“…The inverse association between year-15 serum ICAM-1 concentration and year-20 lung function is consistent with the hypothesis that factors that increase concentrations of circulating adhesion molecules can induce local lung inflammation and subsequently result in lower FVC and FEV 1 . The associations between circulating adhesion molecules and lung function have been previously found 16,17 in subgroups, such as workers in occupational settings with exposure to ceramic dust, smokers, or persons with asthma. One other study 18 has evaluated the associations among P-selectin, ICAM-1, and lung function in the general population, and showed a cross-sectional association among increased ICAM-1 levels (when analyzed as a sole biomarker), increased P-selectin levels, and reduced FEV 1 .…”