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Journal of Immunology Research
Volume 2017, Article ID 8539294, 9 pages
Research Article

The Expression of IL-6, TNF-α, and MCP-1 in Respiratory Viral Infection in Acute Exacerbations of Chronic Obstructive Pulmonary Disease

1Departments of Pathogenic Biology, College of Basic Medical Sciences, Jilin university, Changchun, China
2School of Pharmaceutical Sciences, Jilin University, Jilin, China
3Department of Respiratory Disease, Jilin Provincial People’s Hospital, Changchun, China
4Department of Disease Control and Prevention, Beijing Shunyi District Center, Beijing, China
5Department of Respiratory and Sleep Medicine, John Hunter Hospital, Newcastle, NSW, Australia
6Department of Respiratory and Sleep Medicine, University of Newcastle, New Lambton, NSW, Australia
7Department of Intensive Care Unit, First Hospital of Jilin University, Changchun 130021, China
8Department of Clinical Laboratory, The Second Hospital of Jilin University, Changchun 130021, China

Correspondence should be addressed to Fang Wang; nc.ude.ulj@fw

Received 23 September 2016; Revised 4 January 2017; Accepted 9 February 2017; Published 2 March 2017

Academic Editor: Andréia M. Cardoso

Copyright © 2017 Jingtong Zheng et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Viral infection is a common trigger for acute exacerbations of chronic obstructive pulmonary disease (AECOPD). The aim of this study is to investigate the expression of cytokines in AECOPD. Patients with AECOPD requiring hospitalization were recruited. Meanwhile healthy volunteers of similar age that accepted routine check-ups and showed no clinical symptoms of inflammatory diseases were also recruited. Induced sputum and serum were collected. Induced sputum of participants was processed and tested for thirteen viruses and bacteria. Forty cytokines were assayed in serum using the Quantibody Human Inflammation Array 3 (Ray Biotech, Inc.). The most common virus detected in virus positive AECOPD (VP) was influenza A (16%). No virus was found in controls. Circulating levels of IL-6, TNF-α, and MCP-1 were elevated in VP and coinfection subjects (), while the levels of 37 other cytokines showed no difference, compared with virus negative groups and controls (). Additionally, VP patients were less likely to have received influenza vaccination. VP patients had a systemic inflammation response involving IL-6, TNF-α, and MCP-1 which may be due to virus-induced activation of macrophages. There are important opportunities for further investigating AECOPD mechanisms and for the development of better strategies in the management and prevention of virus-related AECOPD.