Shimizu Shino, Hattori Reiko, Majima Yuichi, Shimizu Takeshi
Dept of Otorhinolaryngology, Shiga University of Medical Science, Seta, Tsukinowa, Otsu, Shiga 520-2192, Japan.
Ann Otol Rhinol Laryngol. 2009 Jan;118(1):67-72. doi: 10.1177/000348940911800111.
Th2 cytokines such as interleukin (IL) 4 and IL-13 are potential mediators for mucus hypersecretion in allergic inflammation. To elucidate the functions of Th2 cytokines in allergic rhinitis, we examined the in vivo effects of the Th2 cytokine inhibitor suplatast tosilate on mucus hypersecretion and eosinophil infiltration in rat nasal epithelium.
We induced hypertrophic and metaplastic changes in goblet cells in the nasal epithelium of ovalbumin-sensitized rats by intranasal challenge with ovalbumin. The effects of orally administered suplatast tosilate on mucus production and eosinophil infiltration were examined.
Suplatast tosilate (30 and 100 mg/kg) dose-dependently inhibited ovalbumin-induced mucus production and eosinophil infiltration. These suppressions of mucus production and eosinophil infiltration were only effective when suplatast tosilate was given in the effector phase; administration in the induction phase resulted in no effect.
These results indicate that Th2 cytokines are important mediators of mucus hypersecretion and eosinophil infiltration in allergic rhinitis. Suplatast tosilate may be useful for the treatment of allergic rhinitis by attenuating the inflammation of the effector phase.
白细胞介素(IL)-4和IL-13等Th2细胞因子是变应性炎症中黏液分泌过多的潜在介质。为阐明Th2细胞因子在变应性鼻炎中的作用,我们研究了Th2细胞因子抑制剂甲苯磺酸舒普拉特对大鼠鼻黏膜上皮黏液分泌过多和嗜酸性粒细胞浸润的体内作用。
通过对卵清蛋白致敏大鼠进行鼻内卵清蛋白激发,诱导鼻黏膜上皮杯状细胞肥大和化生改变。研究口服甲苯磺酸舒普拉特对黏液产生和嗜酸性粒细胞浸润的影响。
甲苯磺酸舒普拉特(30和100mg/kg)剂量依赖性地抑制卵清蛋白诱导的黏液产生和嗜酸性粒细胞浸润。黏液产生和嗜酸性粒细胞浸润的这些抑制作用仅在效应期给予甲苯磺酸舒普拉特时有效;在诱导期给药则无效。
这些结果表明,Th2细胞因子是变应性鼻炎中黏液分泌过多和嗜酸性粒细胞浸润的重要介质。甲苯磺酸舒普拉特可能通过减轻效应期炎症而对变应性鼻炎治疗有用。