Yoshizawa I, Nakajima T, Kawano Y, Noma T
Department of Pediatrics, Saitama Medical School.
Arerugi. 1994 Apr;43(4):535-43.
Oxatomide is an anti-allergic agent having an anti-histamine effect, and has been widely used for clinical purposes. The effect of oxatomide-treatment on the induction of IL2 responsiveness by Df-stimulated lymphocytes was studied in patients with bronchial asthma. Oxatomide alone has almost no effect on lymphocyte activation. Patient's lymphocytes pretreated with 2 to 2000 ng/ml doses of oxatomides for 24 to 48 hours failed to produce Df-induced IL2 responsiveness in a dose-dependent manner. The target cells for oxatomide's suppressive effect were antigen-presenting cells such as macrophages and dendritic cells rather than responder T cells. PPD-induced IL2 responsiveness was also suppressed by the treatment, but the Con A-induced response was not. The results suggest that oxatomide has a slight immunosuppressive capability to block the induction of IL2 responsiveness by Df-stimulated patient's lymphocytes, resulting in the decreased production of such lymphokines as IL2, IL3, IL4, IL5, in a lymphokine cascade of allergic responses, in addition to inhibition of the degranulation and activation of inflammatory cells such as mast cells/basophils and eosinophils.
奥沙米特是一种具有抗组胺作用的抗过敏药物,已被广泛用于临床。在支气管哮喘患者中研究了奥沙米特治疗对Df刺激的淋巴细胞诱导IL2反应性的影响。单独使用奥沙米特对淋巴细胞激活几乎没有影响。用2至2000 ng/ml剂量的奥沙米特预处理患者淋巴细胞24至48小时后,未能以剂量依赖方式产生Df诱导的IL2反应性。奥沙米特抑制作用的靶细胞是抗原呈递细胞,如巨噬细胞和树突状细胞,而不是反应性T细胞。PPD诱导的IL2反应性也受到该治疗的抑制,但Con A诱导的反应未受抑制。结果表明,奥沙米特具有轻微的免疫抑制能力,可阻断Df刺激的患者淋巴细胞诱导IL2反应性,导致在过敏反应的细胞因子级联反应中,IL2、IL3、IL4、IL5等细胞因子的产生减少,此外还可抑制肥大细胞/嗜碱性粒细胞和嗜酸性粒细胞等炎症细胞的脱颗粒和激活。