Chronic obstructive pulmonary disease (COPD): neutrophils, macrophages and lymphocytes in patients with anterior tuberculosis compared to tobacco related COPD

• Published in: BMC research notes Vol. 11; no. 1; p. 192
• Main Authors: Guiedem, Elise, Ikomey, George Mondinde, Nkenfou, Céline, Walter, Pefura-Yone Eric, Mesembe, Martha, Chegou, Novel Njweipi, Jacobs, Graeme Brendon, Okomo Assoumou, Marie Claire
• Format: Journal Article
• Language: English
• Published: England BioMed Central 27-03-2018; BMC
• Subjects: Adult; Age; Aged; Aged, 80 and over; Bronchitis; Case-Control Studies; Chronic obstructive pulmonary disease; Cigarettes; COPD; Enumeration; Female; Humans; Inflammation; Leukocytes (neutrophilic); Lung diseases; Lymphocytes; Lymphocytes - cytology; Lymphocytes - immunology; Macrophages; Macrophages - cytology; Macrophages - immunology; Male; Males; Medical records; Middle Aged; Monocytes; Neutrophils; Neutrophils - cytology; Neutrophils - immunology; Nicotiana; Obstructive lung disease; Patients; Pulmonary Disease, Chronic Obstructive - etiology; Pulmonary Disease, Chronic Obstructive - immunology; Research Note; Smoking; Smoking - adverse effects; Software; Sputum; Sputum - cytology; Sputum - immunology; Tobacco; Tuberculosis; Tuberculosis, Pulmonary - immunology; Monocytes; Tobacco; Tuberculosis; Lymphocytes; Neutrophils; COPD
• ISSN: 1756-0500; 1756-0500
• DOI: 10.1186/s13104-018-3309-6

The inflammatory profile of chronic obstructive pulmonary disease (COPD) related to tobacco is known in certain studies while that of the post tuberculosis form is not yet known. This study aimed to evaluate the levels of neutrophils, macrophages and lymphocytes cells in sputum of COPD patients with history of smoking or anterior tuberculosis. Enumeration of cells in samples was analyzed using standard microscopy.
We enrolled 92 participants, 46 (50%) were COPD subjects comprising 22 (47.83%) smokers and 24 (52.17%) with anterior tuberculosis while 46 (50%) healthy persons constituted the control group. The levels of neutrophils, lymphocytes and monocytes were statistically higher in COPD patients compared to the control group with p-values of 0.0001 respectively. Neutrophils levels were higher in COPD patients with history of tobacco than in COPD patients with anterior tuberculosis with a mean rate of 4.72 × 10
/ml and 2.48 × 10
/ml respectively (p = 0.04). The monocytes and lymphocytes levels were not statistically different between the two sub-groups of COPD patients with p-value of 0.052 and 0.91 respectively. Neutrophils are the only inflammatory cells that were significantly higher in COPD patients with history of smoking as compared to COPD patients with anterior tuberculosis.