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[腺苷及抗IgE抗体对哮喘患者支气管肺泡灌洗液中肥大细胞组胺释放的影响]

[Effect of adenosine and anti-IgE antibody on histamine release from mast cells in BALF of asthma patients].

作者信息

Xie Hua, He Shao-heng, Chen Ping

机构信息

Department of Respiratory Diseases, Northern-China Hospital, Shenyang 110016, China.

出版信息

Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi. 2003 Sep;19(5):503-5.

Abstract

AIM

To investigate the functional properties of mast cells in bronchoalveolar lavage fluid (BALF) of asthma patients.

METHODS

29 asthma patients in the recovery phase were enrolled in the study and their bronchoalveolar lavages (BAL) were inspected under fibreoptics bronchoscope. The cells from each BAL fluid(BALF) were added to LP4 tubes containing anti-IgE antibody, adenosine, buffer or anti-IgE antibody + adenosine, and incubated at 37 degrees C for 20 min. The reactions were stopped by placing the tubes on ice and adding 100 microL of cold incomplete Hank's balanced salt solution (HBSS). The histamine chromogenic assay was performed to detect histamine released from mast cells in BALF. Histamine release was expressed in a net release percentage.

RESULTS

100 micromol/L of adenosine failed to induce histamine release from mast cells; while 1,000 micromol/L of adenosine could induce about 17% histamine release from mast cells in BALF; For anti-IgE antibody, as low as 1 x 10(-4) g/L of anti-IgE was able to induce approximately 20% histamine release from the mast cells. When the anti-IgE antibody was combined with adenosine, only 3 x 10(-5) g/L of anti-IgE antibody + adenosine could exert synergistic effectiveness.

CONCLUSION

Mast cells in BALF from asthma patients had a poor reaction to adenosine stimulation,but are much more sensitive to anti-IgE antibody-dependent stimulation; only as low as 3 x 10(-5) g/L of anti-IgE antibody is able to cooperate with adenosine.

摘要

目的

研究哮喘患者支气管肺泡灌洗液(BALF)中肥大细胞的功能特性。

方法

选取29例处于缓解期的哮喘患者纳入本研究,在纤维支气管镜下对其进行支气管肺泡灌洗(BAL)。将每份BALF中的细胞加入含有抗IgE抗体、腺苷、缓冲液或抗IgE抗体 + 腺苷的LP4管中,于37℃孵育20分钟。将试管置于冰上并加入100微升冷的不完全汉克斯平衡盐溶液(HBSS)以终止反应。采用组胺显色测定法检测BALF中肥大细胞释放的组胺。组胺释放以净释放百分比表示。

结果

100微摩尔/升的腺苷未能诱导肥大细胞释放组胺;而1000微摩尔/升的腺苷可诱导BALF中肥大细胞释放约17%的组胺;对于抗IgE抗体,低至1×10⁻⁴克/升的抗IgE就能诱导肥大细胞释放约20%的组胺。当抗IgE抗体与腺苷联合使用时,仅3×10⁻⁵克/升的抗IgE抗体 + 腺苷就能发挥协同作用。

结论

哮喘患者BALF中的肥大细胞对腺苷刺激反应较差,但对抗IgE抗体依赖性刺激更为敏感;仅低至3×10⁻⁵克/升的抗IgE抗体就能与腺苷协同作用。

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