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阿司匹林敏感性哮喘中黏液分泌的潜在机制。

Possible mechanisms underlying mucus secretion in aspirin-sensitive asthma.

作者信息

Kaliner M, Marom Z

出版信息

J Asthma. 1983;20 Suppl 1:9-13. doi: 10.3109/02770908309078047.

DOI:10.3109/02770908309078047
PMID:6408056
Abstract

To study the hypersecretion of mucus in human airways, an in vitro model was developed. The effect of prostaglandins, nonsteroidal anti-inflammatory drugs, lipoxygenase products of arachidonic acid, and other mucus-stimulating and mucus-inhibiting agents was studied. The data suggest that arachidonic acid metabolized through its lipoxygenase pathway leads to the formation of potent stimulators of mucus release. Among them are the monohydroxyeicosatetraenoic acids, which are produced in large quantities by human airways, and the leukotrienes, which are generated during allergic reactions of the lung. As the lipoxygenase pathway is the only operant metabolic system available for arachidonic acid in the presence of aspirin and non-steroidal anti-inflammatory drugs--and as the nonsteroidal anti-inflammatory drugs themselves stimulate mucus production--it is possible that the mechanism responsible for mucus release in aspirin-sensitive asthmatics is the formation of these lipoxygenase products.

摘要

为研究人类气道黏液分泌过多的情况,开发了一种体外模型。研究了前列腺素、非甾体抗炎药、花生四烯酸的脂氧合酶产物以及其他黏液刺激剂和黏液抑制剂的作用。数据表明,通过其脂氧合酶途径代谢的花生四烯酸会导致形成强效的黏液释放刺激剂。其中包括人类气道大量产生的单羟基二十碳四烯酸,以及肺部过敏反应期间产生的白三烯。由于在存在阿司匹林和非甾体抗炎药的情况下,脂氧合酶途径是花生四烯酸唯一可操作的代谢系统,而且非甾体抗炎药本身会刺激黏液产生,因此阿司匹林敏感性哮喘患者中负责黏液释放的机制可能是这些脂氧合酶产物的形成。

相似文献

1
Possible mechanisms underlying mucus secretion in aspirin-sensitive asthma.阿司匹林敏感性哮喘中黏液分泌的潜在机制。
J Asthma. 1983;20 Suppl 1:9-13. doi: 10.3109/02770908309078047.
2
Lipoxygenase pathway and hydroperoxy acids: possible relevance to aspirin-induced asthma and hyperirritability of airways in asthmatics.脂氧合酶途径与氢过氧酸:与阿司匹林诱发的哮喘及哮喘患者气道高反应性的可能关联。
Prostaglandins Med. 1981 Feb;6(2):249-56. doi: 10.1016/0161-4630(81)90097-5.
3
The role of eicosanoids in respiratory mucus hypersecretion.类花生酸在呼吸道黏液高分泌中的作用。
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Effects of arachidonic acid, monohydroxyeicosatetraenoic acid and prostaglandins on the release of mucous glycoproteins from human airways in vitro.花生四烯酸、单羟基二十碳四烯酸和前列腺素对人气道黏液糖蛋白体外释放的影响。
J Clin Invest. 1981 Jun;67(6):1695-702. doi: 10.1172/jci110207.
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Anti-cyclo-oxygenase agents and asthma.抗环氧化酶药物与哮喘
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A new insight into aspirin-induced asthma.阿司匹林诱发哮喘的新见解。
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Int Arch Allergy Appl Immunol. 1985;78(4):438-48. doi: 10.1159/000233927.
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Prostaglandin-generating factor of anaphylaxis induces mucous glycoprotein release and the formation of lipoxygenase products of arachidonate from human airways.过敏反应的前列腺素生成因子可诱导人呼吸道释放黏液糖蛋白并形成花生四烯酸的脂氧合酶产物。
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9
Effects of non-steroidal anti-inflammatory drugs on cyclo-oxygenase and lipoxygenase activity in whole blood from aspirin-sensitive asthmatics vs healthy donors.非甾体抗炎药对阿司匹林敏感型哮喘患者与健康供体全血中环氧化酶和脂氧合酶活性的影响。
Br J Pharmacol. 2002 Dec;137(7):1031-8. doi: 10.1038/sj.bjp.0704927.
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Aspirin and asthma.阿司匹林与哮喘
Chest. 2000 Nov;118(5):1470-6. doi: 10.1378/chest.118.5.1470.