Kierstein S, Krytska K, Sharma S, Amrani Y, Salmon M, Panettieri R A, Zangrilli J, Haczku A
Pulmonary, Allergy and Critical Care Division, Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104-3403, USA.
Allergy. 2008 Apr;63(4):438-46. doi: 10.1111/j.1398-9995.2007.01587.x.
Ozone (O(3)) exposure evokes asthma exacerbations by mechanisms that are poorly understood. We used a murine model to characterize the effects of O(3) on allergic airway inflammation and hyperresponsiveness and to identify factors that might contribute to the O(3)-induced exacerbation of asthma.
BALB/c mice were sensitized and challenged with Aspergillus fumigatus (Af). A group of sensitized and challenged mice was exposed to 3.0 ppm of O(3) for 2 h and studied 12 h later (96 h after Af challenge). Naive mice and mice exposed to O(3) alone were used as controls. Bronchoalveolar lavage (BAL) cellular and cytokine content, lung function [enhanced pause (P(enh))], isometric force generation by tracheal rings and gene and protein expression of Fas and FasL were assessed. Apoptosis of eosinophils was quantified by FACS.
In sensitized mice allergen challenge induced a significant increase of P(enh) and contractile force in tracheal rings that peaked 24 h after challenge and resolved by 96 h. O(3) inhalation induced an exacerbation of airway hyperresponsiveness accompanied by recurrence of neutrophils and enhancement of eosinophils 96 h after allergen challenge. The combination of allergen and O(3) exposure inhibited Fas and FasL gene and protein expression and eosinophil apoptosis and increased interleukin-5 (IL-5), granulocyte-macrophage-colony stimulating factor (GM-CSF) and G-CSF protein levels.
O(3) affects airway responsiveness of allergen-primed airways indirectly by increasing viability of eosinophils and eosinophil-mediated pathological changes.
臭氧(O₃)暴露引发哮喘加重的机制尚不清楚。我们使用小鼠模型来表征O₃对过敏性气道炎症和高反应性的影响,并确定可能导致O₃诱发哮喘加重的因素。
用烟曲霉(Af)对BALB/c小鼠进行致敏和激发。一组致敏和激发的小鼠暴露于3.0 ppm的O₃中2小时,并在12小时后(Af激发后96小时)进行研究。未致敏小鼠和仅暴露于O₃的小鼠用作对照。评估支气管肺泡灌洗(BAL)细胞和细胞因子含量、肺功能[增强暂停(P(enh))]、气管环的等长力产生以及Fas和FasL的基因和蛋白表达。通过流式细胞术对嗜酸性粒细胞的凋亡进行定量。
在致敏小鼠中,过敏原激发导致气管环中P(enh)和收缩力显著增加,在激发后24小时达到峰值,并在96小时时恢复。吸入O₃导致气道高反应性加重,伴有过敏原激发后96小时中性粒细胞再次出现和嗜酸性粒细胞增多。过敏原和O₃暴露的联合作用抑制了Fas和FasL基因及蛋白表达以及嗜酸性粒细胞凋亡,并增加了白细胞介素-5(IL-5)、粒细胞-巨噬细胞集落刺激因子(GM-CSF)和G-CSF蛋白水平。
O₃通过增加嗜酸性粒细胞的活力和嗜酸性粒细胞介导的病理变化间接影响过敏原致敏气道的气道反应性。