Lee Seung-Sin, Won Tae-Bin, Kim Jeong-Whun, Rhee Chae-Seo, Lee Chul-Hee, Hong Seok-Chan, Min Yang-Gi
Department of Otorhinolaryngology-Head and Neck Surgery, Ewha Womans University College of Medicine, Seoul, Korea.
Laryngoscope. 2007 Aug;117(8):1323-8. doi: 10.1097/MLG.0b013e318064e84d.
OBJECTIVES/HYPOTHESIS: This study aimed to evaluate the effect of dexamethasone on the expression of transforming growth factor (TGF)-beta in the mouse model of allergic rhinitis.
Female BALB/c mice were randomly assigned to four groups, including two control groups and two treatment groups.
General sensitization and local challenge were performed with ovalbumin (OVA). In the treatment groups, dexamethasone was injected intraperitoneally 3 hours before general sensitization or local challenge. Symptom score, eosinophil infiltration, and immunostaining for TGF-beta1 and CD4 in nasal mucosa, and TGF-beta1 and OVA-specific immunoglobulin E (IgE) in sera were analyzed.
Dexamethasone administration before general sensitization reduced the symptom score, OVA-specific IgE, and eosinophil infiltration and increased the serum level of TGF-beta1 significantly. Dexamethasone administration before local challenge reduced only the eosinophil infiltration significantly. Immunoreactivity of TGF-beta1 and CD4 was lower in both treatment groups.
These results suggest that dexamethasone may play an important role in the regulation of allergic reactions by at least two mechanisms; one by suppressing allergic sensitization through decrease of CD4+ T cells and increase of TGF-beta, and the other by suppressing late allergic reactions through the inhibition of proliferation and chemotaxis of inflammatory cells such as eosinophils.
目的/假设:本研究旨在评估地塞米松对变应性鼻炎小鼠模型中转化生长因子(TGF)-β表达的影响。
雌性BALB/c小鼠被随机分为四组,包括两个对照组和两个治疗组。
用卵清蛋白(OVA)进行全身致敏和局部激发。在治疗组中,在全身致敏或局部激发前3小时腹腔注射地塞米松。分析症状评分、嗜酸性粒细胞浸润,以及鼻黏膜中TGF-β1和CD4的免疫染色,血清中TGF-β1和OVA特异性免疫球蛋白E(IgE)。
全身致敏前给予地塞米松可显著降低症状评分、OVA特异性IgE和嗜酸性粒细胞浸润,并显著提高血清TGF-β1水平。局部激发前给予地塞米松仅显著降低嗜酸性粒细胞浸润。两个治疗组中TGF-β1和CD4的免疫反应性均较低。
这些结果表明,地塞米松可能通过至少两种机制在变应性反应的调节中发挥重要作用;一种是通过减少CD4+T细胞和增加TGF-β来抑制变应性致敏,另一种是通过抑制嗜酸性粒细胞等炎症细胞的增殖和趋化来抑制迟发性变应性反应。