A. Tomkinson et al., Temporal association between airway hyperresponsiveness and airway eosinophilia in ovalbumin-sensitized mice, AM J R CRIT, 163(3), 2001, pp. 721-730
The temporal association between airway inflammation and airway hyperrespon
siveness (AHR) has been analyzed in BALB/c mice sensitized to, and subseque
ntly exposed to, a single intranasal challenge of ovalbumin (OVA). In OVA-s
ensitized/challenged animals only a small increase in responsiveness to met
hacholine (MCh) was seen at 8 h, peaked at 24 to 48 h, and resolved by 96 h
. An early bronchoalveolar lavage fluid (BALF) neutrophil infiltrate (peaki
ng at 8 h postchallenge; similar to 72% total cells was observed) that retu
rned to baseline by 48 h. BALF eosinophil numbers did not increase until 48
h (similar to 32% of total cells), peaked at 96 h (similar to 38% total ce
lls), and remained elevated at 8 d (similar to 27% total cells). Airway tis
sue eosinophilia preceded changes in BALF. Eosinophil peroxidase (EPO) leve
ls in BALF were elevated in OVA-sensitized/challenged mice at 48 h only. BA
LF TNF-alpha levels peaked at 8 h, whereas IL-5 and IL-4 levels peaked at 2
4 h. IL-13 levels were increased at both 24 and 48 h. Mucus-positive cells
were not observed in the airway epithelium until 48 h. Administration of IL
-5 or VLA-4 antibody prior to OVA challenge prevented the development of AH
R in sensitized mice as well as BALF and tissue eosinophilia. These data id
entify a temporal association between Th2 cytokine production, tissue eosin
ophil infiltration and activation, and, importantly, both the development a
nd resolution kinetics of AHR. Moreover, the antibody studies further suppo
rt the association of eosinophilia with the pathogenesis of AHR.