Introduction: Chronic obstructive pulmonary disease (COPD) is a progressively destructive airway disease mainly
caused by smoking. Protease/anti-protease imbalance is hypothesised in the pathogenesis of COPD. Many studies have
shown that the activities of proteases overwhelmed anti-proteases, causing lung destruction. Neutrophil elastase (NE)
is one such protease released by neutrophil degranulation. This study aimed to investigate whether cigarette smoke (CS)
exposure would up-regulate NE in bronchial secretions and whether Chinese green tea consumption would control
the NE level/activity in the secretions.
Methods: Sprague-Dawley rats were divided into four groups, ie sham air, 4% CS, 2% Lung Chen tea plus sham air
or 4% CS. Exposure to sham air or 4% CS was performed for 1 hour/day for 56 days in ventilated smoking chambers.
Rat lung tissues and bronchoalveolar lavage fluid (BALF) were obtained from rats sacrificed 24 hours after last CS
exposure. Activity and amount of NE were determined by activity assay and ELISA analysis respectively.
Results: NE activity was higher in BALF than in lung homogenates. There was a significant increase for NE activity in
both lung homogenates (29.37±6.26 nM and 1.29±1.22 nM for CS-exposed and sham-air rats respectively; P<0.001)
and BALF (43.47±3.15 nM and undetectable level for CS-exposed and sham-air rats respectively; P<0.001). The
total amount of NE protein was also increased in BALF after CS exposure. The elevated CS-induced NE activity was
prevented by green tea consumption (6.34±5.00 nM and 26.33±1.39 nM for lung homogenates and BALF respectively;
P<0.001).
Conclusion: These preliminary data suggest that Chinese green tea might have the ability to suppress CS-induced upregulation
of NE activity and protein in lung. Further studies will be needed to elucidate the mechanism by which
green tea regulates bronchial NE level in lung injury.
Acknowledgement: This research was supported by Hong Kong Lung Foundation Research Grant