Models of Exacerbations in Asthma and COPD by U. Sjöbring, J.D. Taylor, A. Schmidt, H. Herwald

By U. Sjöbring, J.D. Taylor, A. Schmidt, H. Herwald

Exacerbations of bronchial asthma and COPD: definitions, scientific manifestations and epidemiology / O'Byrne, P.M. -- Human rhinovirus types in bronchial asthma / Singh, A.M.; Busse, W.W. -- Allergen inhalation problem: a human version of bronchial asthma exacerbation / Gauvreau, G.M.; Evans, M.Y. -- mobile and animals versions for rhinovirus an infection in bronchial asthma / Xatzipsalti, M.; Papadopoulos, N.G. -- Modeling responses to respiration apartment dirt mite publicity / Cates, E.C. ... [et al.] --, respiration syncytial virus-induced pulmonary ailment and exacerbation of allergic bronchial asthma / Lukacs, N.W. ... [et al.] -- Lipopolysaccharide problem of people as a version for power obstructive lung sickness exacerbations / Kharitonov, S.A.; Sjobring, U. -- A human rhinovirus version of power obstructive pulmonary sickness exacerbations / Contoli, M. ... [et al.] -- Animal versions of cigarette smoke-induced power obstructive lung disorder / Churg, A.; Wright, J.L. -- Animal versions of persistent obstructive pulmonary affliction exacerbations / Gaschler, G.J. ... [et al.]

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Interactions between leukocytes, tissue and cell mediators. Allergen cross-links IgE receptors on mast cells and basophils, inducing release of pre-formed and newly synthesized mediators. Dendritic cells capture antigen and present to T lymphocytes, which clonally expand and release Th2 cytokines. Eosinophils and basophils are activated by cytokines such as IL-5 and attracted by chemokines such as eotaxin. ECP ϭ Eosinophilic cationic protein. Mechanisms of the Late-Phase Asthmatic Response During the late-phase asthmatic response, mediators thought to originate from mast cells can also be measured at levels similar to those observed during the early-phase response [11, 15].

The major obstacle to the development of mouse models is the host cell tropism of RV. Approximately 10% of RV serotypes can use both the human and mouse forms of low-density lipoprotein receptor, and a mouse model capitalizing on this fact was established [4]. However, the remaining 90% of RV use human Xatzipsalti/Papadopoulos 34 ICAM-1 to attach and enter the cells. These viruses do not bind to mouse ICAM-1 and therefore infection of mice or of mouse bronchial epithelial cells with the major RV variants is not possible.

In order to model such a response, peripheral blood mononuclear cells (PBMC) have been used. PBMC were infected with RV leading to an increase in the expression of the early activation marker CD69 on T cells. RV also induced the secretion of IFN-␥ from both peripheral blood T cells and NK cells [20], as well as the production of IL-8 [21]. Exposure of PBMC from normal and atopic asthmatic subjects to RV resulted in an upregulation of IFN-␥, IL-12, and IL-10 production in both groups although the IFN-␥ response was considerably lower in asthmatics [22].

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