Lu Frank L, Johnston Richard A, Flynt Lesley, Theman Todd A, Terry Raya D, Schwartzman Igor N, Lee Anna, Shore Stephanie A
Physiology Program, Dept. of Environmental Health, Harvard School of Public Health, 665 Huntington Avenue, Boston, MA 02115-6021, USA.
Am J Physiol Lung Cell Mol Physiol. 2006 May;290(5):L856-65. doi: 10.1152/ajplung.00386.2005. Epub 2005 Dec 22.
Epidemiological studies indicate the incidence of asthma is increased in obese and overweight humans. Responses to ozone (O(3)), an asthma trigger, are increased in obese (ob/ob) mice lacking the satiety hormone leptin. The long form of leptin receptor (Ob-R(b)) is required for satiety; mice lacking this receptor (db/db mice) are also substantially obese. Here, wild-type (WT) and db/db mice were exposed to air or O(3) (2 ppm) for 3 h. Airway responsiveness, measured by the forced oscillation technique, was greater in db/db than WT mice after air exposure. O(3)-induced increases in pulmonary resistance and airway responsiveness were also greater in db/db mice. BALF eotaxin, IL-6, KC, and MIP-2 increased 4 h after O(3) exposure and subsided by 24 h, whereas protein and neutrophils continued to increase through 24 h. For each outcome, the effect of O(3) was significantly greater in db/db than WT mice. Previously published results obtained in ob/ob mice were similar except for O(3)-induced neutrophils and MIP-2, which were not different from WT mice. O(3) also induced pulmonary IL-1beta and TNF-alpha mRNA expression in db/db but not ob/ob mice. Leptin was increased in serum of db/db mice, and pulmonary mRNA expression of short form of leptin receptor (Ob-R(a)) was similar in db/db and WT mice. These data confirm obese mice have innate airway hyperresponsiveness and increased pulmonary responses to O(3). Differences between ob/ob mice, which lack leptin, and db/db mice, which lack Ob-R(b) but not Ob-R(a), suggest leptin, acting through Ob-R(a), can modify some pulmonary responses to O(3).
流行病学研究表明,肥胖和超重人群中哮喘的发病率有所增加。在缺乏饱腹感激素瘦素的肥胖(ob/ob)小鼠中,对哮喘触发因素臭氧(O₃)的反应增强。饱腹感需要长型瘦素受体(Ob-R(b));缺乏这种受体的小鼠(db/db小鼠)也严重肥胖。在此,将野生型(WT)和db/db小鼠暴露于空气或O₃(2 ppm)中3小时。通过强迫振荡技术测量,空气暴露后db/db小鼠的气道反应性高于WT小鼠。db/db小鼠中O₃诱导的肺阻力和气道反应性增加也更大。O₃暴露4小时后,支气管肺泡灌洗液(BALF)中的嗜酸性粒细胞趋化蛋白、白细胞介素-6、KC和巨噬细胞炎性蛋白-2增加,并在24小时时消退,而蛋白质和中性粒细胞在24小时内持续增加。对于每个结果,O₃对db/db小鼠的影响显著大于WT小鼠。除了O₃诱导的中性粒细胞和巨噬细胞炎性蛋白-2外,之前在ob/ob小鼠中获得的已发表结果与之相似,这两者与WT小鼠无差异。O₃还诱导db/db小鼠而非ob/ob小鼠的肺白细胞介素-1β和肿瘤坏死因子-α mRNA表达。db/db小鼠血清中的瘦素增加,db/db小鼠和WT小鼠中瘦素受体短型(Ob-R(a))的肺mRNA表达相似。这些数据证实肥胖小鼠具有先天性气道高反应性,并且对O₃的肺反应增加。缺乏瘦素的ob/ob小鼠和缺乏Ob-R(b)但不缺乏Ob-R(a)的db/db小鼠之间的差异表明,通过Ob-R(a)起作用的瘦素可以改变对O₃的一些肺反应。