Provocation with adenosine 5′-monophosphate, but not methacholine, induces sputum eosinophilia

Summary Introduction Bronchial hyper‐responsiveness is usually measured with direct stimuli such as methacholine (MCh) or histamine. Adenosine 5′‐monophosphate (AMP), which acts indirectly via the secondary release of mediators, is another stimulus to measure bronchial hyper‐responsiveness. Aim To i...

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Veröffentlicht in:Clinical and experimental allergy 2004-01, Vol.34 (1), p.71-76
Hauptverfasser: Van den berge, M., Kerstjens, H. A. M., De reus, D. M., Koëter, G. H., Kauffman, H. F., Postma, D. S.
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container_end_page 76
container_issue 1
container_start_page 71
container_title Clinical and experimental allergy
container_volume 34
creator Van den berge, M.
Kerstjens, H. A. M.
De reus, D. M.
Koëter, G. H.
Kauffman, H. F.
Postma, D. S.
description Summary Introduction Bronchial hyper‐responsiveness is usually measured with direct stimuli such as methacholine (MCh) or histamine. Adenosine 5′‐monophosphate (AMP), which acts indirectly via the secondary release of mediators, is another stimulus to measure bronchial hyper‐responsiveness. Aim To investigate whether provocation with inhaled AMP itself initiates an inflammatory response resulting in an influx of eosinophils into the airway lumen. Methods We have included 21 non‐smoking atopic asthmatic subjects (mean FEV1 101% predicted, mean age 34 years). Each subject performed three sputum inductions on different days, at least seven days apart: one without previous provocation, one hour after PC20 methacholine, and one hour after PC20 AMP. Results After provocation with AMP, but not methacholine, the percentage of sputum eosinophils increased significantly (from 1.9±0.5% to 4.5±1% (P
doi_str_mv 10.1111/j.1365-2222.2004.01832.x
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A. M. ; De reus, D. M. ; Koëter, G. H. ; Kauffman, H. F. ; Postma, D. S.</creator><creatorcontrib>Van den berge, M. ; Kerstjens, H. A. M. ; De reus, D. M. ; Koëter, G. H. ; Kauffman, H. F. ; Postma, D. S.</creatorcontrib><description>Summary Introduction Bronchial hyper‐responsiveness is usually measured with direct stimuli such as methacholine (MCh) or histamine. Adenosine 5′‐monophosphate (AMP), which acts indirectly via the secondary release of mediators, is another stimulus to measure bronchial hyper‐responsiveness. Aim To investigate whether provocation with inhaled AMP itself initiates an inflammatory response resulting in an influx of eosinophils into the airway lumen. Methods We have included 21 non‐smoking atopic asthmatic subjects (mean FEV1 101% predicted, mean age 34 years). Each subject performed three sputum inductions on different days, at least seven days apart: one without previous provocation, one hour after PC20 methacholine, and one hour after PC20 AMP. Results After provocation with AMP, but not methacholine, the percentage of sputum eosinophils increased significantly (from 1.9±0.5% to 4.5±1% (P&lt;0.01) and 1.9±0.5% (P=0.89)). No changes in the percentages of neutrophils, lymphocytes, macrophages, or bronchial epithelial cells were found. Conclusion A provocation test with AMP leads to an increased percentage of sputum eosinophils. This observation cannot be explained by a non‐specific response of the airways to a vigorous bronchoconstriction, since methacholine had no effect on inflammatory cells.</description><identifier>ISSN: 0954-7894</identifier><identifier>EISSN: 1365-2222</identifier><identifier>DOI: 10.1111/j.1365-2222.2004.01832.x</identifier><identifier>PMID: 14720265</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>adenosine ; adenosine 5′-monophosphate ; Adenosine Monophosphate ; Administration, Inhalation ; Adult ; Allergic diseases ; Asthma - drug therapy ; Asthma - immunology ; Biological and medical sciences ; Bronchial Hyperreactivity - diagnosis ; Bronchial Provocation Tests ; Bronchoconstrictor Agents ; Cross-Over Studies ; Eosinophilia - chemically induced ; Female ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; Glucocorticoids - therapeutic use ; Humans ; hyper-responsiveness ; Immunopathology ; inflammation ; Male ; Medical sciences ; Methacholine Chloride ; sputum ; Sputum - immunology ; Statistics, Nonparametric</subject><ispartof>Clinical and experimental allergy, 2004-01, Vol.34 (1), p.71-76</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright Blackwell Scientific Publications Ltd. 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A. M.</creatorcontrib><creatorcontrib>De reus, D. M.</creatorcontrib><creatorcontrib>Koëter, G. H.</creatorcontrib><creatorcontrib>Kauffman, H. F.</creatorcontrib><creatorcontrib>Postma, D. S.</creatorcontrib><title>Provocation with adenosine 5′-monophosphate, but not methacholine, induces sputum eosinophilia</title><title>Clinical and experimental allergy</title><addtitle>Clin Exp Allergy</addtitle><description>Summary Introduction Bronchial hyper‐responsiveness is usually measured with direct stimuli such as methacholine (MCh) or histamine. Adenosine 5′‐monophosphate (AMP), which acts indirectly via the secondary release of mediators, is another stimulus to measure bronchial hyper‐responsiveness. Aim To investigate whether provocation with inhaled AMP itself initiates an inflammatory response resulting in an influx of eosinophils into the airway lumen. Methods We have included 21 non‐smoking atopic asthmatic subjects (mean FEV1 101% predicted, mean age 34 years). Each subject performed three sputum inductions on different days, at least seven days apart: one without previous provocation, one hour after PC20 methacholine, and one hour after PC20 AMP. Results After provocation with AMP, but not methacholine, the percentage of sputum eosinophils increased significantly (from 1.9±0.5% to 4.5±1% (P&lt;0.01) and 1.9±0.5% (P=0.89)). No changes in the percentages of neutrophils, lymphocytes, macrophages, or bronchial epithelial cells were found. Conclusion A provocation test with AMP leads to an increased percentage of sputum eosinophils. This observation cannot be explained by a non‐specific response of the airways to a vigorous bronchoconstriction, since methacholine had no effect on inflammatory cells.</description><subject>adenosine</subject><subject>adenosine 5′-monophosphate</subject><subject>Adenosine Monophosphate</subject><subject>Administration, Inhalation</subject><subject>Adult</subject><subject>Allergic diseases</subject><subject>Asthma - drug therapy</subject><subject>Asthma - immunology</subject><subject>Biological and medical sciences</subject><subject>Bronchial Hyperreactivity - diagnosis</subject><subject>Bronchial Provocation Tests</subject><subject>Bronchoconstrictor Agents</subject><subject>Cross-Over Studies</subject><subject>Eosinophilia - chemically induced</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>Glucocorticoids - therapeutic use</subject><subject>Humans</subject><subject>hyper-responsiveness</subject><subject>Immunopathology</subject><subject>inflammation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methacholine Chloride</subject><subject>sputum</subject><subject>Sputum - immunology</subject><subject>Statistics, Nonparametric</subject><issn>0954-7894</issn><issn>1365-2222</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcFu1DAQhi0EokvhFZCFBKcm2E7s2AcO1aotSKVwAPVovI6jeEns1Hbo9sYz8Ug8CQ67aiVOzMWW_H2j8T8AQIxKnOvttsQVowXJVRKE6hJhXpFy9wis7h8egxUStC4aLuoj8CzGLUKoooI_BUe4bggijK7At8_B__BaJesdvLWph6o1zkfrDKS_f_4qRu_81Ps49SqZE7iZE3Q-wdGkXuneDxk8gda1szYRxmlO8wjN4mfLDlY9B086NUTz4nAeg6_nZ1_W74vLTxcf1qeXha4FJoWijOia0UqwFrONYhvM6kZrhVoiOOnaruaiUVWrKUdI00ohQhlTmjUV4y2rjsGbfd8p-JvZxCRHG7UZBuWMn6PEglBOMcngq3_ArZ-Dy7NlRogcZM0zxPeQDj7GYDo5BTuqcCcxkssK5FYuScslabmsQP5dgdxl9eWh_7wZTfsgHjLPwOsDoKJWQxeU0zY-cJQSjPnyo3d77tYO5u6_B5Drs9Pllv1i79uYzO7eV-G7zKE1VF5fXcg1PmfNR3Ylr6s_UvKxTg</recordid><startdate>200401</startdate><enddate>200401</enddate><creator>Van den berge, M.</creator><creator>Kerstjens, H. 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S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4912-a562c465396d16ba6b1647cca0d2982fdf4897a3dc5800c53a02566ac67368d63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>adenosine</topic><topic>adenosine 5′-monophosphate</topic><topic>Adenosine Monophosphate</topic><topic>Administration, Inhalation</topic><topic>Adult</topic><topic>Allergic diseases</topic><topic>Asthma - drug therapy</topic><topic>Asthma - immunology</topic><topic>Biological and medical sciences</topic><topic>Bronchial Hyperreactivity - diagnosis</topic><topic>Bronchial Provocation Tests</topic><topic>Bronchoconstrictor Agents</topic><topic>Cross-Over Studies</topic><topic>Eosinophilia - chemically induced</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Fundamental immunology</topic><topic>Glucocorticoids - therapeutic use</topic><topic>Humans</topic><topic>hyper-responsiveness</topic><topic>Immunopathology</topic><topic>inflammation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Methacholine Chloride</topic><topic>sputum</topic><topic>Sputum - immunology</topic><topic>Statistics, Nonparametric</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Van den berge, M.</creatorcontrib><creatorcontrib>Kerstjens, H. A. M.</creatorcontrib><creatorcontrib>De reus, D. M.</creatorcontrib><creatorcontrib>Koëter, G. H.</creatorcontrib><creatorcontrib>Kauffman, H. F.</creatorcontrib><creatorcontrib>Postma, D. S.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><jtitle>Clinical and experimental allergy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Van den berge, M.</au><au>Kerstjens, H. A. M.</au><au>De reus, D. M.</au><au>Koëter, G. H.</au><au>Kauffman, H. F.</au><au>Postma, D. S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Provocation with adenosine 5′-monophosphate, but not methacholine, induces sputum eosinophilia</atitle><jtitle>Clinical and experimental allergy</jtitle><addtitle>Clin Exp Allergy</addtitle><date>2004-01</date><risdate>2004</risdate><volume>34</volume><issue>1</issue><spage>71</spage><epage>76</epage><pages>71-76</pages><issn>0954-7894</issn><eissn>1365-2222</eissn><abstract>Summary Introduction Bronchial hyper‐responsiveness is usually measured with direct stimuli such as methacholine (MCh) or histamine. Adenosine 5′‐monophosphate (AMP), which acts indirectly via the secondary release of mediators, is another stimulus to measure bronchial hyper‐responsiveness. Aim To investigate whether provocation with inhaled AMP itself initiates an inflammatory response resulting in an influx of eosinophils into the airway lumen. Methods We have included 21 non‐smoking atopic asthmatic subjects (mean FEV1 101% predicted, mean age 34 years). Each subject performed three sputum inductions on different days, at least seven days apart: one without previous provocation, one hour after PC20 methacholine, and one hour after PC20 AMP. Results After provocation with AMP, but not methacholine, the percentage of sputum eosinophils increased significantly (from 1.9±0.5% to 4.5±1% (P&lt;0.01) and 1.9±0.5% (P=0.89)). No changes in the percentages of neutrophils, lymphocytes, macrophages, or bronchial epithelial cells were found. Conclusion A provocation test with AMP leads to an increased percentage of sputum eosinophils. This observation cannot be explained by a non‐specific response of the airways to a vigorous bronchoconstriction, since methacholine had no effect on inflammatory cells.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>14720265</pmid><doi>10.1111/j.1365-2222.2004.01832.x</doi><tpages>6</tpages></addata></record>
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subjects adenosine
adenosine 5′-monophosphate
Adenosine Monophosphate
Administration, Inhalation
Adult
Allergic diseases
Asthma - drug therapy
Asthma - immunology
Biological and medical sciences
Bronchial Hyperreactivity - diagnosis
Bronchial Provocation Tests
Bronchoconstrictor Agents
Cross-Over Studies
Eosinophilia - chemically induced
Female
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Glucocorticoids - therapeutic use
Humans
hyper-responsiveness
Immunopathology
inflammation
Male
Medical sciences
Methacholine Chloride
sputum
Sputum - immunology
Statistics, Nonparametric
title Provocation with adenosine 5′-monophosphate, but not methacholine, induces sputum eosinophilia
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