Fukuda T
Department of Internal Medicine and Clinical Immunology, Dokkyo University School of Medicine.
Nihon Rinsho. 1993 Mar;51(3):752-8.
Eosinophils have been observed in and around the wall of bronchi in bronchial biopsies and in bronchoalveolar lavage fluid from asthmatics. Early studies of eosinophils suggested that they might combat inflammation induced by type I hypersensitivity reaction. However, in the past two decades new information regarding the biology of the eosinophils has been obtained. There is now increasing evidence to suggest that eosinophils may play a key role in asthma by damaging respiratory epithelium, by generating LTC4 and PAF, and by releasing cytokines. This hypothesis is supported by the recent observations of a significant correlation between airway hyperresponsiveness and the magnitude of bronchial eosinophilia, and by the several observations of a coincident occurrence of late asthmatic response and bronchial eosinophilia.
在哮喘患者的支气管活检标本的支气管壁内及其周围以及支气管肺泡灌洗液中均观察到嗜酸性粒细胞。早期对嗜酸性粒细胞的研究表明,它们可能对抗由I型超敏反应诱导的炎症。然而,在过去二十年中,已获得了关于嗜酸性粒细胞生物学的新信息。现在越来越多的证据表明,嗜酸性粒细胞可能通过损伤呼吸道上皮、生成白三烯C4和血小板活化因子以及释放细胞因子在哮喘中起关键作用。气道高反应性与支气管嗜酸性粒细胞增多程度之间存在显著相关性,以及迟发性哮喘反应与支气管嗜酸性粒细胞增多同时出现的若干观察结果支持了这一假说。