Patterson R, Harris K E, Greenberger P A
J Clin Invest. 1979 Jul;64(1):49-55. doi: 10.1172/JCI109462.
Aerosolized doses of the ionophore, A23187, and arachidonic acid individually resulted in no airway response in rhesus monkeys. When these two agents were given simultaneously, by aerosol, an airway response occurred. The pulmonary function abnormalities that occurred qualitatively simulated those of an antigen-induced airway response. This is the first demonstration in our laboratory of two agents which singly will not produce a response but which are reactive when delivered in combination. Other fatty acids did not produce a similar response. The response to A23187 and arachidonic acid occurred only in rhesus monkeys from our colony which had been demonstrated to have airway responses to aerosolized antigen challenge, a response shown previously to be associated with hyperreactive airways to pharmacologic stimuli. The A23187 and arachidonic acid response was inhibited by aerosolized 5,8,11,14-eicosatetraynoic acid, an inhibitor of the cyclooxygenase and lipoxygenase pathways of arachidonic acid metabolism. Further, indomethacin, a prostaglandin synthetase inhibitor of the cyclooxygenase pathway, inhibited the response, although previous studies showed that this drug will potentiate an antigen-induced response in this animal model of asthma. The slow-reacting substance of anaphylaxis antagonist, FPL 55712, did not inhibit the A23187-arachidonic acid response under the conditions of these experiments. The mechanism of the A23187-arachidonic acid airway response in rhesus monkeys may or may not be the same as the antigen-induced response.
离子载体A23187和气雾化剂量的花生四烯酸单独作用于恒河猴时均未引起气道反应。当同时通过气雾化给予这两种药物时,则会出现气道反应。所出现的肺功能异常在性质上模拟了抗原诱导的气道反应。这是我们实验室首次证明两种单独不会产生反应但联合给药时具有反应性的药物。其他脂肪酸未产生类似反应。对A23187和花生四烯酸的反应仅发生在我们饲养的恒河猴中,这些猴子已被证明对气雾化抗原激发有气道反应,先前已表明这种反应与对药理刺激的气道高反应性有关。气雾化的5,8,11,14-二十碳四炔酸(花生四烯酸代谢的环氧化酶和脂氧化酶途径的抑制剂)可抑制A23187和花生四烯酸的反应。此外,环氧化酶途径的前列腺素合成酶抑制剂吲哚美辛也可抑制该反应,尽管先前的研究表明该药物在这种哮喘动物模型中会增强抗原诱导的反应。在这些实验条件下,过敏反应慢反应物质拮抗剂FPL 55712并未抑制A23187-花生四烯酸反应。恒河猴中A23187-花生四烯酸气道反应的机制可能与抗原诱导的反应相同,也可能不同。