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多种免疫表型与气道反应性增加有关。

Various immunological phenotypes are associated with increased airway responsiveness.

作者信息

Herz U, Braun A, Rückert R, Renz H

机构信息

Department of Clinical Chemistry and Biochemistry, Virchow-Klinikum of the Humboldt-University Berlin, Germany.

出版信息

Clin Exp Allergy. 1998 May;28(5):625-34. doi: 10.1046/j.1365-2222.1998.00280.x.

Abstract

BACKGROUND

Bronchial asthma is characterized by a TH2 type immune response, chronic inflammation of the airways and increased airway responsiveness. The relationship between IgE- and inflammatory-dependent mechanisms that contribute to bronchial asthma are not well defined.

OBJECTIVE

The purpose of this study was to compare and analyse the immune pathways that resulted in development of allergen-induced and/or inflammatory dependent increased airways responsiveness.

RESULTS

BALB/c and C57BL/6 mice responded to OVA-sensitization with elevated allergen-specific IgE/IgG1 serum antibody-titres and the development of cutaneous immediate-type hypersensitivity reactions. Increased airway responsiveness was observed following airway allergen challenges. However, the inflammatory component of the lung differed between the strains. In OVA-sensitized BALB/c mice a marked increase in lymphocytes, eosinophils and neutrophils in BAL fluids was parallelled with elevated production of IL-4, IL-5 and TNFalpha in the lung. In contrast in OVA-sensitized C57BL/6 mice, the inflammatory immune response in the lung was much weaker. We postulate that two pathways can regulate the induction of increased airway responsiveness. One depends on the presence of allergen-specific IgE/IgG1 and allergen, and a second is mediated by allergen-independent inflammation of the lung. To test this hypothesis, BALB/c mice were treated nasally with low doses of bacterial superantigen (SEB) as a prototypical inducer of airway inflammation, following which influx of lymphocytes, eosinophils and neutrophils into the airways was parallelled by development of increased airway-responsiveness in the absence of allergen-specific IgE/IgG1 antibodies and allergen.

CONCLUSIONS

These results indicate that increased airway responsiveness is associated with different immunological phenotypes in BALB/c and C57BL/6 mice.

摘要

背景

支气管哮喘的特征为TH2型免疫反应、气道慢性炎症和气道反应性增加。导致支气管哮喘的IgE依赖性和炎症依赖性机制之间的关系尚未明确。

目的

本研究的目的是比较和分析导致变应原诱导的和/或炎症依赖性气道反应性增加的免疫途径。

结果

BALB/c和C57BL/6小鼠对卵清蛋白致敏的反应是变应原特异性IgE/IgG1血清抗体滴度升高以及皮肤速发型超敏反应的发生。气道变应原激发后观察到气道反应性增加。然而,两品系小鼠肺内的炎症成分有所不同。在卵清蛋白致敏的BALB/c小鼠中,支气管肺泡灌洗(BAL)液中淋巴细胞、嗜酸性粒细胞和中性粒细胞显著增加,同时肺内IL-4、IL-5和TNFα的产生也增加。相比之下,在卵清蛋白致敏的C57BL/6小鼠中,肺内的炎症免疫反应要弱得多。我们推测有两条途径可调节气道反应性增加的诱导。一条途径依赖于变应原特异性IgE/IgG1和变应原的存在,另一条途径由肺的变应原非依赖性炎症介导。为验证这一假设,给BALB/c小鼠经鼻给予低剂量细菌超抗原(SEB)作为气道炎症的典型诱导剂,随后淋巴细胞、嗜酸性粒细胞和中性粒细胞流入气道,同时在没有变应原特异性IgE/IgG1抗体和变应原的情况下气道反应性增加。

结论

这些结果表明,BALB/c和C57BL/6小鼠气道反应性增加与不同的免疫表型有关。

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