Ishiura Yoshihisa, Fujimura Masaki, Nobata Kouichi, Oribe Yoshitaka, Abo Miki, Myou Shigeharu, Nonomura Akitaka
Respiratory Medicine, Cellular Transplantation Biology, Kanazawa Graduate University School of Medicine, Kanazawa, Japan.
Prostaglandins Other Lipid Mediat. 2005 Jan;75(1-4):1-12. doi: 10.1016/j.prostaglandins.2004.08.002.
Chronic eosinophilic bronchitis and bronchial hyperresponsiveness have been considered to be the fundamental features of bronchial asthma. However, the role of airway eosinophils in bronchial responsiveness in vivo has not been fully discussed. The aim of this study was to investigate the direct effect of airway eosinophil accumulation on bronchial responsiveness in vivo. Guinea pigs were transnasally treated with platelet activating factor (PAF) or vehicle twice a week for a total of 3 weeks. Anesthetized guinea pigs were surgically cannulated and artificially ventilated 48 h after the last administration of PAF or vehicle. Ten minutes after the installation of artificial ventilation, ascending doses of histamine were inhaled. In a subsequent study, selective inhibitors of diamine oxidase and histamine N-methyltransferase were intravenously administered before the histamine inhalation in the PAF-treated animals. Next study was conducted 20 min after treatment with indomethacin in this study line. Finally, ascending doses of methacholine were inhaled in our animal model. Proportion of eosinophils and the number of nuclear segmentation in bronchoalveolar lavage fluid significantly increased in guinea pigs treated with PAF compared with vehicle and this finding was confirmed histologically. Nevertheless, bronchial responsiveness to inhaled histamine, but not methacholine, was significantly decreased by the PAF treatment. This bronchoprotective effect induced by PAF remained following aminoguanidine and histamine N-methyltransferase administration, but abolished by treatment of indomethacin. These results suggest that in vivo airway eosinophils may reduce nonspecific bronchial responsiveness through production of inhibitory or bronchoprotective prostanoids, but not through histaminase production.
慢性嗜酸性粒细胞性支气管炎和支气管高反应性一直被认为是支气管哮喘的基本特征。然而,气道嗜酸性粒细胞在体内支气管反应性中的作用尚未得到充分讨论。本研究的目的是探讨气道嗜酸性粒细胞积聚对体内支气管反应性的直接影响。每周经鼻给豚鼠注射两次血小板活化因子(PAF)或赋形剂,共3周。在最后一次注射PAF或赋形剂48小时后,对麻醉的豚鼠进行手术插管并人工通气。人工通气10分钟后,吸入递增剂量的组胺。在随后的研究中,在PAF处理的动物吸入组胺之前静脉注射二胺氧化酶和组胺N-甲基转移酶的选择性抑制剂。在本研究系列中,用吲哚美辛处理20分钟后进行下一步研究。最后,在我们的动物模型中吸入递增剂量的乙酰甲胆碱。与赋形剂处理的豚鼠相比,PAF处理的豚鼠支气管肺泡灌洗液中嗜酸性粒细胞比例和核分叶数显著增加,这一发现得到了组织学证实。然而,PAF处理显著降低了支气管对吸入组胺的反应性,但对乙酰甲胆碱的反应性未降低。PAF诱导的这种支气管保护作用在给予氨基胍和组胺N-甲基转移酶后仍然存在,但在吲哚美辛处理后被消除。这些结果表明,体内气道嗜酸性粒细胞可能通过产生抑制性或支气管保护性前列腺素而非组胺酶来降低非特异性支气管反应性。