Ulmer W T, Zimmermann I
Eur J Respir Dis Suppl. 1983;128 (Pt 1):33-9.
Antigen-induced bronchoconstriction can be brought about by provocation of either the upper or lower airways. Rising plasma histamine concentrations can be measured at the time of an increase in airway resistance and at the onset of bronchoconstriction. Relatively high histamine concentrations can be measured in the mucus from patients with chronic obstructive bronchitis. The arterial plasma concentration of histamine was significantly increased in these patients. Histamine administered to a limited area of the tracheal mucosa can induce an increase in airway sensitivity to acetylcholine, but not to allergen or histamine. The role of histamine release in antigen-induced reflex bronchoconstriction originating from the upper airway is questioned.
抗原诱导的支气管收缩可由对上呼吸道或下呼吸道的激发引起。在气道阻力增加和支气管收缩开始时可测量到血浆组胺浓度升高。在慢性阻塞性支气管炎患者的黏液中可测量到相对较高的组胺浓度。这些患者的动脉血浆组胺浓度显著升高。将组胺施用于气管黏膜的有限区域可诱导气道对乙酰胆碱的敏感性增加,但对变应原或组胺不敏感。组胺释放在源于上呼吸道的抗原诱导的反射性支气管收缩中的作用受到质疑。