Elwood W, Lötvall J O, Barnes P J, Chung K F
Department of Thoracic Medicine, National Heart and Lung Institute, London, England.
J Allergy Clin Immunol. 1991 Dec;88(6):951-60. doi: 10.1016/0091-6749(91)90253-k.
Bronchial responsiveness to inhaled acetylcholine (ACh) and inflammatory cell recruitment in bronchoalveolar lavage fluid (BALF) were studied in inbred Brown-Norway rats actively sensitized to, and later exposed to, ovalbumin (OA). We examined animals 21 days after initial sensitization at 18 to 24 hours, or 5 days after a single challenge, or after the last of seven repeated exposures administered every 3 days. BALF was examined as an index of inflammatory changes within the lung. Animals repeatedly exposed to OA aerosols had an increased baseline lung resistance and a significant increase in bronchial responsiveness to inhaled ACh compared to control animals at both 18 to 24 hours and 5 days after the last OA exposure. Sensitized animals receiving a single OA aerosol also demonstrated bronchial hyperresponsiveness (BHR) to inhaled ACh (p less than 0.01) at 18 to 24 hours of a similar order as the multiple-exposed group. There was a significant increase in eosinophils, lymphocytes, and neutrophils in BALF at 18 to 24 hours but not at 5 days after single or multiple exposure to OA aerosol in the sensitized groups. Control animals demonstrated no changes in bronchial responsiveness, although a small but significant increase in inflammatory cells was observed compared to saline-only treated animals. There was a significant correlation between bronchial responsiveness and eosinophil counts in the BALF in the single allergen-exposed group (Rs = 0.68; p less than 0.05). We conclude that (1) BHR after allergen exposure in sensitized rats is associated with the presence of pulmonary inflammation but persists despite the regression of inflammatory cells in BALF after multiple OA exposures, and (2) this rat model has many characteristics of human allergen-induced BHR.
在主动致敏并随后暴露于卵清蛋白(OA)的近交系棕色挪威大鼠中,研究了支气管对吸入乙酰甲胆碱(ACh)的反应性以及支气管肺泡灌洗液(BALF)中炎症细胞的募集情况。我们在初次致敏后21天的18至24小时、单次激发后5天或每3天进行7次重复暴露中的最后一次暴露后对动物进行检查。将BALF作为肺内炎症变化的指标进行检查。与对照组动物相比,在最后一次OA暴露后的18至24小时以及5天时,反复暴露于OA气雾剂的动物基线肺阻力增加,并且对吸入ACh的支气管反应性显著增加。接受单次OA气雾剂的致敏动物在18至24小时时也表现出对吸入ACh的支气管高反应性(BHR)(p<0.01),其程度与多次暴露组相似。在致敏组中,单次或多次暴露于OA气雾剂后18至24小时,BALF中的嗜酸性粒细胞、淋巴细胞和中性粒细胞显著增加,但在5天时未增加。对照组动物的支气管反应性没有变化,尽管与仅用盐水处理的动物相比,观察到炎症细胞有小幅但显著的增加。在单次暴露于变应原的组中,支气管反应性与BALF中的嗜酸性粒细胞计数之间存在显著相关性(Rs = 0.68;p<0.05)。我们得出结论:(1)致敏大鼠暴露于变应原后的BHR与肺部炎症的存在有关,尽管多次OA暴露后BALF中的炎症细胞消退,但BHR仍然存在;(2)该大鼠模型具有人类变应原诱导的BHR的许多特征。