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[支气管过敏原激发对支气管哮喘患者单核细胞组胺释放因子(HRF)自发产生的影响]

[The effect of bronchial allergen provocation on spontaneous production of histamine releasing factor (HRF) by mononuclear cells in patients with bronchial asthma].

作者信息

Grzelewska-Rzymowska I, Grzegorczyk J, Cieślewicz G, Gondorowicz K, Rozniecki J

机构信息

Kliniki Pneumonologii i Alergologii A.M. w Lodzi.

出版信息

Pneumonol Alergol Pol. 1996;64(3-4):204-11.

PMID:8754966
Abstract

The study was performed in 8 patients suffering from mild asthma. Bronchial allergen challenges with Dermatophagoides pretonyssinus were performed according to Chai et al method. Nonspecific bronchial reactivity to histamine (PC20H in mg/ml) were determined before the allergen challenge and in 90 min. and 24 hrs. after allergen provocation. Blood samples for mononuclear cells culture were collected before the trial and after the allergen challenge in 15, 90 min. and 8 and 24 hrs. The supernatants were assayed for HRF activity with basophils from a single donor. The significant increase of PC20H was observed xgPC20H in mg/ml 0.43 before allergen challenge and 0.08 and 0.125 after allergen provocation. Blood samples did not reveal any significant changes in HRF % activity--mean and SD before challenge test 47.7 16.2 and 49.9 15.0 in 15 min, 53.3 19.0 in 90 min, 56.6 15.8 in 8 hr, 52.5 20.4 in 24 hr after allergen provocation. The correlation between postallergen, nonspecific bronchial reactivity and spontaneous production of HRF activity was not found. The authors discuss the role of HRF in pathogenesis of nonspecific bronchial reactivity of asthmatic patients.

摘要

该研究对8例轻度哮喘患者进行。按照Chai等人的方法,用屋尘螨进行支气管过敏原激发试验。在过敏原激发试验前、激发后90分钟和24小时,测定对组胺的非特异性支气管反应性(PC20H,单位为mg/ml)。在试验前以及过敏原激发后15分钟、90分钟、8小时和24小时采集用于单核细胞培养的血样。用来自单一供体的嗜碱性粒细胞检测上清液中的HRF活性。观察到PC20H显著增加——过敏原激发前为0.43mg/ml,激发后为0.08mg/ml和0.125mg/ml。血样未显示HRF%活性有任何显著变化——激发试验前的平均值和标准差为47.7±16.2,激发后15分钟为49.9±15.0,90分钟为53.3±19.0,8小时为56.6±15.8,24小时为52.5±20.4。未发现过敏原激发后非特异性支气管反应性与HRF活性的自发产生之间存在相关性。作者讨论了HRF在哮喘患者非特异性支气管反应性发病机制中的作用。

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