Pretolani M, Lefort J, Vargaftig B B
Unité Associée Institut Pasteur/INSERM no 285, Paris, France.
Am Rev Respir Dis. 1988 Dec;138(6):1572-8. doi: 10.1164/ajrccm/138.6.1572.
In order to investigate whether bronchopulmonary hyperresponsiveness represents a unique property of sensitized lungs, we examined the responses of lungs from either actively sensitized, passively sensitized, or nonsensitized (control) guinea pigs to in vitro bronchoconstriction (BC) and release of thromboxane (TX) B2, 6-keto-PGF1 alpha, and histamine induced by platelet-activating factor (PAF-acether) or leukotriene (LT) D4. Guinea pigs were actively sensitized with 10 micrograms of either ovalbumin or Dermatophagoides farinae extract in AI(OH)3 injected intraperitoneally twice at a 2-wk interval. Seven days after the second injection (booster injection), the lungs were removed, ventilated, and perfused via the pulmonary artery with Krebs solution containing 2.5 g/L bovine serum albumin. In lungs from actively sensitized animals, BC was induced by significantly lower doses of PAF-acether and LTD4 than those required to elicit the same response in control preparations. In addition, sensitized lungs released more TxB2, 6-keto-PGF1 alpha, and histamine in response to PAF-acether and LTD4 than did control lungs. Increased mediator release was also observed upon challenge of lungs from actively sensitized animals with arachidonic acid and histamine. Lungs from guinea pigs passively sensitized with serum from actively sensitized animals did not exhibit increased responsiveness to PAF-acether as compared to control lungs. The hyperresponsiveness induced after booster injection of the antigen occurred concomitantly with an increase in the homocytotropic antibody titer (as measured by passive cutaneous anaphylaxis) and persisted for 3 months after sensitization, when the levels of circulating antibodies and lung response to antigen challenge returned to control values.(ABSTRACT TRUNCATED AT 250 WORDS)
为了研究支气管肺高反应性是否代表致敏肺的一种独特特性,我们检测了主动致敏、被动致敏或未致敏(对照)豚鼠的肺对体外支气管收缩(BC)以及血小板活化因子(PAF - 乙酰醚)或白三烯(LT)D4诱导的血栓素(TX)B2、6 - 酮 - PGF1α和组胺释放的反应。豚鼠用10微克卵清蛋白或粉尘螨提取物与氢氧化铝混合,腹腔内注射,间隔2周注射两次进行主动致敏。第二次注射(加强注射)7天后,取出肺脏,通过肺动脉用含2.5 g/L牛血清白蛋白的 Krebs 溶液进行通气和灌注。在主动致敏动物的肺中,诱导BC所需的PAF - 乙酰醚和LTD4剂量明显低于对照制剂引发相同反应所需的剂量。此外,与对照肺相比,致敏肺对PAF - 乙酰醚和LTD4反应时释放更多的TXB2、6 - 酮 - PGF1α和组胺。用花生四烯酸和组胺刺激主动致敏动物的肺时,也观察到介质释放增加。用主动致敏动物的血清被动致敏的豚鼠的肺与对照肺相比,对PAF - 乙酰醚的反应性并未增加。抗原加强注射后诱导的高反应性与亲同种细胞抗体滴度增加(通过被动皮肤过敏反应测量)同时出现,并在致敏后持续3个月,此时循环抗体水平和肺对抗原攻击的反应恢复到对照值。(摘要截短于250字)