Shimizu Takeshi, Shimizu Shino, Hattori Reiko, Majima Yuichi
Department of Otorhinolaryngology, Mie University School of Medicine, Japan.
J Allergy Clin Immunol. 2003 Jul;112(1):119-25. doi: 10.1067/mai.2003.1512.
We have produced hypertrophic and metaplastic changes of goblet cells in nasal epithelium of ovalbumin (OVA)-sensitized rats by intranasal challenge with OVA. A variety of allergic mediators and inflammatory cells are capable of stimulating goblet cell degranulation (epithelial mucus secretion); however, little is known about the mechanism by which antigen induces mucus hypersecretion.
Our aim was to explain the mechanism of goblet cell degranulation in allergic inflammation.
Antigen-induced goblet cell degranulation was evaluated by the transient decrease of epithelial mucosubstance 1 to 6 hours after intranasal challenge with OVA in nasal epithelium of OVA-sensitized rats. The effects of the H(1)-antagonist (d -chlorpheniramine malate), H(2)-antagonist (cimetidine), atropine, indomethacin, cysteinyl leukotriene (cysLT) antagonist (ONO1078), and antirat PMN antiserum on OVA-induced goblet cell degranulation were examined.
Goblet cell secretion 1 hour after OVA challenge was significantly inhibited by H(1)-antagonist, atropine, and cysLT antagonist, whereas the secretion 6 hours after the challenge was significantly inhibited by cysLT antagonist and antirat PMN antiserum. Circulating PMN cells and mucosal infiltrating eosinophils were completely abolished by antirat PMN antiserum.
These results indicate the different mechanisms of goblet cell secretion between early-phase (1 hour after OVA challenge) and late-phase (6 hours after the challenge) reactions. Histamine stimulates early-phase secretion through the H(1)-receptor of cholinergic nerve terminals, and infiltrating inflammatory cells (eosinophils and/or neutrophils) play a role in late-phase secretion. CysLTs (leukotrienes C(4), D(4), and E(4)) are important for both early-phase and late-phase secretion.
我们通过用卵清蛋白(OVA)对大鼠进行鼻内激发,在OVA致敏大鼠的鼻上皮中产生了杯状细胞的肥大和化生变化。多种过敏介质和炎性细胞能够刺激杯状细胞脱颗粒(上皮黏液分泌);然而,关于抗原诱导黏液分泌过多的机制知之甚少。
我们的目的是解释变应性炎症中杯状细胞脱颗粒的机制。
通过在OVA致敏大鼠的鼻上皮中用OVA进行鼻内激发后1至6小时上皮黏液物质的短暂减少来评估抗原诱导的杯状细胞脱颗粒。研究了H(1)拮抗剂(马来酸氯苯那敏)、H(2)拮抗剂(西咪替丁)、阿托品、吲哚美辛、半胱氨酰白三烯(cysLT)拮抗剂(ONO1078)和抗大鼠PMN抗血清对OVA诱导的杯状细胞脱颗粒的影响。
OVA激发后1小时杯状细胞分泌受到H(1)拮抗剂、阿托品和cysLT拮抗剂的显著抑制,而激发后6小时分泌受到cysLT拮抗剂和抗大鼠PMN抗血清的显著抑制。抗大鼠PMN抗血清完全消除了循环中的PMN细胞和黏膜浸润的嗜酸性粒细胞。
这些结果表明了早期(OVA激发后1小时)和晚期(激发后6小时)反应中杯状细胞分泌的不同机制。组胺通过胆碱能神经末梢的H(1)受体刺激早期分泌,浸润的炎性细胞(嗜酸性粒细胞和/或中性粒细胞)在晚期分泌中起作用。CysLTs(白三烯C(4)、D(4)和E(4))对早期和晚期分泌都很重要。