Long-term stability and circadian variation in circulating levels of surfactant protein D

Silje Vermedal Hoegh, Grith Lykke Sorensen, Ida Tornoe, Tine Lottenburger, Henriette Ytting, Hans Jørgen Nielsen, Peter Junker, Uffe Holmskov, Silje Vermedal Hoegh, Grith Lykke Sorensen, Ida Tornoe, Tine Lottenburger, Henriette Ytting, Hans Jørgen Nielsen, Peter Junker, Uffe Holmskov

25 Citations (Scopus)

Abstract

Surfactant protein D (SP-D) is an oligomeric calcium-dependent lectin with important roles in innate host defence against infectious microorganisms. Several studies have shown that patients with inflammatory lung disease have elevated levels of circulating SP-D, and serum SP-D has been suggested to be used as a biomarker for disease e.g. in COPD. We aimed to investigate the variation of circulating SP-D in healthy individuals in and between days for 6 months. In addition, we studied the SP-D response to a standardized physical exercise programme. SP-D was measured in serum using a 5-layered ELISA technique. We found that circulating SP-D remained constant over a 6-month period. However, during the course of one day SP-D varied significantly. Median SP-D peaked at 10 a.m. at 1009 ng/ml (95% CI: 803-1497), subsequently decreasing to nadir at 10 p.m. at 867 ng/ml (95% CI: 650-1148)(P<0.00005). Median pre-exercise level of SP-D was 746 ng/ml (95% CI: 384-2035), and immediately after cessation of physical activity the median SP-D level was 767 ng/ml (95% CI: 367-1885) (P=0.248). Our findings underscore the importance of standardized blood sampling conditions in future studies on the potential role of SP-D as a biomarker. Importantly, stable measures of systemic SP-D over a prolonged period support that SP-D is suitable for biomarker studies.

Original languageEnglish
JournalImmunobiology
Volume215
Issue number4
Pages (from-to)314-20
Number of pages6
ISSN0171-2985
DOIs
Publication statusPublished - Apr 2010

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