Pretolani M, Ruffié C, Joseph D, Campos M G, Church M K, Lefort J, Vargaftig B B
Unité de Pharmacologie Cellulaire, Unité Associée Institut Pasteur SERM no. 285, Paris, France.
Am J Respir Crit Care Med. 1994 May;149(5):1167-74. doi: 10.1164/ajrccm.149.5.8173756.
Ovalbumin inhalation by sensitized guinea pigs induced a marked increase in the number of eosinophils (0.89 +/- 0.18 to 5.45 +/- 0.77 x 10(5)/ml, n = 10, p < 0.05) and elevations in the amounts of protein and eosinophil-derived major basic protein (MBP) (1,010.7 +/- 184.9 to 4,116.6 +/- 973.0 ng/ml, n = 10, p < 0.05) recovered by bronchoalveolar lavage (BAL). In contrast, no changes in the levels of eosinophil peroxidase (EPO) or in the sensitivity of the airways to bronchoconstriction induced by methacholine were detected. However, when ovalbumin-exposed guinea pigs received an intratracheal instillation of 1 microgram leukotriene (LT)B4 30 min prior to methacholine provocation, elevated levels of EPO and MBP in the BAL fluid and a marked bronchial hyperreactivity to methacholine were noted when compared with saline-challenged LTB4-injected animals (p < 0.05). In contrast, the intratracheal instillation of 1 or 3 micrograms platelet-activating factor (PAF) did not significantly modify the bronchial reactivity to methacholine or the levels of EPO and MBP. PAF and LTB4 induced similar enhancements in the amount of protein in BAL fluids from antigen-exposed guinea pigs, suggesting that increased endothelial/epithelial permeability does not account for hyperreactivity. A significant correlation between the levels of EPO or MBP and the intensity of the bronchial responsiveness to methacholine were shown in ovalbumin-challenged guinea pigs, irrespective of their subsequent treatment, i.e., either with PAF or with LTB4 or with their vehicle (r = 0.579, p = 0.0002 and r = 0.330, p = 0.049, n = 36 for EPO and MBP, respectively).(ABSTRACT TRUNCATED AT 250 WORDS)
致敏豚鼠吸入卵清蛋白后,支气管肺泡灌洗(BAL)回收的嗜酸性粒细胞数量显著增加(从0.89±0.18增至5.45±0.77×10⁵/ml,n = 10,p < 0.05),蛋白质及嗜酸性粒细胞衍生的主要碱性蛋白(MBP)含量升高(从1,010.7±184.9增至4,116.6±973.0 ng/ml,n = 10,p < 0.05)。相比之下,未检测到嗜酸性粒细胞过氧化物酶(EPO)水平或气道对乙酰甲胆碱诱导的支气管收缩敏感性的变化。然而,当卵清蛋白暴露的豚鼠在乙酰甲胆碱激发前30分钟经气管内注入1微克白三烯(LT)B4时,与注射生理盐水的LTB4激发动物相比,BAL液中EPO和MBP水平升高,且对乙酰甲胆碱有明显的支气管高反应性(p < 0.05)。相反,经气管内注入1或3微克血小板活化因子(PAF)并未显著改变对乙酰甲胆碱的支气管反应性或EPO和MBP水平。PAF和LTB4使抗原暴露豚鼠的BAL液中蛋白质含量有类似程度的增加,表明内皮/上皮通透性增加并非高反应性的原因。在卵清蛋白激发的豚鼠中,无论随后接受PAF、LTB4或其溶剂处理,EPO或MBP水平与对乙酰甲胆碱的支气管反应强度之间均存在显著相关性(EPO和MBP的r分别为0.579,p = 0.0002和r = 0.330,p = 0.049,n = 36)。(摘要截短于250字)