Ellis J L, Hubbard W C, Meeker S, Undem B J
Division of Clinical Immunology, Johns Hopkins Asthma and Allergy Center, Baltimore, Maryland 21224.
Am J Respir Crit Care Med. 1994 Sep;150(3):717-23. doi: 10.1164/ajrccm.150.3.8087342.
The ability of antigen to contract passively sensitized tissues was examined in human central (5 to 12 mm) and peripheral (0.5 to 2 mm) bronchi. Both central and peripheral bronchi contracted to ragweed antigen E (RW AgE), and these contractions were virtually abolished by a combination of indomethacin, cysteinyl-leukotriene, and histamine antagonists. There were, however, quantitative differences in contractile responses and in mediator release to RW AgE between central and peripheral bronchi. RW AgE was approximately 20-fold more potent in contracting peripheral bronchi compared with central bronchi. On a per weight of tissue basis, RW AgE released six-fold more histamine, 15- to 20-fold more immunoreactive leukotriene D4 (i-LTD4) and two- to 10-fold more prostanoids in the peripheral bronchi compared with central bronchi. Anti-IgE mimicked the effect of RW AgE with respect to inflammatory mediator release and with respect to the magnitude of the contractile response in peripheral and central bronchi. Anti-IgE, however, was more potent in contracting central than peripheral bronchi. Moreover, in peripheral bronchi, contractile responses to anti-IgE were only partially inhibited by a combination of indomethacin, cysteinyl-leukotriene, and histamine antagonists. These results indicate that the qualitative characteristics of antigen-induced mediator release and muscle contraction are similar in central versus peripheral bronchi. However, RW AgE is much more potent in causing smooth muscle constriction, and is capable of releasing a greater quantity of inflammatory mediators in peripheral bronchi/bronchioles than in the more central bronchi.
在人类中央(5至12毫米)和外周(0.5至2毫米)支气管中检测了抗原使被动致敏组织收缩的能力。中央和外周支气管均对豚草抗原E(RW AgE)产生收缩反应,吲哚美辛、半胱氨酰白三烯和组胺拮抗剂联合使用几乎可消除这些收缩反应。然而,中央和外周支气管对RW AgE的收缩反应以及介质释放存在定量差异。与中央支气管相比,RW AgE使外周支气管收缩的效力大约高20倍。以单位组织重量计算,与中央支气管相比,RW AgE在外周支气管中释放的组胺多6倍、免疫反应性白三烯D4(i-LTD4)多15至20倍、前列腺素多2至10倍。抗IgE在炎症介质释放以及在外周和中央支气管收缩反应幅度方面模拟了RW AgE的作用。然而,抗IgE使中央支气管收缩的效力比外周支气管更强。此外,在外周支气管中,吲哚美辛、半胱氨酰白三烯和组胺拮抗剂联合使用仅部分抑制了对抗IgE的收缩反应。这些结果表明,中央支气管与外周支气管中抗原诱导的介质释放和肌肉收缩的定性特征相似。然而,RW AgE在外周支气管/细支气管中引起平滑肌收缩的效力要强得多,并且能够释放比更中央的支气管更多的炎症介质。