Patients with allergic rhinitis and allergic asthma share the same pattern of eosinophil and neutrophil degranulation after allergen challenge 英文参考文献.docVIP
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Patients with allergic rhinitis and allergic asthma share the same pattern of eosinophil and neutrophil degranulation after allergen challenge 英文参考文献
K?mpeetal.ClinicalandMolecularAllergy2011,9:3
/content/9/1/3
CMA
RESEARCH
OpenAccess
Patientswithallergicrhinitisandallergicasthma
sharethesamepatternofeosinophiland
neutrophildegranulationafterallergenchallenge
MaryK?mpe1,2*,IngridStolt2,3,MariaLampinen2,3,ChristerJanson1,2,GunnemarSt?lenheim1,2,MarieCarlson2,3
Abstract
Background:Patientswithallergicrhinitisandallergicasthmademonstratecomparablelocalandsystemic
eosinophilinflammation,andyettheypresentwithdifferentclinicalpictures.Lessisevenknownaboutthe
contributionofneutrophilinflammationinallergicdiseases.Theaimofthestudywastoexaminethepropensity
andselectivityofgranulereleasefromprimedsystemiceosinophilsandneutrophilsinallergicrhinitisandallergic
asthmaafterseasonalandexperimentalallergenexposure.Wehypothesizethatthedissimilarclinical
manifestationsareduetodiverseeosinophilandneutrophildegranulation.
Methods:Ninebirchpollenallergicpatientswithrhinitis,eightwithasthmaandfourcontrolswerestudiedduring
pollenseasonandafternasalandbronchialallergenchallenge.Eosinophilsandneutrophilswereincubatedinvitro
withassaybufferandopsonizedSephadexparticlesforspontaneousandC3b-inducedgranuleproteinrelease.The
releasedamountofeosinophilcationicprotein(ECP),eosinophilperoxidase(EPO)andmyeloperoxidase(MPO)was
measuredbyspecificradioimmunoassay.
Results:C3b-induceddegranulationresultedinincreasedreleaseofECPandMPOfromprimedbloodeosinophils
andneutrophilsinbothallergicrhinitisandallergicasthmaduringpollenseasonandafterbothnasaland
bronchialchallenge(p-values0.008to0.043).Afterbronchialchallenge,theECPreleasewassignificantlyhigherin
therhiniticgroupcomparedtotheasthmaticgroup[19.8vs.13.2%,(p=0.010)].ThepropensityforEPOrelease
wasweakinallchallengemodelsbutfollowedthesamepatterninbothallergicgroups.
Conclusions:Systemicallyactivatedeosinophilsandneutrophilshavesimilarpatternsofdegranulationafter
allergenexposureinallergicrhinitisandallergicasthma.ThereleasedamountofECP,EPOandMPOwassimilarin
allallergenchallengemodelsinbothallergicg
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