Determinants of culture success in an airway epithelium sampling program of young children with cystic fibrosis

Copyright © 2014 Informa Healthcare USA, Inc. Aim of the study: The bronchial brushing technique presents an opportunity to establish a gold standard in vitro model of Cystic Fibrosis (CF) airway disease. However, unique obstacles exist when establishing CF airway epithelial cells (pAEC < inf...

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Main Authors: Garratt, L., Sutanto, E., Foo, C., Ling, K., Looi, K., Kicic-Starcevich, E., Iosifidis, T., Martinovich, K., Lannigan, F., Stick, S., Kicic, Anthony
Format: Journal Article
Published: Taylor & Francis 2014
Online Access:http://hdl.handle.net/20.500.11937/57236
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author Garratt, L.
Sutanto, E.
Foo, C.
Ling, K.
Looi, K.
Kicic-Starcevich, E.
Iosifidis, T.
Martinovich, K.
Lannigan, F.
Stick, S.
Kicic, Anthony
author_facet Garratt, L.
Sutanto, E.
Foo, C.
Ling, K.
Looi, K.
Kicic-Starcevich, E.
Iosifidis, T.
Martinovich, K.
Lannigan, F.
Stick, S.
Kicic, Anthony
author_sort Garratt, L.
building Curtin Institutional Repository
collection Online Access
description Copyright © 2014 Informa Healthcare USA, Inc. Aim of the study: The bronchial brushing technique presents an opportunity to establish a gold standard in vitro model of Cystic Fibrosis (CF) airway disease. However, unique obstacles exist when establishing CF airway epithelial cells (pAEC < inf > CF < /inf > ). We aimed to identify determinants of culture success through retrospective analysis of a program of routinely brushing children with CF. Materials and methods: Anaesthetised children (CF and non-CF) had airway samples taken which were immediately processed for cell culture. Airway data for the CF cohort was obtained from clinical records and the AREST CF database. Results: Of 260 brushings processed for culture, 114 (43.8%) pAEC < inf > CF < /inf > successfully cultured to passage one (P1) and 63 (24.2% of total) progressed to passage two (P2). However, > 80% of non-CF specimens (pAEC < inf > non-CF < /inf > ) cultured to P2 from similar cell numbers. Within the CF cohort, specimens successfully cultured to P2 had a higher initial cell count and lower proportion of severe CF mutation phenotype than those that did not proliferate beyond initial seeding. Elevated airway IL-8 concentration was also negatively associated with culture establishment. Contamination by opportunistic pathogens was observed in 81 (31.2% of total) cultures and brushings from children with lower respiratory tract infections were more likely to co-culture contaminating flora. Conclusions: Lower passage rates of pAEC < inf > CF < /inf > cultures uniquely contrasts with pAEC < inf > non-CF < /inf > despite similar cell numbers. An equivalent establishment rate of CF nasal epithelium reported elsewhere, significant associations to CFTR mutation phenotype, elevated airway IL-8 and opportunistic pathogens all suggest this is likely related to the CF disease milieu.
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spelling curtin-20.500.11937-572362017-10-30T08:35:13Z Determinants of culture success in an airway epithelium sampling program of young children with cystic fibrosis Garratt, L. Sutanto, E. Foo, C. Ling, K. Looi, K. Kicic-Starcevich, E. Iosifidis, T. Martinovich, K. Lannigan, F. Stick, S. Kicic, Anthony Copyright © 2014 Informa Healthcare USA, Inc. Aim of the study: The bronchial brushing technique presents an opportunity to establish a gold standard in vitro model of Cystic Fibrosis (CF) airway disease. However, unique obstacles exist when establishing CF airway epithelial cells (pAEC < inf > CF < /inf > ). We aimed to identify determinants of culture success through retrospective analysis of a program of routinely brushing children with CF. Materials and methods: Anaesthetised children (CF and non-CF) had airway samples taken which were immediately processed for cell culture. Airway data for the CF cohort was obtained from clinical records and the AREST CF database. Results: Of 260 brushings processed for culture, 114 (43.8%) pAEC < inf > CF < /inf > successfully cultured to passage one (P1) and 63 (24.2% of total) progressed to passage two (P2). However, > 80% of non-CF specimens (pAEC < inf > non-CF < /inf > ) cultured to P2 from similar cell numbers. Within the CF cohort, specimens successfully cultured to P2 had a higher initial cell count and lower proportion of severe CF mutation phenotype than those that did not proliferate beyond initial seeding. Elevated airway IL-8 concentration was also negatively associated with culture establishment. Contamination by opportunistic pathogens was observed in 81 (31.2% of total) cultures and brushings from children with lower respiratory tract infections were more likely to co-culture contaminating flora. Conclusions: Lower passage rates of pAEC < inf > CF < /inf > cultures uniquely contrasts with pAEC < inf > non-CF < /inf > despite similar cell numbers. An equivalent establishment rate of CF nasal epithelium reported elsewhere, significant associations to CFTR mutation phenotype, elevated airway IL-8 and opportunistic pathogens all suggest this is likely related to the CF disease milieu. 2014 Journal Article http://hdl.handle.net/20.500.11937/57236 10.3109/01902148.2014.946631 Taylor & Francis restricted
spellingShingle Garratt, L.
Sutanto, E.
Foo, C.
Ling, K.
Looi, K.
Kicic-Starcevich, E.
Iosifidis, T.
Martinovich, K.
Lannigan, F.
Stick, S.
Kicic, Anthony
Determinants of culture success in an airway epithelium sampling program of young children with cystic fibrosis
title Determinants of culture success in an airway epithelium sampling program of young children with cystic fibrosis
title_full Determinants of culture success in an airway epithelium sampling program of young children with cystic fibrosis
title_fullStr Determinants of culture success in an airway epithelium sampling program of young children with cystic fibrosis
title_full_unstemmed Determinants of culture success in an airway epithelium sampling program of young children with cystic fibrosis
title_short Determinants of culture success in an airway epithelium sampling program of young children with cystic fibrosis
title_sort determinants of culture success in an airway epithelium sampling program of young children with cystic fibrosis
url http://hdl.handle.net/20.500.11937/57236