Barlinski J, Lockhart A, Frossard N
Laboratoire de physiologie respiratoire, UFR Cochin Port-Royal, Paris, France.
Eur Respir J. 1992 Nov;5(10):1201-5.
The mechanism of action of xanthines in asthma remains controversial. Since sensory innervation may play a role in the pathogenesis of asthma, we investigated whether xanthines were capable of reducing the contractile response of the bronchi to nerve stimulation. In guinea-pig bronchi in vitro, electrical field stimulation (EFS: 40 V, 16 Hz, 0.2 ms during 10 s) induces a rapid cholinergic contraction followed by a long-lasting contraction due to a local release of neuropeptides from C-fibre endings. We measured isometric neuronally-mediated contractions of bronchial smooth muscle and studied the effects of increasing concentrations of two xanthine derivatives, theophylline, an antagonist of adenosine receptors, and enprofylline, which has no effect on adenosine receptors. Both enprofylline (1-50 microM) and theophylline (10-100 microM) inhibited, in a concentration-dependent manner, the peptidergic contraction, an effect which was more marked with enprofylline than theophylline (EC50 = 9.6 +/- 0.7 microM and 62.0 +/- 4.7 microM, respectively). Conversely, the cholinergic response was unaffected. Contractions induced by exogenous substance P (0.03-3 microM) were also unaffected by theophylline and enprofylline at the above mentioned EC50s. Our results suggest that concentrations of theophylline, similar to those used therapeutically, reduce the release of sensory neuropeptides from C-fibre endings. This effect is unrelated to adenosine receptor blockade, since enprofylline had a similar inhibitory effect.
黄嘌呤在哮喘中的作用机制仍存在争议。由于感觉神经支配可能在哮喘发病机制中起作用,我们研究了黄嘌呤是否能够降低支气管对神经刺激的收缩反应。在体外豚鼠支气管中,电场刺激(EFS:40V,16Hz,10s内0.2ms)诱导快速胆碱能收缩,随后由于C纤维末梢局部释放神经肽而出现持久收缩。我们测量了支气管平滑肌等长的神经介导收缩,并研究了两种黄嘌呤衍生物(腺苷受体拮抗剂茶碱和对腺苷受体无作用的恩丙茶碱)浓度增加时的作用。恩丙茶碱(1-50μM)和茶碱(10-100μM)均以浓度依赖性方式抑制肽能收缩,恩丙茶碱的这种作用比茶碱更明显(EC50分别为9.6±0.7μM和62.0±4.7μM)。相反,胆碱能反应未受影响。在上述EC50浓度下,茶碱和恩丙茶碱对外源性P物质(0.03-3μM)诱导的收缩也无影响。我们的结果表明,与治疗中使用的浓度相似的茶碱浓度可减少C纤维末梢感觉神经肽的释放。由于恩丙茶碱有类似的抑制作用,这种作用与腺苷受体阻断无关。