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Am. J. Respir. Crit. Care Med., Volume 158, Number 6, December 1998, 1809-1814

Anti-inflammatory Agents and Allergen-induced beta 2-Receptor Dysfunction in Isolated Human Bronchi

PINGFANG SONG, EMANUELE CRIMI, MANLIO MILANESE, JIE DUAN, KAI REHDER, and VITO BRUSASCO

Centro di Fisiopatologia Respiratoria, Dipartimento di Scienze Motorie e Riabilitative, Università di Genova, Genova, Italy

Antigen challenge causes beta 2-adrenoceptor dysfunction in sensitized human bronchi (Am. J. Respir. Crit. Care Med. 1997;155:1230-1234). This study investigated whether the dysfunction can be prevented by anti-inflammatory agents. Human bronchial rings (2 to 4 mm) from surgery were passively sensitized to house dust mite and challenged (1) with allergen only, (2) with allergen plus indomethacin (10-5 M), (3) with allergen plus nedocromil sodium (10-7 M to 10-5 M), (4) with allergen plus the H1-receptor antagonist cetirizine (10-7 M to 10-5 M), and (5) with allergen plus the peptido-leukotriene receptor antagonist iralukast (10-7 M to 10-5 M). Rings were first contracted with 10-6 M carbachol and then relaxed with salbutamol (10-9 M to 10-4 M). The concentration-relaxation curve to salbutamol was shifted significantly to the right in the rings challenged with allergen only compared with control rings. In the rings challenged with allergen plus nedocromil sodium (10-6 M and 10-5 M) or iralukast (10-6 M and 10-5 M) the concentration-relaxation curves to salbutamol were significantly shifted to the left compared with rings challenged in saline alone, suggesting a protective effect against beta 2-adrenoceptor dysfunction. Neither allergen plus cetirizine nor allergen plus indomethacin shifted significantly the concentration-relaxation curves to salbutamol compared with rings challenged in saline alone. We conclude that the release of peptido-leukotrienes may play a significant role in causing the allergen-induced beta 2-receptor dysfunction in passively sensitized human bronchi.




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