Am. J. Respir. Crit. Care Med., Vol 152, No. 6, 12 1995, 2076-2083.
Tryptase inhibitors block allergen-induced airway and inflammatory responses in allergic sheep
JM Clark, WM Abraham, CE Fishman, R Forteza, A Ahmed, A Cortes, RL Warne, WR Moore and RD Tanaka
Department of Molecular Pharmacology, Arris Pharmaecutical Corporation, South San Francisco, California 94080, USA.
Tryptase, a mast cell serine protease, has been implicated in the
pathophysiology of allergic asthma, but formal evidence to support this
hypothesis has been limited by the lack of specific inhibitors for use in
vivo. Therefore, in this study we examined the effects of two inhibitors of
tryptase, APC 366 [N-(1-hydroxy-2-naphthoyl)-L-arginyl-L- prolinamide
hydrochloride] and BABIM [bis(5-amidino-2- benzimidazolyl)methane] on
antigen-induced early and late responses, airway responsiveness as measured
by carbachol provocation, microvascular permeability as measured by
bronchoalveolar lavage (BAL) albumin concentrations, and tissue
eosinophilia from biopsies in allergic sheep. APC 366 and BABIM were
administered by aerosol in all experiments. In vehicle control trials,
antigen challenge resulted in peak early and late increases in specific
lung resistance (SRL) of (mean +/- SE, n = 6) 259 +/- 30% and 183 +/- 27%
over baseline, respectively. Treatment with APC 366 (9 mg/3 ml H2O given
0.5 h before, 4 h after, and 24 h after antigen challenge) slightly reduced
the peak early response (194 +/- 41%), but significantly inhibited the late
response (38 +/- 6%, p < 0.05 versus control trials). Twenty-four hours
after challenge, APC 366 also completely blocked the antigen-induced airway
hyperresponsiveness to inhaled carbachol observed in the control
trial.(ABSTRACT TRUNCATED AT 250 WORDS)
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Copyright © 1995 American Thoracic Society
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