F. Souques et al., STIMULATION OF DISPERSED NASAL POLYP CELLS BY HYPEROSMOLAR SOLUTIONS (REPRINTED FROM J ALLERGY CLIN IMMUNOL, VOL 96, PG 980-5, 1995), Revue francaise d'allergologie et d'immunologie clinique, 36(4), 1996, pp. 419-424
It has been suggested that hyperosmolarity may be one of the stimuli t
hat provoke exercise-induced asthma and rhinitis. We investigated whet
her changes in osmolarity could result in increased levels of mediator
release from nasal cells. Cells were dispersed from nasal polyps by e
nzymatic digestion and were incubated for 15 minutes with solutions of
varying osmolarity obtained by the addition of mannitol to Hanks' bal
anced salt solution. After incubation was performed cell supernatants
were removed and the release of 15-hydroxyeicosatetraenoic acid, prost
aglandin, leukotriene B-4, and fibronectin was measured. Lactate dehyd
rogenase was measured to assess cell viability. Epithelial cells made
up 40% to 60% of cells and mononuclear cells 40% to 65%. At 900 mOsm/k
g H2O, which has been suggested as the osmolarity of the fluid lining
the airways during exercise we observed a significant increase (Wilcox
on W test) in the release of 15-hydroxyeicosatetraenoic acid (p < 0.00
8), leukotriene B-4 (p < 0.008), and prostaglandin(2) (p < 0.008), but
no significant increase in the release of Fibronectin was seen. No si
gnificant increase was seen between lactate dehydrogenase and 15-hydro
xyeicosatetraenoic acid release, suggesting that the increase in media
tor levels was not caused by cell death. These results show that hyper
osmolar solutions can induce activation of nasal cells, which may at l
east partly explain rhinitis caused by exercise.