Martin J G
Le Réseau des Centres d'Excellences en Santé Respiratoire, Laboratoires, Meakins-Christie, Hôpital Royal Victoria, Université McGill, Montréal (Québec) Canada.
Rev Mal Respir. 1994;11(2):93-9.
Airway responsiveness is increased in a variety of airway diseases. To understand the mechanism of enhanced airway responsiveness, in particular as it pertains to asthma, animal models have been developed and extensively explored. The guinea pig and Basenji-greyhound dog are the best characterized animals showing airways hyperresponsiveness and appear to bear substantial resemblances to asthmatic human subjects. Challenge with bronchoconstrictive agonist results in bronchoconstriction and transient vascular leak. Both phenomena contribute to the degree of airway narrowing. Adenosine challenge tests not only the responsiveness of the airways, but also that of the airway effector cells such as the mastocyte. Bradykinin and tachykinin cause indirect airway narrowing, probably by liberation of leukotrienes. Responsiveness can be enhanced by immune and non-immune challenges. Ozone, Sephadex, various contractile agonists (leukotriene D-4, bradykinin, platelet-activating factor), as well as certain cytokines (IL-1, IL-2, TNF-alpha) can enhance airway responsiveness. Cyclooxygenase and lipooxygenase products appear to be involved. Allergen-induced hyperresponsiveness is associated with airway inflammation and appears to involve bradykinin and PAF acutely and growth of airway smooth muscle chronically.
在多种气道疾病中,气道反应性会增加。为了理解气道反应性增强的机制,特别是与哮喘相关的机制,已经开发并广泛研究了动物模型。豚鼠和巴仙吉犬与灵缇犬是表现出气道高反应性特征最明显的动物,并且似乎与哮喘患者有很大相似之处。用支气管收缩激动剂进行激发会导致支气管收缩和短暂的血管渗漏。这两种现象都会导致气道狭窄的程度增加。腺苷激发试验不仅可以检测气道的反应性,还可以检测气道效应细胞(如肥大细胞)的反应性。缓激肽和速激肽可能通过释放白三烯导致间接气道狭窄。免疫和非免疫激发均可增强反应性。臭氧、葡聚糖、各种收缩激动剂(白三烯D-4、缓激肽、血小板活化因子)以及某些细胞因子(IL-1、IL-2、TNF-α)均可增强气道反应性。环氧化酶和脂氧化酶产物似乎也参与其中。变应原诱导的高反应性与气道炎症相关,急性发作时似乎涉及缓激肽和血小板活化因子,慢性发作时涉及气道平滑肌的生长。