Lefort J, Singer M, Leduc D, Renesto P, Nahori M A, Huerre M, Créminon C, Chignard M, Vargaftig B B
Unité de Pharmacologie Cellulaire, Unité Associée IP/Institut National de la Santé et de la Recherche Médicale 485, Paris, France.
J Immunol. 1998 Jul 1;161(1):474-80.
Bronchopulmonary hyperreactivity (BHR), an increased responsiveness to nonspecific bronchoconstrictor agents, is a well-known characteristic of bronchial asthma. It has been recently suggested that the severity of this disease is related to the endotoxin content of house dust. In the present report, it is shown that the i.p. administration of bacterial LPS to mice is followed by a marked early dose-dependent BHR in response to methacholine. The microscopic examination showed no ultrastructural lesions of the lungs or of the airways, but a marked neutrophil accumulation in the capillaries, as confirmed by an increase of the lung content in the neutrophil enzyme marker myeloperoxidase. In parallel, high levels of TNF-alpha were found in plasma as well as its transcripts in the lung tissues. Using immunologic (anti-TNF-alpha and anti-granulocyte Abs), and pharmacologic (dexamethasone and vinblastine) tools, it is demonstrated that BHR is apparently neither related to the presence of neutrophils in the pulmonary microvasculature nor to the synthesis of TNF-alpha.
支气管肺高反应性(BHR),即对非特异性支气管收缩剂的反应性增加,是支气管哮喘的一个众所周知的特征。最近有人提出,这种疾病的严重程度与室内灰尘中的内毒素含量有关。在本报告中,研究表明,给小鼠腹腔注射细菌脂多糖(LPS)后,会出现明显的早期剂量依赖性BHR,对乙酰甲胆碱产生反应。显微镜检查显示,肺或气道没有超微结构损伤,但毛细血管中有明显的中性粒细胞积聚,中性粒细胞酶标志物髓过氧化物酶的肺含量增加证实了这一点。同时,血浆中发现高水平的肿瘤坏死因子-α(TNF-α)及其在肺组织中的转录本。使用免疫(抗TNF-α和抗粒细胞抗体)和药理学(地塞米松和长春碱)工具,证明BHR显然既与肺微血管中中性粒细胞的存在无关,也与TNF-α的合成无关。