Effect of Inhaled Prostaglandin E2 on Methacholine and Leukotriene D4 Airway Responsiveness in Asthmatic Subjects

Previous studies in asthmatics have demonstrated that the endogenous release of inhibitory prostaglandins limits the bronchoconstrictor response to repeated challenges with exercise and histamine, and that inhaled prostaglandin (PG) E2 attenuates allergen-induced asthmatic responses and exercise bro...

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Main Authors: Wil Hm Stevens, Cheryl P VanderHeyden, Paul M O'Byrne
Format: Article
Language:English
Published: Wiley 1996-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/1996/192075
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author Wil Hm Stevens
Cheryl P VanderHeyden
Paul M O'Byrne
author_facet Wil Hm Stevens
Cheryl P VanderHeyden
Paul M O'Byrne
author_sort Wil Hm Stevens
collection DOAJ
description Previous studies in asthmatics have demonstrated that the endogenous release of inhibitory prostaglandins limits the bronchoconstrictor response to repeated challenges with exercise and histamine, and that inhaled prostaglandin (PG) E2 attenuates allergen-induced asthmatic responses and exercise bronchoconstriction in asthmatics. Inhaled PGE2 does not significantly attenuate methacholine airway responsiveness. These results, taken together, indicate that inhaled PGE2 attenuates the bronchoconstriction caused by stimuli, such as allergen and exercise, that result in bronchoconstriction through cysteinyl leukotriene (LT) release. The purpose of this study was to determine whether inhaled PGE2 could selectively attenuate LTD4-induced bronchoconstriction in seven stable asthmatic subjects. Each subject was studied on four different study days. On two occasions the subjects inhaled 100 mg PGE2, 30 mins before a methacholine, or LTD4 challenge test. On the other two study days, the subjects were pretreated with its diluent. Results were expressed as the provocation concentration causing a 20% fall in forced expiratory volume in 1 s (FEV1) (PC20). PGE2 pretreatment significantly increased the LTD4 PC20, but not the methacholine PC20. The mean LTD4 PC20 increased from 2.00 mg/mL (%SEM 1.65) after diluent pretreatment to 3.01 mg/mL (%SEM 1.64) after PGE2 pretreatment (P=0.008). The mean methacholine PC20 was 1.28 mg/mL (%SEM 1.68) after diluent pretreatment and 1.62 mg/mL (%SEM 1.46) after PGE2 pretreatment (P=0.28). These results suggest that PGE2 partially attenuates LTD4-induced bronchoconstriction; however, the magnitude of the effect is unlikely to account for its attenuation of exercise and allergen-induced bronchoconstriction.
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spelling doaj-art-4e2f3d629574498bbcac5471828e8edd2025-02-03T01:06:17ZengWileyCanadian Respiratory Journal1198-22411996-01-013316516810.1155/1996/192075Effect of Inhaled Prostaglandin E2 on Methacholine and Leukotriene D4 Airway Responsiveness in Asthmatic SubjectsWil Hm StevensCheryl P VanderHeydenPaul M O'ByrnePrevious studies in asthmatics have demonstrated that the endogenous release of inhibitory prostaglandins limits the bronchoconstrictor response to repeated challenges with exercise and histamine, and that inhaled prostaglandin (PG) E2 attenuates allergen-induced asthmatic responses and exercise bronchoconstriction in asthmatics. Inhaled PGE2 does not significantly attenuate methacholine airway responsiveness. These results, taken together, indicate that inhaled PGE2 attenuates the bronchoconstriction caused by stimuli, such as allergen and exercise, that result in bronchoconstriction through cysteinyl leukotriene (LT) release. The purpose of this study was to determine whether inhaled PGE2 could selectively attenuate LTD4-induced bronchoconstriction in seven stable asthmatic subjects. Each subject was studied on four different study days. On two occasions the subjects inhaled 100 mg PGE2, 30 mins before a methacholine, or LTD4 challenge test. On the other two study days, the subjects were pretreated with its diluent. Results were expressed as the provocation concentration causing a 20% fall in forced expiratory volume in 1 s (FEV1) (PC20). PGE2 pretreatment significantly increased the LTD4 PC20, but not the methacholine PC20. The mean LTD4 PC20 increased from 2.00 mg/mL (%SEM 1.65) after diluent pretreatment to 3.01 mg/mL (%SEM 1.64) after PGE2 pretreatment (P=0.008). The mean methacholine PC20 was 1.28 mg/mL (%SEM 1.68) after diluent pretreatment and 1.62 mg/mL (%SEM 1.46) after PGE2 pretreatment (P=0.28). These results suggest that PGE2 partially attenuates LTD4-induced bronchoconstriction; however, the magnitude of the effect is unlikely to account for its attenuation of exercise and allergen-induced bronchoconstriction.http://dx.doi.org/10.1155/1996/192075
spellingShingle Wil Hm Stevens
Cheryl P VanderHeyden
Paul M O'Byrne
Effect of Inhaled Prostaglandin E2 on Methacholine and Leukotriene D4 Airway Responsiveness in Asthmatic Subjects
Canadian Respiratory Journal
title Effect of Inhaled Prostaglandin E2 on Methacholine and Leukotriene D4 Airway Responsiveness in Asthmatic Subjects
title_full Effect of Inhaled Prostaglandin E2 on Methacholine and Leukotriene D4 Airway Responsiveness in Asthmatic Subjects
title_fullStr Effect of Inhaled Prostaglandin E2 on Methacholine and Leukotriene D4 Airway Responsiveness in Asthmatic Subjects
title_full_unstemmed Effect of Inhaled Prostaglandin E2 on Methacholine and Leukotriene D4 Airway Responsiveness in Asthmatic Subjects
title_short Effect of Inhaled Prostaglandin E2 on Methacholine and Leukotriene D4 Airway Responsiveness in Asthmatic Subjects
title_sort effect of inhaled prostaglandin e2 on methacholine and leukotriene d4 airway responsiveness in asthmatic subjects
url http://dx.doi.org/10.1155/1996/192075
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