its charge isoforms. Proteomics 6(11):3369–3380

    Article  PubMed  CAS  Google Scholar 

  • Kunkel SL, Spengler M, May MA, Spengler R, Larrick J, Remick D (1988) Prostaglandin E2 regulates macrophage-derived tumor necrosis factor gene expression. J Biol Chem 263(11):5380–5384

    PubMed  CAS  Google Scholar 

  • Laine E, Couderc R, Roch-Arveiller M, Vasson MP, Giroud JP, Raichvarg D (1990) Modulation of human polymorphonuclear neutrophil functions by alpha 1-acid glycoprotein. Inflammation 14(1):1–9

    Article  PubMed  CAS  Google Scholar 

  • Lewis EC, Shapiro L, Bowers OJ, Dinarello CA (2005) Alpha1-antitrypsin monotherapy prolongs islet allograft survival in mice. Proc Natl Acad Sci USA 102(34):12153–12158

    Article  PubMed  CAS  Google Scholar 

  • Lhotta K, Vogel W, Meisl T, Buxbaum M, Neyer U, Sandholzer C, Konig P (1994) Alpha 1-antitrypsin phenotypes in patients with anti-neutrophil cytoplasmic antibody-positive vasculitis. Clin Sci (Lond) 87(6):693–695

    CAS  Google Scholar 

  • Libert C, Van Molle W, Brouckaert P, Fiers W (1996) alpha1-Antitrypsin inhibits the lethal response to TNF in mice. J Immunol 157(11):5126–5129

    PubMed  CAS  Google Scholar 

  • Lieberman J (2000) Augmentation therapy reduces frequency of lung infections in antitrypsin deficiency: a new hypothesis with supporting data. Chest 118(5):1480–1485

    Article  PubMed  CAS  Google Scholar 

  • Lindhout T, Iqbal U, Willis LM, Reid AN, Li J, Liu X, Moreno M, Wakarchuk WW (2011) Site-specific enzymatic polysialylation of therapeutic proteins using bacterial enzymes. Proc Natl Acad Sci USA 108(18):7397–7402

    Article  PubMed  CAS  Google Scholar 

  • Liqun Wang R, McLaughlin T, Cossette T, Tang Q, Foust K, Campbell-Thompson M, Martino A, Cruz P, Loiler S, Mueller C, Flotte TR (2009) Recombinant AAV serotype and capsid mutant comparison for pulmonary gene transfer of alpha-1-antitrypsin using invasive and noninvasive delivery. Mol Ther 17(1):81–87

    Article  PubMed  CAS  Google Scholar 

  • Lomas DA, Evans DL, Finch JT, Carrell RW (1992) The mechanism of Z alpha 1-antitrypsin accumulation in the liver. Nature 357(6379):605–607

    Article  PubMed  CAS  Google Scholar 

  • Lu Y, Tang M, Wasserfall C, Kou Z, Campbell-Thompson M, Gardemann T, Crawford J, Atkinson M, Song S (2006) Alpha1-antitrypsin gene therapy modulates cellular immunity and efficiently prevents type 1 diabetes in nonobese diabetic mice. Hum Gene Ther 17(6):625–634

    Article  PubMed  CAS  Google Scholar 

  • Luo LY, Jiang W (2006) Inhibition profiles of human tissue kallikreins by serine protease inhibitors. Biol Chem 387(6):813–816

    Article  PubMed  CAS  Google Scholar 

  • Lushbaugh WB, Kairalla AB, Hofbauer AF, Arnaud P, Cantey JR, Pittman FE (1981) Inhibition of Entamoeba histolytica cytotoxin by alpha 1 antiprotease and alpha 2 macroglobulin. Am J Trop Med Hyg 30(3):575–585

    PubMed  CAS  Google Scholar 

  • Mahrus S, Kisiel W, Craik CS (2004) Granzyme M is a regulatory protease that inactivates proteinase inhibitor 9, an endogenous inhibitor of granzyme B. J Biol Chem 279(52):54275–54282

    Article  PubMed  CAS  Google Scholar 

  • Malerba M, Ricciardolo F, Radaeli A, Torregiani C, Ceriani L, Mori E, Bontempelli M, Tantucci C, Grassi V (2006) Neutrophilic inflammation and IL-8 levels in induced sputum of alpha-1-antitrypsin PiMZ subjects. Thorax 61(2):129–133

    Article  PubMed  CAS  Google Scholar 

  • Martin SL, Downey D, Bilton D, Keogan MT, Edgar J, Elborn JS (2006) Safety and efficacy of recombinant alpha(1)-antitrypsin therapy in cystic fibrosis. Pediatr Pulmonol 41(2):177–183

    Article  PubMed  Google Scholar 

  • Mast AE, Enghild JJ, Pizzo SV, Salvesen G (1991) Analysis of the plasma elimination kinetics and conformational stabilities of native, proteinase-complexed, and reactive site cleaved serpins: comparison of alpha 1-proteinase inhibitor, alpha 1-antichymotrypsin, antithrombin III, alpha 2-antiplasmin, angiotensinogen, and ovalbumin. Biochemistry 30(6):1723–1730

    Article  PubMed  CAS  Google Scholar 

  • McCarthy C, Dimitrov BD (2010) Augmentation therapy for alpha-1 antitrypsin deficiency–not enough evidence to support its use yet! COPD 7(3):234 (author reply 235-236)

    Article  PubMed  Google Scholar 

  • McElvaney NG, Crystal RG (1997) Proteases and lung injury. In: Crystal RG, West JB, Weibel ER, Barnes PJ (eds) The lung: scientific foundations. Raven Press Inc, New York, pp 2205–2219

  • McElvaney NG, Hubbard RC, Birrer P, Chernick MS, Caplan DB, Frank MM, Crystal RG (1991) Aerosol alpha 1-antitrypsin treatment for cystic fibrosis. Lancet 337(8738):392–394

    Article  PubMed  CAS  Google Scholar 

  • McElvaney NG, Nakamura H, Birrer P, Hebert CA, Wong WL, Alphonso M, Baker JB, Catalano MA, Crystal RG (1992) Modulation of airway inflammation in cystic fibrosis. In vivo suppression of interleukin-8 levels on the respiratory epithelial surface by aerosolization of recombinant secretory leukoprotease inhibitor. J Clin Invest 90(4):1296–1301

    Article  PubMed  CAS  Google Scholar 

  • McInnes IB, Schett G (2007) Cytokines in the pathogenesis of rheumatoid arthritis. Nat Rev Immunol 7(6):429–442

    Article  PubMed  CAS  Google Scholar 

  • Miyamoto Y, Akaike T, Alam MS, Inoue K, Hamamoto T, Ikebe N, Yoshitake J, Okamoto T, Maeda H (2000a) Novel functions of human alpha(1)-protease inhibitor after S-nitrosylation: inhibition of cysteine protease and antibacterial activity. Biochem Biophys Res Commun 267(3):918–923

    Article  PubMed  CAS  Google Scholar 

  • Miyamoto Y, Akaike T, Maeda H (2000b) S-nitrosylated human alpha(1)-protease inhibitor. Biochim Biophys Acta 1477(1–2):90–97

    Article  PubMed  CAS  Google Scholar 

  • Molano RD, Pileggi A, Song S, Zahr E, San Jose S, Molina J, Fort A, Wasserfall C, Ricordi C, Atkinson MA, Inverardi L (2008) Prolonged islet allograft survival by alpha-1 antitrypsin: the role of humoral immunity. Transplant Proc 40(2):455–456

    Article  PubMed  CAS  Google Scholar 

  • Molmenti EP, Perlmutter DH, Rubin DC (1993) Cell-specific expression of alpha 1-antitrypsin in human intestinal epithelium. J Clin Invest 92(4):2022–2034

    Article  PubMed  CAS  Google Scholar 

  • Mulgrew AT, Taggart CC, Lawless MW, Greene CM, Brantly ML, O’Neill SJ, McElvaney NG (2004) Z alpha1-antitrypsin polymerizes in the lung and acts as a neutrophil chemoattractant. Chest 125(5):1952–1957

    Article  PubMed  CAS  Google Scholar 

  • Munch J, Standker L, Adermann K, Schulz A, Schindler M, Chinnadurai R, Pohlmann S, Chaipan C, Biet T, Peters T, Meyer B, Wilhelm D, Lu H, Jing W, Jiang S, Forssmann WG, Kirchhoff F (2007) Discovery and optimization of a natural HIV-1 entry inhibitor targeting the gp41 fusion peptide. Cell 129(2):263–275

    Article  PubMed  CAS  Google Scholar 

  • Nagai A, Aoshiba K, Ishihara Y, Inano H, Sakamoto K, Yamaguchi E, Kagawa J, Takizawa T (1992) Administration of alpha 1-proteinase inhibitor ameliorates bleomycin-induced pulmonary fibrosis in hamsters. Am Rev Respir Dis 145(3):651–656

    PubMed  CAS  Google Scholar 

  • Needham M, Stockley RA (2005) Exacerbations in {alpha}1-antitrypsin deficiency. Eur Respir J 25(6):992–1000

    Article  PubMed  CAS  Google Scholar 

  • Nicholls MG, Janus ED (1973) Hashimoto’s thyroiditis and homozygous alpha 1-antitrypsin deficiency. Aust N Z J Med 3(5):516–519

    Article  PubMed  CAS  Google Scholar 

  • Nita IM, Serapinas D, Janciauskiene SM (2007) alpha1-Antitrypsin regulates CD14 expression and soluble CD14 levels in human monocytes in vitro. Int J Biochem Cell Biol 39(6):1165–1176

    Article  PubMed  CAS  Google Scholar 

  • Ollivier V, Parry GC, Cobb RR, de Prost D, Mackman N (1996) Elevated cyclic AMP inhibits NF-kappaB-mediated transcription in human monocytic cells and endothelial cells. J Biol Chem 271(34):20828–20835

    Article  PubMed  CAS  Google Scholar 

  • Ouagued M, Martin-Chouly CA, Brinchault G, Leportier-Comoy C, Depince A, Bertrand C, Lagente V, Belleguic C, Pruniaux MP (2005) The novel phosphodiesterase 4 inhibitor, CI-1044, inhibits LPS-induced TNF-alpha production in whole blood from COPD patients. Pulm Pharmacol Ther 18(1):49–54

    Article  PubMed  CAS  Google Scholar 

  • Palma-Carlos AG, Palma-Carlos ML (2007) Alpha-1-antitrypsin deficiency asthma and allergy. Eur Ann Allergy Clin Immunol 39(4):127–132

    PubMed  CAS  Google Scholar 

  • Panyutich AV, Hiemstra PS, van Wetering S, Ganz T (1995) Human neutrophil defensin and serpins form complexes and inactivate each other. Am J Respir Cell Mol Biol 12(3):351–357

    PubMed  CAS  Google Scholar 

  • Parmar JS, Mahadeva R, Reed BJ, Farahi N, Cadwallader KA, Keogan MT, Bilton D, Chilvers ER, Lomas DA (2002) Polymers of alpha(1)-antitrypsin are chemotactic for human neutrophils: a new paradigm for the pathogenesis of emphysema. Am J Respir Cell Mol Biol 26(6):723–730

    PubMed  CAS  Google Scholar 

  • Patston PA, Roodi N, Schifferli JA, Bischoff R, Courtney M, Schapira M (1990) Reactivity of alpha 1-antitrypsin mutants against proteolytic enzymes of the kallikrein-kinin, complement, and fibrinolytic systems. J Biol Chem 265(18):10786–10791

    PubMed  CAS  Google Scholar 

  • Perlmutter DH (2002) Liver injury in alpha1-antitrypsin deficiency: an aggregated protein induces mitochondrial injury. J Clin Invest 110(11):1579–1583

    PubMed  CAS  Google Scholar 

  • Perlmutter DH (2004) Alpha-1-antitrypsin deficiency: diagnosis and treatment. Clin Liver Dis 8(4):839-859 (viii–ix)

    Article  PubMed  Google Scholar 

  • Perlmutter DH, Schlesinger MJ, Pierce JA, Punsal PI, Schwartz AL (1989) Synthesis of stress proteins is increased in individuals with homozygous PiZZ alpha 1-antitrypsin deficiency and liver disease. J Clin Invest 84(5):1555–1561

    Article  PubMed  CAS  Google Scholar 

  • Perlmutter DH, Travis J, Punsal PI (1988) Elastase regulates the synthesis of its inhibitor, alpha 1-proteinase inhibitor, and exaggerates the defect in homozygous PiZZ alpha 1 PI deficiency. J Clin Invest 81(6):1774–1780

    Article  PubMed  CAS  Google Scholar 

  • Petrache I, Fijalkowska I, Medler TR, Skirball J, Cruz P, Zhen L, Petrache HI, Flotte TR, Tuder RM (2006) Alpha-1 antitrypsin inhibits caspase-3 activity, preventing lung endothelial cell apoptosis. Am J Pathol 169(4):1155–1166

    Article  PubMed  CAS  Google Scholar 

  • Pileggi A, Molano RD, Song S, Zahr E, SanJose S, Villate S, Wasserfall C, Ricordi C, Atkinson MA, Inverardi L (2008) Alpha-1 antitrypsin treatment of spontaneously diabetic nonobese diabetic mice receiving islet allografts. Transplant Proc 40(2):457–458

    Article  PubMed  CAS  Google Scholar 

  • Reeves EP, Cosgrove S, Bergin DA, Greene CM, McElvaney NG (2010) New strategies in drug development focusing on the anti-protease-protease balance in alpha-1 antitrypsin deficiency. Anti-Inflammatory and Anti-Allergy Agents in Medicinal Chemistry 9:314–329

    CAS  Google Scholar 

  • Rogers J, Kalsheker N, Wallis S, Speer A, Coutelle CH, Woods D, Humphries SE (1983) The isolation of a clone for human alpha 1-antitrypsin and the detection of alpha 1-antitrypsin in mRNA from liver and leukocytes. Biochem Biophys Res Commun 116(2):375–382

    Article  PubMed  CAS  Google Scholar 

  • Rooney CP, Taggart C, Coakley R, McElvaney NG, O’Neill SJ (2001) Anti-proteinase 3 antibody activation of neutrophils can be inhibited by alpha1-antitrypsin. Am J Respir Cell Mol Biol 24(6):747–754

    PubMed  CAS  Google Scholar 

  • Rouhani F, Paone G, Smith NK, Krein P, Barnes P, Brantly ML (2000) Lung neutrophil burden correlates with increased pro-inflammatory cytokines and decreased lung function in individuals with alpha(1)-antitrypsin deficiency. Chest 117(5 Suppl 1):250S–251S

    Article  PubMed  Google Scholar 

  • Sandhaus RA, Turino G, Stocks J, Strange C, Trapnell BC, Silverman EK, Everett SE, Stoller JK (2008) Alpha1-Antitrypsin augmentation therapy for PI*MZ heterozygotes: a cautionary note. Chest 134(4):831–834

    Article  PubMed  Google Scholar 

  • Sandstrom C, Piitulainen E, Janciauskiene S (2008a) Augmentation therapy in emphysema patient with ZZ a-1-antitrypsin deficiency. Respiratory Medicine CME 1:153–157

    Article  Google Scholar 

  • Sandstrom CS, Ohlsson B, Melander O, Westin U, Mahadeva R, Janciauskiene S (2008b) An association between Type 2 diabetes and alpha-antitrypsin deficiency. Diabet Med 25(11):1370–1373

    PubMed  CAS  Google Scholar 

  • Seersholm N, Wencker M, Banik N, Viskum K, Dirksen A, Kok-Jensen A, Konietzko N (1997) Does alpha1-antitrypsin augmentation therapy slow the annual decline in FEV1 in patients with severe hereditary alpha1-antitrypsin deficiency? Wissenschaftliche Arbeitsgemeinschaft zur Therapie von Lungenerkrankungen (WATL) alpha1-AT study group. Eur Respir J 10(10):2260–2263

    Article  PubMed  CAS  Google Scholar 

  • Segelmark M, Elzouki AN, Wieslander J, Eriksson S (1995) The PiZ gene of alpha 1-antitrypsin as a determinant of outcome in PR3-ANCA-positive vasculitis. Kidney Int 48(3):844–850

    Article  PubMed  CAS  Google Scholar 

  • Simpson AJ, Cunningham GA, Porteous DJ, Haslett C, Sallenave JM (2001) Regulation of adenovirus-mediated elafin transgene expression by bacterial lipopolysaccharide. Hum Gene Ther 12(11):1395–1406

    Article  PubMed  CAS  Google Scholar 

  • Sohrab S, Petrusca DN, Lockett AD, Schweitzer KS, Rush NI, Gu Y, Kamocki K, Garrison J, Petrache I (2009) Mechanism of alpha-1 antitrypsin endocytosis by lung endothelium. FASEB J 23(9):3149–3158

    Article  PubMed  CAS  Google Scholar 

  • Song S, Goudy K, Campbell-Thompson M, Wasserfall C, Scott-Jorgensen M, Wang J, Tang Q, Crawford JM, Ellis TM, Atkinson MA, Flotte TR (2004) Recombinant adeno-associated virus-mediated alpha-1 antitrypsin gene therapy prevents type I diabetes in NOD mice. Gene Ther 11(2):181–186

    Article  PubMed  CAS  Google Scholar 

  • Spencer LT, Paone G, Krein PM, Rouhani FN, Rivera-Nieves J, Brantly ML (2004) Role of human neutrophil peptides in lung inflammation associated with alpha1-antitrypsin deficiency. Am J Physiol Lung Cell Mol Physiol 286(3):L514–L520

    Article  PubMed  CAS  Google Scholar 

  • Stockley RA, Bayley DL, Unsal I, Dowson LJ (2002) The effect of augmentation therapy on bronchial inflammation in alpha1-antitrypsin deficiency. Am J Respir Crit Care Med 165(11):1494–1498

    Article  PubMed  Google Scholar 

  • Stockley RA, Shaw J, Afford SC, Morrison HM, Burnett D (1990) Effect of alpha-1-proteinase inhibitor on neutrophil chemotaxis. Am J Respir Cell Mol Biol 2(2):163–170

    PubMed  CAS  Google Scholar 

  • Subramaniyam D, Steele C, Kohnlein T, Welte T, Grip O, Matalon S, Janciauskiene S (2010) Effects of alpha 1-antitrypsin on endotoxin-induced lung inflammation in vivo. Inflamm Res 59(7):571–578

    Article  PubMed  CAS  Google Scholar 

  • Subramaniyam D, Virtala R, Pawlowski K, Clausen IG, Warkentin S, Stevens T, Janciauskiene S (2008) TNF-alpha-induced self expression in human lung endothelial cells is inhibited by native and oxidized alpha1-antitrypsin. Int J Biochem Cell Biol 40(2):258–271

    Article  PubMed  CAS  Google Scholar 

  • Taggart C, Cervantes-Laurean D, Kim G, McElvaney NG, Wehr N, Moss J, Levine RL (2000) Oxidation of either methionine 351 or methionine 358 in alpha 1-antitrypsin causes loss of anti-neutrophil elastase activity. J Biol Chem 275(35):27258–27265

    PubMed  CAS  Google Scholar 

  • The Alpha-1-Antitrypsin Deficiency Registry Study Group (1998) Survival and FEV1 decline in individuals with severe deficiency of alpha1-antitrypsin. Am J Respir Crit Care Med 158:49–59

    Google Scholar 

  • Tonelli AR, Rouhani F, Li N, Schreck P, Brantly ML (2009) Alpha-1-antitrypsin augmentation therapy in deficient individuals enrolled in the Alpha-1 Foundation DNA and Tissue Bank. Int J Chron Obstruct Pulmon Dis 4:443–452

    PubMed  Google Scholar 

  • Tuder RM, Janciauskiene SM, Petrache I (2010) Lung disease associated with alpha1-antitrypsin deficiency. Proc Am Thorac Soc 7(6):381–386

    Article  PubMed  CAS  Google Scholar 

  • Turino GM, Barker AF, Brantly ML, Cohen AB, Connelly RP, Crystal RG, Eden E, Schluchter MD, Stoller JK (1996) Clinical features of individuals with PI*SZ phenotype of alpha 1-antitrypsin deficiency. alpha 1-Antitrypsin Deficiency Registry Study Group. Am J Respir Crit Care Med 154(6 Pt 1):1718–1725

    PubMed  CAS  Google Scholar 

  • van Pel M, van Os R, Velders GA, Hagoort H, Heegaard PM, Lindley IJ, Willemze R, Fibbe WE (2006) Serpina1 is a potent inhibitor of IL-8-induced hematopoietic stem cell mobilization. Proc Natl Acad Sci USA 103(5):1469–1474

    Article  PubMed  CAS  Google Scholar 

  • Venembre P, Boutten A, Seta N, Dehoux MS, Crestani B, Aubier M, Durand G (1994) Secretion of alpha 1-antitrypsin by alveolar epithelial cells. FEBS Lett 346(2–3):171–174

    Article  PubMed  CAS  Google Scholar 

  • Ward PA, Talamo RC (1973) Deficiency of the chemotactic factor inactivator in human sera with 1 -antitrypsin deficiency. J Clin Invest 52(2):516–519

    Article  PubMed  CAS  Google Scholar 

  • Warter J, Storck D, Grosshans E, Metais P, Kuntz JL, Klumpp T (1972) Weber-Christian syndrome associated with an alpha-1 antitrypsin deficiency. Familial investigation. Ann Med Interne (Paris) 123(10):877–882

    CAS  Google Scholar 

  • Wencker M, Brantly ML (2005) Cytotoxic concentrations of alpha-defensins in the lungs of individuals with alpha 1-antitrypsin deficiency and moderate to severe lung disease. Cytokine 32(1):1–6

    Article  PubMed  CAS  Google Scholar 

  • Wencker M, Fuhrmann B, Banik N, Konietzko N (2001) Longitudinal follow-up of patients with alpha(1)-protease inhibitor deficiency before and during therapy with IV alpha(1)-protease inhibitor. Chest 119(3):737–744

    Article  PubMed  CAS  Google Scholar 

  • Yasui S, Nagai A, Aoshiba K, Ozawa Y, Kakuta Y, Konno K (1995) A specific neutrophil elastase inhibitor (ONO-5046.Na) attenuates LPS-induced acute lung inflammation in the hamster. Eur Respir J 8(8):1293–1299

    Article  PubMed  CAS  Google Scholar 

  • Zhang B, Lu Y, Campbell-Thompson M, Spencer T, Wasserfall C, Atkinson M, Song S (2007) Alpha1-antitrypsin protects beta-cells from apoptosis. Diabetes 56(5):1316–1323

    Article  PubMed  CAS  Google Scholar 

  • Zhou X, Shapiro L, Fellingham G, Willardson BM, Burton GF (2010) HIV replication in CD4 + T lymphocytes in the presence and absence of follicular dendritic cells: inhibition of replication mediated by alpha-1-antitrypsin through altered IkappaBalpha ubiquitination. J Immunol 186(5):3148–3155

    Article  Google Scholar 

Download references

Acknowledgments

The authors would like to thank the Medical Research Charities Group and the Health Research Board and The US Alpha-1 Foundation, Science Foundation Ireland, grant number 11/RFP/BMT/3094 and the Program for Research in Third Level Institutes administered by the Higher Education Authority for support.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Emer P. Reeves.

Additional information

The authors D. A. Bergin and K. Hurley share joint first authorship.

About this article

Cite this article

Bergin, D.A., Hurley, K., McElvaney, N.G. et al. Alpha-1 Antitrypsin: A Potent Anti-Inflammatory and Potential Novel Therapeutic Agent. Arch. Immunol. Ther. Exp. 60, 81–97 (2012). https://doi.org/10.1007/s00005-012-0162-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00005-012-0162-5

Keywords

Navigation