Arm J P, Horton C E, House F, Clark T J, Spur B W, Lee T H
Department of Medicine, United Medical School, Guy's Hospital, London, United Kingdom.
Am Rev Respir Dis. 1988 Jul;138(1):47-53. doi: 10.1164/ajrccm/138.1.47.
The generation of LTB4 by peripheral blood neutrophils (PMN) isolated before and for as long as 6 h after exercise-induced asthma (EIA) has been analyzed. Three and 6 h after the development of EIA, PMN isolated from 10 asthmatic subjects and stimulated in vitro by 2 x 10(8) and 4 x 10(8) zymosan particles per 2 x 10(6) PMN demonstrated a 12- and 4-fold enhancement, respectively, in the production of immunoreactive LTB4 as compared with PMN isolated before exercise. At 6 h after EIA, there was a redistribution of generated LTB4 such that 30 to 40% of LTB4 produced by zymosan-activated PMN was released extracellularly as compared with 10% before exercise. There was no significant enhancement in the generation of LTB4 by unstimulated PMN at any time point after exercise. Resolution by reverse-phase high performance liquid chromatography (HPLC) of products from [3H]arachidonic-acid-labeled and zymosan-activated PMN demonstrated that, in addition to LTB4, there was enhanced metabolism to 6-trans-LTB4, omega-oxidation metabolites of LTB4 and 5-HETE. Stimulation of PMN with 10 microM A23187 revealed a 2-, 6-, and 5-fold enhancement in the production of LTB4, 6-trans-LTB4, and 5-HETE, respectively, at 6 h after EIA, as measured by integrated ultraviolet absorbance after HPLC. There was no significant enhancement in LTB4 generation by PMN in 6 asthmatic subjects after methacholine-induced bronchospasm, and after exercise in 6 subjects who did not develop asthma. The augmentation of PMN LTB4 generation in EIA correlated with the extent of the early decrease in SGaw.(ABSTRACT TRUNCATED AT 250 WORDS)
对运动诱发哮喘(EIA)发作前及发作后长达6小时分离出的外周血中性粒细胞(PMN)产生白三烯B4(LTB4)的情况进行了分析。EIA发作3小时和6小时后,从10名哮喘患者中分离出的PMN,每2×10⁶个PMN分别用2×10⁸和4×10⁸个酵母聚糖颗粒在体外进行刺激,结果显示与运动前分离出的PMN相比,免疫反应性LTB4的产生分别增强了12倍和4倍。EIA发作6小时后,生成的LTB4出现重新分布,酵母聚糖激活的PMN产生的LTB4有30%至40%释放到细胞外,而运动前为10%。运动后任何时间点,未受刺激的PMN产生LTB4均无显著增强。通过反相高效液相色谱(HPLC)对[³H]花生四烯酸标记且经酵母聚糖激活的PMN产物进行分离,结果表明,除LTB4外,向6-反式-LTB4、LTB4的ω-氧化代谢产物和5-羟二十碳四烯酸(5-HETE)的代谢也增强。用10μM A23187刺激PMN,通过HPLC后积分紫外吸光度测定,在EIA发作6小时时,LTB4、6-反式-LTB4和5-HETE的产生分别增强了2倍、6倍和5倍。6名哮喘患者在乙酰甲胆碱诱发支气管痉挛后,以及6名未患哮喘的受试者运动后,PMN产生LTB4均无显著增强。EIA中PMN产生LTB4的增加与气道特异性传导率(SGaw)早期下降的程度相关。(摘要截短于250字)