Am. J. Respir. Crit. Care Med., Vol 154, No. 3, 09 1996, 649-653.
Inhaled tryptase causes bronchoconstriction in sheep via histamine release
JF Molinari, M Scuri, WR Moore, J Clark, R Tanaka and WM Abraham
Division of Pulmonary Disease, University of Miami at Mount Sinai Medical Center, Florida 33140, USA.
Allergen-induced bronchoconstriction involves mast cell activation.
Tryptase is a mast cell serine protease that is released during this
process, but little is known about the action of tryptase in the airway.
The purpose of this study was to determine: (1) if aerosolized tryptase
causes bronchoconstriction, and (2) the mechanism by which this occurs. We
measured mean pulmonary flow resistance (RL) in five allergic sheep before
and after consecutive inhalations of 100 and 500 ng tryptase (in 2 ml total
volume). Inhaled tryptase at 100 and 500 ng increased RL (mean +/- SE) by
33 +/- 12 and 122 +/- 8% (p < 0.05) over baseline. The response was
reproducible upon repeat challenges. These studies were repeated in the
same animals after pretreatment with aerosolized APC 366 (9 mg/3 ml), a
specific tryptase inhibitor. In APC- 366-treated sheep, tryptase increased
RL by 10 +/- 3 and 6 +/- 2% (p < 0.05 versus control values) at 100 and
500 ng, respectively. The response to tryptase was also blocked by
pretreating the sheep intravenously with the histamine H1-antagonist
chlorpheniramine (2 mg/kg), in which RL increased only 5 +/- 4 and 7 +/- 6%
after 100 and 500 ng tryptase. APC 366, however, did not block
histamine-induced bronchoconstriction. Consistent with these findings was
the observation that segmental bronchial challenge with tryptase (1
microgram) resulted in a significant increase in histamine levels in
bronchoalveolar lavage. Inhaled tryptase (500 ng) also caused airway
hyperresponsiveness to aerosolized carbachol 2 h after tryptase challenge.
This tryptase-induced airway hyperresponsiveness could be blocked either by
pretreating the sheep with APC 366 (30 min before challenge) or by treating
the sheep 30 min after challenge. These results indicate that inhaled
tryptase causes bronchoconstriction and airway hyperresponsiveness in
allergic sheep by an event that may involve mast cell activation.
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Copyright © 1996 American Thoracic Society
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