J Korean Med Sci.  2003 Feb;18(1):42-47. 10.3346/jkms.2003.18.1.42.

Enhanced Serum Neutrophil Chemotactic Activity was Noted in Both Early and Late Asthmatic Responses During Lysine-Aspirin Bronchoprovocation Test in ASA-Sensitive Asthmatic Patients

• Kim SS
• Park HS
• Yoon HJ
• Lee YM
• Lee SK
• Nahm DH

• KMID: 1099791
• DOI: http://doi.org/10.3346/jkms.2003.18.1.42

Abstract

To investigate the pathogenic mechanism of late asthmatic response in comparison to early asthmatic response, changes of serum neutrophil chemotactic activity (NCA) using the Boyden chamber method and histamine level using the automated fluorometric analyzer were observed in 13 aspirin (ASA)-sensitive asthma subjects (group I: 7 early responders and group II: 6 dual responders) during lysine aspirin bronch-oprovocation test (L-ASA BPT). Sera were collected before, and 30 min and 240 min after L-ASA BPT. Serum NCA increased significantly after 30 min (p=0.02) and decreased significantly at 240 min (p=0.02) in group I, while serum NCA of group II increased significantly at 30 min (p=0.04), tending to increase further up to 240 min with no statistical significance. NCA at 240 min in group II subjects was significantly higher than baseline NCA (p=0.02). The serum NCAs collected before and 240 min were significantly higher in group II than in group I (p<0.05, respectively). There were no significant changes in serum histamine levels during L-ASA BPT in both groups. NCA derived from mast cell may contribute to the development of early asthmatic response induced by L-ASA inhalation. There may be a possible involvement of NCA derived from mononuclear cells during late asthmatic response.

Keyword

Asthma; Neutrophils; Chemotaxis, Leukocyte; Brondrial Provocation Tests

MeSH Terms

Adult
Aged
Aspirin/adverse effects
Aspirin/diagnostic use*
Asthma/blood*
Asthma/chemically induced
Bronchial Provocation Tests*
Chemotactic Factors/blood*
Chemotactic Factors/secretion
Chemotaxis/drug effects*
Comparative Study
Female
Histamine/blood
Human
Interleukin-8/antagonists & inhibitors
Interleukin-8/physiology
Lysine/diagnostic use*
Male
Mast Cells/secretion
Methacholine Chloride/diagnostic use
Middle Aged
Monocytes/secretion
Neutrophils/drug effects*
Time Factors