Krouwels F H, Hol B E, Lutter R, Bruinier B, Bast A, Jansen H M, Out T A
Department of Pulmonology, Clinical and Laboratory Immunology Unit, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Am J Respir Cell Mol Biol. 1998 May;18(5):721-30. doi: 10.1165/ajrcmb.18.5.2909.
High levels of histamine can be found in the airways of asthma patients. This study describes the effects of histamine on anti-CD3-induced production of IL-4, IL-5, and IFN-gamma by T cell clones from subjects with allergic asthma and healthy subjects. T cell clones were obtained from bronchoalveolar lavage (BAL) fluid and blood. The number of clones tested, and the percentage of clones in which histamine inhibited or enhanced cytokine production by more than 25%, were as follows: IL-4, 47, 8.5%, and 4.3%; IL-5, 43, 14%, and 30%; and IFN-gamma, 52, 40%, and 15%. Inhibition of IL-5 and IFN-gamma production was reversed by IL-2. The enhancement of IFN-gamma production was associated with an enhancement of both IL-2 production and proliferation. In 21% of the clones a combined effect consisting of inhibition of IFN-gamma production and enhancement of IL-5 production was found. This response was reversed by H2-receptor antagonists and was significantly associated with a histamine-induced increase in intracellular levels of cAMP. The role of cAMP in mediating the histamine effects was supported by the observations that the beta2-agonist salbutamol had effects similar to histamine and that high concentrations of PGE2 mimicked the inhibitory effects of histamine. Clones from BAL fluid and blood showed similar responses, as did clones from patients with asthma and from control subjects. The enhancement of IFN-gamma production by histamine, however, was found only in clones from healthy subjects. The results warrant further investigations on the role of cAMP in the regulation of cytokine production.
在哮喘患者的气道中可发现高水平的组胺。本研究描述了组胺对来自过敏性哮喘患者和健康受试者的T细胞克隆在抗CD3诱导下产生白细胞介素-4(IL-4)、白细胞介素-5(IL-5)和干扰素-γ(IFN-γ)的影响。T细胞克隆取自支气管肺泡灌洗(BAL)液和血液。检测的克隆数量,以及组胺抑制或增强细胞因子产生超过25%的克隆百分比,如下所示:IL-4,47个克隆,8.5%和4.3%;IL-5,43个克隆,14%和30%;IFN-γ,52个克隆,40%和15%。IL-2可逆转对IL-5和IFN-γ产生的抑制作用。IFN-γ产生的增强与IL-2产生和增殖的增强相关。在21%的克隆中发现了一种联合效应,即IFN-γ产生受到抑制而IL-5产生增强。这种反应可被H2受体拮抗剂逆转,并且与组胺诱导的细胞内cAMP水平升高显著相关。β2激动剂沙丁胺醇具有与组胺相似的作用,高浓度的前列腺素E2模拟组胺的抑制作用,这些观察结果支持了cAMP在介导组胺效应中的作用。来自BAL液和血液的克隆显示出相似的反应,哮喘患者和对照受试者的克隆也是如此。然而,仅在健康受试者的克隆中发现组胺增强了IFN-γ的产生。这些结果为进一步研究cAMP在细胞因子产生调节中的作用提供了依据。