Sorkness R, Blythe S, Lemanske R F
School of Pharmacy, University of Wisconsin, Madison.
Am Rev Respir Dis. 1988 Nov;138(5):1152-6. doi: 10.1164/ajrccm/138.5.1152.
Pulmonary antigen challenge in sensitized individuals results in isolated immediate, isolated late, or dual reactions consisting of both an immediate and late change in airway function. The immediate response appears to be dependent on the presence of IgE antibody and mast cell mediator release. Although the late phase of dual responses is considered to be related to or a continuum of the immediate hypersensitivity response, its precise pathogenesis remains to be determined. To increase both the sensitivity and specificity of analyzing the pathogenesis of IgE-dependent pulmonary responses, we have used a Sprague-Dawley rat model system in which rats are passively sensitized with a murine monoclonal IgE anti-dinitrophenol (DNP) antibody prior to challenge with DNP-bovine serum albumin (DNP-BSA). Pathogen-free rats were injected with IgE or saline in a randomized blinded protocol, and in 24 to 48 h were anesthetized with urethane (1.2 g/kg intraperitoneally) and instrumented to measure lung resistance (RL) and dynamic compliance (Cdyn). Rats were then challenged with aerosolized DNP-BSA (10 mg/ml), and RL and Cdyn monitored through 7 h after challenge. Both RL (0.30 +/- 0.10 versus 0.13 +/- 0.02 cm H2O/ml.sec-1) and Cdyn (0.41 +/- 0.10 versus 0.25 +/- 0.08 ml/cm H2O) were significantly different (p less than 0.05) in sensitized rats compared to control rats immediately after challenge. No late changes were observed in either the treated or control animals.(ABSTRACT TRUNCATED AT 250 WORDS)
致敏个体进行肺部抗原激发会导致孤立的速发反应、孤立的迟发反应或由气道功能的速发和迟发变化组成的双重反应。速发反应似乎依赖于IgE抗体的存在和肥大细胞介质的释放。尽管双重反应的迟发阶段被认为与速发型超敏反应相关或为其连续过程,但其确切发病机制仍有待确定。为了提高分析IgE依赖性肺部反应发病机制的敏感性和特异性,我们使用了一种Sprague-Dawley大鼠模型系统,在该系统中,大鼠在用二硝基苯酚 - 牛血清白蛋白(DNP-BSA)激发之前,先用鼠单克隆IgE抗二硝基苯酚(DNP)抗体进行被动致敏。将无病原体的大鼠按照随机双盲方案注射IgE或生理盐水,在24至48小时后用乌拉坦(1.2 g/kg腹腔注射)麻醉,并安装仪器测量肺阻力(RL)和动态顺应性(Cdyn)。然后用雾化的DNP-BSA(10 mg/ml)对大鼠进行激发,并在激发后7小时监测RL和Cdyn。与对照大鼠相比,致敏大鼠在激发后即刻的RL(0.30±0.10对0.13±0.02 cm H2O/ml·sec-1)和Cdyn(0.41±0.10对0.25±0.08 ml/cm H2O)均有显著差异(p<0.05)。在治疗组或对照组动物中均未观察到迟发变化。(摘要截短至250字)