一种缓激肽拮抗剂可改变绵羊体内变应原诱导的介质释放和迟发性支气管反应。

A bradykinin antagonist modifies allergen-induced mediator release and late bronchial responses in sheep.

作者信息

Abraham W M, Burch R M, Farmer S G, Sielczak M W, Ahmed A, Cortes A

机构信息

Department of Research, Mount Sinai Medical Center, Miami Beach, Florida 33140.

出版信息

Am Rev Respir Dis. 1991 Apr;143(4 Pt 1):787-96. doi: 10.1164/ajrccm/143.4_Pt_1.787.

Abstract

We assessed the role of bradykinin (BK) in allergen-induced early and late bronchial responses, airway inflammation, mediator release, and antigen-induced airway hyperresponsiveness in allergic sheep by studying the effects of the BK B2 receptor antagonist, NPC-567 (D-Arg-[Hyp3, D-Phe7]-BK), on these parameters. Antigen challenge was performed on two occasions greater than 3 wk apart, once with placebo (control) and once after high-dose (10 mg/ml) and low-dose (5 mg/ml) treatments with aerosol NPC-567. In the control trials (n = 14) antigen challenge resulted in an early and late increase in specific lung resistance (SRL). The early response was associated with increases (p less than 0.05) in prostaglandin (PG) D2, immunoreactive kinin, tosyl-L-arginine methyl ester (TAME)-esterase, and PGE2 in bronchoalveolar lavage (BAL) fluid. The late response was associated with increases (p less than 0.05) in leukotrienes (LT) B4 and C4, thromboxane (TX) B2, 6-keto-PGF10, and PGE2. There was a significant influx of neutrophils in the BAL fluid during the late response, and airway hyperresponsiveness to carbachol aerosol was apparent 4 h after challenge. In six sheep the high-dose NPC-567 treatment (given before, during, and 4 h after antigen challenge) did not attenuate the early bronchoconstrictor response or the early release of mediators but caused a significant reduction in the late response (p less than 0.05). This protective effect was accompanied by reductions (p less than 0.05) in both the concentrations of all the mediators associated with the late response and the severity of the BAL neutrophilia. High-dose NPC-567 did not attenuate the airway hyperresponsiveness or the cellular inflammatory response seen 24 h after challenge. In eight sheep treated with the low dose of NPC-567 (given before, during, and 4, 8, and 24 h after challenge) the early response was not blocked but the late response was again inhibited, as were the mediators associated with the late response. At the low dose the drug did not prevent the airway inflammation at 8 or 24 h. The additional treatments did, however, prevent the 24 h hyperresponsiveness. These data suggest that kinin generation during antigen-induced airway anaphylaxis may be important for controlling the release of arachidonic acid metabolites from airway inflammatory cells that contribute to the development of the late response in the allergic sheep model.

摘要

我们通过研究缓激肽B2受体拮抗剂NPC - 567(D - Arg - [Hyp3, D - Phe7] - BK)对这些参数的影响,评估了缓激肽(BK)在变应原诱导的过敏性绵羊早期和晚期支气管反应、气道炎症、介质释放以及抗原诱导的气道高反应性中的作用。抗原激发在间隔超过3周的两个时间点进行,一次使用安慰剂(对照),另一次在高剂量(10 mg/ml)和气溶胶NPC - 567低剂量(5 mg/ml)治疗后进行。在对照试验(n = 14)中,抗原激发导致特异性肺阻力(SRL)早期和晚期增加。早期反应与支气管肺泡灌洗(BAL)液中前列腺素(PG)D2、免疫反应性激肽、甲苯磺酰 - L - 精氨酸甲酯(TAME)酯酶和PGE2增加(p < 0.05)有关。晚期反应与白三烯(LT)B4和C4、血栓素(TX)B2、6 - 酮 - PGF10和PGE2增加(p < 0.05)有关。晚期反应期间BAL液中有大量中性粒细胞流入,激发后4小时对卡巴胆碱气雾剂的气道高反应性明显。在6只绵羊中,高剂量NPC - 567治疗(在抗原激发前、期间和激发后4小时给予)并未减弱早期支气管收缩反应或介质的早期释放,但导致晚期反应显著降低(p < 0.05)。这种保护作用伴随着与晚期反应相关的所有介质浓度降低(p < 0.05)以及BAL中性粒细胞增多的严重程度降低。高剂量NPC - 567并未减弱激发后24小时出现的气道高反应性或细胞炎症反应。在8只接受低剂量NPC - 567治疗的绵羊中(在激发前、期间以及激发后4、8和24小时给予),早期反应未被阻断,但晚期反应再次受到抑制,与晚期反应相关的介质也受到抑制。低剂量时,该药物在8或24小时并未预防气道炎症。然而,额外的治疗确实预防了24小时的高反应性。这些数据表明,抗原诱导的气道过敏反应期间激肽的产生对于控制气道炎症细胞中花生四烯酸代谢产物的释放可能很重要,这些代谢产物有助于过敏性绵羊模型中晚期反应的发展。

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