Featherstone R L, Parry J E, Church M K
Clinical Pharmacology, Southampton General Hospital, UK.
Clin Exp Allergy. 1996 Feb;26(2):235-40. doi: 10.1111/j.1365-2222.1996.tb00085.x.
It has been suggested that kinins may play a role in allergic pathophysiology of the airways, contributing to bronchoconstriction and oedema formation. Raised levels of kinin generating enzymes and kinins are found in the airways during allergic responses.
Using an in vivo animal model of allergen induced increase in airways resistance we investigated the effects of the bradykinin antagonist Hoe 140, in order to assess the possible contribution of kinins to this response.
Guinea-pigs were sensitized and challenged with ovalbumin (OA) or saline via the endotracheal route and the resulting increase in airways resistance was measured by whole body plethysmography. At 240 min after challenge, bronchoalveolar lavage fluid (BALF) was taken and albumin content and kallikrein-like activity determined by rocket immunoelectrophoresis and use of artificial substrates respectively. Pretreatment of animals with the bradykinin antagonist Hoe 140 at 6.7, 20 or 66.7 nmol/kg or aprotinin (46,000 kallikrein inhibitor units/kg) was by i.p. injection 10 min before challenge.
Pre-treatment with Hoe 140 dose dependently attenuated the increase in airways resistance following allergen challenge. Kallikrein-like activity and albumin in BALF were unaltered. Aprotinin reduced the kallikrein-like activity in BALF but did not alter airways resistance.
Kinins may contribute to a significant part of allergen-induced airways resistance increase in this model but not via an effect on plasma extravasation.
有人提出激肽可能在气道的过敏性病理生理过程中发挥作用,导致支气管收缩和水肿形成。在过敏反应期间,气道中激肽生成酶和激肽的水平会升高。
使用变应原诱导气道阻力增加的体内动物模型,我们研究了缓激肽拮抗剂Hoe 140的作用,以评估激肽对该反应的可能贡献。
通过气管内途径用卵清蛋白(OA)或生理盐水使豚鼠致敏并激发,然后通过全身体积描记法测量由此产生的气道阻力增加。激发后240分钟,采集支气管肺泡灌洗液(BALF),分别通过火箭免疫电泳和使用人工底物测定白蛋白含量和激肽释放酶样活性。在激发前10分钟通过腹腔注射用6.7、20或66.7 nmol/kg的缓激肽拮抗剂Hoe 140或抑肽酶(46,000激肽释放酶抑制单位/kg)对动物进行预处理。
用Hoe 140预处理可剂量依赖性地减轻变应原激发后气道阻力的增加。BALF中的激肽释放酶样活性和白蛋白未改变。抑肽酶降低了BALF中的激肽释放酶样活性,但未改变气道阻力。
在该模型中,激肽可能在变应原诱导的气道阻力增加中起重要作用,但不是通过对血浆外渗的影响。