Intercellular adhesion molecule 1 and progression of percent emphysema: The MESA Lung Study

Carrie P. Aaron, Joseph E. Schwartz, Suzette J. Bielinski, Eric A. Hoffman, John H.M. Austin, Elizabeth C. Oelsner, Kathleen M. Donohue, Ravi Kalhan, Cecilia Berardi, Joel D. Kaufman, David R. Jacobs, Russell P. Tracy, R. Graham Barr

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


Background Endothelial intercellular adhesion molecule (ICAM) 1 binds neutrophils and facilitates their transmigration into the lung; E-selectin facilitates leukocyte rolling. As neutrophils contribute to tissue destruction in emphysema and chronic obstructive pulmonary disease, we hypothesized that soluble ICAM-1 (sICAM-1) and E-selectin (sE-selectin) would be associated with longitudinal progression of emphysema and lung function decline. Methods The Multi-Ethnic Study of Atherosclerosis (MESA) enrolled participants 45-84 years old without clinical cardiovascular disease in 2000-02. The MESA Lung Study assessed percent emphysema (<-950 Hounsfield units) on cardiac (2000-07) and full-lung CT scans (2010-12), and spirometry was assessed twice over five years. sICAM-1 and sE-selectin were measured at baseline. Mixed-effect models adjusted for demographics, anthropometry, smoking, C-reactive protein, sphingomyelin and scanner factors. Results Among 1865 MESA Lung participants with measurement of sICAM-1 and percent emphysema the mean log-sICAM-1 was 5.5 ± 0.3 ng/mL and percent emphysema increased 0.73 percentage points (95% CI: 0.34, 1.12; P < 0.001) over ten years. A one SD increase in sICAM-1 was associated with an accelerated increase in percent emphysema of 0.23 percentage points over ten years (95% CI: 0.06, 0.39; P = 0.007). No significant association was found for sE-selectin, or between any adhesion molecule and lung function. Conclusions Higher levels of sICAM-1 were independently associated with progression of percent emphysema in a general population sample.

Original languageEnglish (US)
Pages (from-to)255-264
Number of pages10
JournalRespiratory Medicine
Issue number2
StatePublished - Feb 1 2015

Bibliographical note

Funding Information:
This research was supported by contracts N01-HC-95159 through N01-HC-95169 from the National Heart, Lung, and Blood Institute and by grants UL1-RR-024156 and UL1-RR-025005 from National Center for Research Resources . The authors thank the other investigators, the staff, and the participants of the MESA study for their valuable contributions. A full list of participating MESA investigators and institutions can be found at .

Funding Information:
Dr. Kalhan reports personal fees from Forest Laboratories , Boehringer Ingelheim , Merck , Elevation Pharmaceuticals , and grants from Boehringer-Ingelheim, PneumRx outside the submitted work.

Publisher Copyright:
© 2014 Elsevier Ltd. All rights reserved.


  • CT imaging
  • Emphysema
  • Endothelium
  • Intercellular adhesion molecule-1


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