Late-phase asthmatic reaction to inhaled allergen is associated with early recruitment of eosinophils in the airways.

Am Rev Respir Dis

First Division of Pneumonology, Hospital San Martino, School of Physiopathology, University of Genoa, Italy.

Published: August 1991

AI Article Synopsis

  • The study examined 54 asthmatic patients to explore the link between inflammatory cell recruitment in the airways and the late-phase asthmatic reaction following allergen exposure.
  • Five patients with a late-phase response showed a significant increase in eosinophils in bronchoalveolar lavage samples taken 4 hours after allergen challenge.
  • Only patients experiencing a late-phase response exhibited increased airway responsiveness before bronchoalveolar lavage, suggesting a correlation between eosinophil recruitment and airway sensitivity following allergen exposure.

Article Abstract

To determine whether a link exists between the recruitment of inflammatory cells in the airways and the development of the late-phase asthmatic reaction, we studied with bronchoalveolar lavage 54 asthmatic patients either at baseline (10 patients) or 4 h (11 patients), 24 h (13 patients), and 72 h (20 patients) after allergen inhalation challenge. Among the patients studied 4 h after allergen challenge, five were known to have a late-phase asthmatic response and showed a significant increase in the number and percentage of eosinophils in bronchoalveolar lavage compared with either patients without late-phase response (p less than 0.05) or unchallenged patients (p less than 0.01). Both the number and the percentage of eosinophils in bronchoalveolar lavage were also increased (p less than 0.05) in patients without a late-phase asthmatic reaction studied 24 h but not in those studied 4 h after allergen challenge. The numbers and the percentages of macrophages, neutrophils, or lymphocytes did not differ significantly among the different groups of patients. Of the patients studied 4 and 24 h after allergen challenge, only those with a late-phase asthmatic response showed an increased airway responsiveness to methacholine 1 h before bronchoalveolar lavage. We conclude that the development of the late-phase asthmatic response to allergen inhalation challenge and the allergen-induced increase in airway responsiveness are associated with an early recruitment of eosinophils in the airways.

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http://dx.doi.org/10.1164/ajrccm/144.2.379DOI Listing

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