Effect of inhaled interleukin-4 on airway hyperreactivity in asthmatics

lnterleukin-4 (IL-4) has been shown to play a crucial role in the pathogenesis of allergic disease including bronchial asthma. In order to investigate the role of IL-4 in airway hyperreactivity, we investigated the effect of inhaled recombinant human IL-4 on airway responsiveness to methacholine and...

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Veröffentlicht in:American journal of respiratory and critical care medicine 1998-06, Vol.157 (6), p.1818-1821
Hauptverfasser: SHI, H.-Z, DENG, J.-M, HUI XU, NONG, Z.-X, XIAO, C.-Q, LIU, Z.-M, QIN, S.-M, JIANG, H.-X, LIU, G.-N, CHEN, Y.-Q
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container_end_page 1821
container_issue 6
container_start_page 1818
container_title American journal of respiratory and critical care medicine
container_volume 157
creator SHI, H.-Z
DENG, J.-M
HUI XU
NONG, Z.-X
XIAO, C.-Q
LIU, Z.-M
QIN, S.-M
JIANG, H.-X
LIU, G.-N
CHEN, Y.-Q
description lnterleukin-4 (IL-4) has been shown to play a crucial role in the pathogenesis of allergic disease including bronchial asthma. In order to investigate the role of IL-4 in airway hyperreactivity, we investigated the effect of inhaled recombinant human IL-4 on airway responsiveness to methacholine and eosinophil numbers in induced sputum in eight patients with allergic asthma using a placebo-controlled study design. Our results demonstrated that in the control experiments receiving vehicle inhalation, methacholine PC20 values did not change nor did the numbers of eosinophils in sputum change from baseline values. In contrast, after IL-4 inhalation, methacholine PC20 fell from baseline (0.43 +/- 1.81 mg/mI) to 0.22 +/- 1.73 mg/mI (p < 0.01) at 24 h, and to 0.21 +/- 1. 74 mg/ml (p < 0.01) at 48 h. Accompanying this increased airway sensitivity was a significant eosinophilia in sputum. Our data indicated that IL-4 increases airway responsiveness by recruiting eosinophils into the airway in patients with allergic bronchial asthma.
doi_str_mv 10.1164/ajrccm.157.6.9710023
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In order to investigate the role of IL-4 in airway hyperreactivity, we investigated the effect of inhaled recombinant human IL-4 on airway responsiveness to methacholine and eosinophil numbers in induced sputum in eight patients with allergic asthma using a placebo-controlled study design. Our results demonstrated that in the control experiments receiving vehicle inhalation, methacholine PC20 values did not change nor did the numbers of eosinophils in sputum change from baseline values. In contrast, after IL-4 inhalation, methacholine PC20 fell from baseline (0.43 +/- 1.81 mg/mI) to 0.22 +/- 1.73 mg/mI (p &lt; 0.01) at 24 h, and to 0.21 +/- 1. 74 mg/ml (p &lt; 0.01) at 48 h. Accompanying this increased airway sensitivity was a significant eosinophilia in sputum. 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source MEDLINE; Journals@Ovid Complete; American Thoracic Society (ATS) Journals Online; EZB-FREE-00999 freely available EZB journals
subjects Administration, Inhalation
Adolescent
Adult
Allergic diseases
Asthma - physiopathology
Biological and medical sciences
Bronchial Hyperreactivity - physiopathology
Bronchial Provocation Tests
Eosinophils
Female
Humans
Immunopathology
Interleukin-4 - administration & dosage
Leukocyte Count
Male
Medical sciences
Methacholine Chloride
Middle Aged
Recombinant Proteins - administration & dosage
Respiratory and ent allergic diseases
Sputum - cytology
Tropical medicine
title Effect of inhaled interleukin-4 on airway hyperreactivity in asthmatics
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