Nakajima T, Yoshizawa I, Kawano Y, Noma T
Department of Pediatrics, Saitama Medical School, Japan.
Arerugi. 1996 Jun;45(6):554-61.
Roxithromycin (RXM) is a new macrolide antibiotics, with anti-allergic properties, the mechanisms of which action has not been well understood. The effect of RXM-treatment on the induction of interleukin 2 (IL-2) responsiveness by Dermatophagoides farinase (Df)-stimulated lymphocytes was studied in patients with bronchial asthma. RXM alone has almost no effect on lymphocyte activation. Patient's lymphocytes treated with 10 to 400 micrograms/ml doses of RXMs failed to generate Df-induced IL-2 responsiveness in a dose-dependent manner. The target cells for suppressive effect of RXM were antigen-presenting cells such as macrophages and dendritic cells rather than responder T cells. PPD-induced IL-2 responsiveness was also suppressed by the treatment, but the Con A-induced response was not. The results suggest that RXM is a slight immunosuppressant to block the induction of IL-2 responsiveness by Df-stimulated patient's lymphocytes, resulting in the interruption of a cytokine cascade of allergic responses.
罗红霉素(RXM)是一种新型大环内酯类抗生素,具有抗过敏特性,但其作用机制尚未完全明确。本研究在支气管哮喘患者中探讨了罗红霉素治疗对粉尘螨(Df)刺激的淋巴细胞诱导白细胞介素2(IL-2)反应性的影响。单独使用罗红霉素对淋巴细胞活化几乎没有影响。用10至400微克/毫升剂量的罗红霉素处理患者的淋巴细胞,未能以剂量依赖的方式产生Df诱导的IL-2反应性。罗红霉素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,而非反应性T细胞。该治疗也抑制了PPD诱导的IL-2反应性,但对刀豆蛋白A诱导的反应没有影响。结果表明,罗红霉素是一种轻度免疫抑制剂,可阻断Df刺激的患者淋巴细胞诱导IL-2反应性,从而中断过敏反应的细胞因子级联反应。