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变应原诱导的迟发性哮喘气道阻塞中血小板的需求。变应性兔的嗜酸性粒细胞浸润和气道反应性增强。

The requirement for platelets in allergen-induced late asthmatic airway obstruction. Eosinophil infiltration and heightened airway responsiveness in allergic rabbits.

作者信息

Coyle A J, Page C P, Atkinson L, Flanagan R, Metzger W J

机构信息

Department of Medicine, East Carolina University School of Medicine, Greenville, North Carolina 27858-4354.

出版信息

Am Rev Respir Dis. 1990 Sep;142(3):587-93. doi: 10.1164/ajrccm/142.3.587.

Abstract

In these studies, we have used an allergic rabbit model to investigate the role of platelets in the late asthmatic response (LAR) by depleting platelets with a guinea pig antirabbit platelet antiserum (APAS). Allergen exposure of immunized rabbits pretreated with normal guinea pig serum (NGPS) to serve as a control resulted in an early- and late-phase obstructive airway response that persisted for 6 h. When the immunized animals were pretreated with APAS, the magnitude of the LAR in terms of dynamic compliance was reduced by 86.2% (p less than 0.03), but there was no difference in the early response curve. Allergen challenge of animals treated with NGPS resulted in an increased bronchial responsiveness to inhaled histamine: PD50 Cdyn geometric mean +/- SEM before, 2.36 mg/ml (3.43-1.64); after, 0.60 mg/ml (0.67-0.54) (p less than 0.01). PD50 RL before, 1.78 mg/ml (2.4-1.32); after, 0.58 mg/ml (0.81-0.47) (p less than 0.05). In contrast, when animals were treated with APAS, there was a significant inhibition of allergen-induced airway hyperresponsiveness to inhaled histamine: PD50 Cdyn geometric mean +/- SEM before, 1.42 mg/ml (2.06-0.98); after, 1.10 mg/ml (1.41-0.86) (p less than 0.4). PD50 RL before, 1.62 mg/ml (2.22-1.39); after, 1.05 mg/ml (1.35-0.82) (p greater than 0.4). Analysis of bronchoalveolar lavage fluid revealed an increase in the number of neutrophils and eosinophils after allergen exposure in control animals (p less than 0.01). However, in animals rendered thrombocytopenic, the number of eosinophils, but not neutrophils, was significantly reduced (p less than 0.03).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在这些研究中,我们使用了过敏性兔模型,通过用豚鼠抗兔血小板抗血清(APAS)使血小板减少,来研究血小板在迟发性哮喘反应(LAR)中的作用。用正常豚鼠血清(NGPS)预处理作为对照的免疫兔,使其暴露于变应原后,出现了持续6小时的早发性和迟发性气道阻塞反应。当用APAS预处理免疫动物时,以动态顺应性衡量的LAR幅度降低了86.2%(p<0.03),但早期反应曲线没有差异。用NGPS处理的动物接受变应原激发后,对吸入组胺的支气管反应性增加:PD50 Cdyn几何平均值±SEM,激发前为2.36 mg/ml(3.43 - 1.64),激发后为0.60 mg/ml(0.67 - 0.54)(p<0.01)。PD50 RL激发前为1.78 mg/ml(2.4 - 1.32),激发后为0.58 mg/ml(0.81 - 0.47)(p<0.05)。相比之下,当用APAS处理动物时,变应原诱导的气道对吸入组胺的高反应性受到显著抑制:PD50 Cdyn几何平均值±SEM,激发前为1.42 mg/ml(2.06 - 0.98),激发后为1.10 mg/ml(1.41 - 0.86)(p<0.4)。PD50 RL激发前为1.62 mg/ml(2.22 - 1.39),激发后为1.05 mg/ml(1.35 - 0.82)(p>0.4)。支气管肺泡灌洗流体分析显示,对照动物暴露于变应原后,中性粒细胞和嗜酸性粒细胞数量增加(p<0.01)。然而,在导致血小板减少的动物中,嗜酸性粒细胞数量显著减少,但中性粒细胞数量未减少(p<0.03)。(摘要截选至250字)

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