Ohwada K, Watanabe K, Okuyama K, Ohkawara Y, Sugaya T, Takayanagi M, Ohno I
Department of Pathophysiology, Tohoku Pharmaceutical University, Sendai, Japan.
Clin Exp Allergy. 2007 Nov;37(11):1720-7. doi: 10.1111/j.1365-2222.2007.02815.x. Epub 2007 Sep 17.
There has been increasing evidence suggesting the involvement of angiotensin II (Ang II) and type 1 Ang II receptors (AT1) in the pathogenesis of bronchial asthma. However, whether such an involvement would promote or suppress the pathophysiology of asthma is controversial.
The aim of this study was to investigate the role of AT1 in the development of allergic airway inflammation.
Agtr1a+/+ [wild-type C57BL/6 mice (WT)] and Agtr1a-/- mice [AT1a knockout mice (AT1aKO)] with a genetic background of C57BL/6 were systemically sensitized to ovalbumin (OVA), followed by OVA inhalation. OVA-specific IgE in serum obtained just before the inhalation was measured. Bronchoalveolar lavage (BAL) fluid and lung tissues were obtained at various time-points. Cell numbers and differentiation, and cytokine contents in BAL fluids were determined. Peribronchial accumulation of eosinophils and mucus inclusions in the bronchial epithelium were evaluated in lung tissues stained histochemically. Cell numbers and differentiation in BAL fluids of the mice were also determined after lipopolysaccharide (LPS) inhalation.
The levels of OVA-specific IgE in AT1aKO were significantly higher than those in WT. The numbers of total cell, eosinophils and lymphocytes in BAL fluids 7 days after OVA inhalation in AT1aKO were significantly higher than those in WT. Airway inflammation in bronchial tissues in terms of eosinophil accumulation and mucus hypersecretion in AT1aKO was also stronger than in WT. The contents of IL-4, IL-5 and IL-13, but not IFN-gamma, in BAL fluids of AT1aKO were significantly higher than those of WT. In contrast, neutrophil accumulation in BAL fluids after LPS inhalation was significantly higher in WT than in AT1aKO.
AT1a might be involved in the negative regulation of the development of allergic airway inflammation through polarizing the T-helper (Th) balance towards Th1 predominance. Therefore, it would be of clinical importance to investigate the effects of long-term administration of AT1 blockers on the Th1/Th2 balance in hypertensive patients with bronchial asthma.
越来越多的证据表明,血管紧张素II(Ang II)和1型Ang II受体(AT1)参与支气管哮喘的发病机制。然而,这种参与是促进还是抑制哮喘的病理生理学仍存在争议。
本研究旨在探讨AT1在过敏性气道炎症发展中的作用。
将具有C57BL/6遗传背景的Agtr1a+/+[野生型C57BL/6小鼠(WT)]和Agtr1a-/-小鼠[AT1a基因敲除小鼠(AT1aKO)]对卵清蛋白(OVA)进行全身致敏,随后吸入OVA。测量吸入前获得的血清中OVA特异性IgE。在不同时间点获取支气管肺泡灌洗(BAL)液和肺组织。测定BAL液中的细胞数量、分化情况以及细胞因子含量。对组织化学染色的肺组织中支气管周围嗜酸性粒细胞的积聚和支气管上皮中的黏液包涵体进行评估。在吸入脂多糖(LPS)后,还测定了小鼠BAL液中的细胞数量和分化情况。
AT1aKO中OVA特异性IgE水平显著高于WT。OVA吸入7天后,AT1aKO的BAL液中总细胞、嗜酸性粒细胞和淋巴细胞数量显著高于WT。AT1aKO中支气管组织的气道炎症,在嗜酸性粒细胞积聚和黏液分泌过多方面也比WT更强。AT1aKO的BAL液中IL-4、IL-5和IL-13的含量显著高于WT,但IFN-γ含量无显著差异。相反,吸入LPS后,WT的BAL液中中性粒细胞积聚显著高于AT1aKO。
AT1a可能通过使辅助性T(Th)平衡向Th1优势极化,参与过敏性气道炎症发展的负调控。因此,研究长期给予AT1阻滞剂对合并支气管哮喘的高血压患者Th1/Th2平衡的影响具有临床重要性。