1987
DOI: 10.1164/ajrccm/136.1.36
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Bronchoalveolar Neutrophilia during Late Asthmatic Reactions Induced by Toluene Diisocyanate

Abstract: The mechanism by which late asthmatic reactions are induced by toluene diisocyanate (TDI), a low molecular weight chemical that causes occupational asthma in exposed subjects, is unknown. We investigated whether early and late asthmatic reactions induced by TDI are associated with changes in airway responsiveness to methacholine and airway inflammation as determined by bronchoalveolar lavage. We measured FEV1 before and at regular intervals after exposure to TDI, and performed dose-response curves to methachol… Show more

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Cited by 287 publications
(115 citation statements)
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“…The SDX model is primarily one of eosinophilic inflammation, although an early transient increase of neutrophils is observed [2]. Thus, this model shows similarities to human asthma which is likewise characterized by an eosinophilic inflammatory response, preceded by neutrophilia in asthmatic reactions [30]. The considerably higher ET-1 production in the SDX model can not be attributed to the degree of inflammation, since the extent of inflammation induced by LPS, as measured by the recruitment of inflammatory cells into BALF and tissue, is more severe.…”
Section: Discussionmentioning
confidence: 80%
“…The SDX model is primarily one of eosinophilic inflammation, although an early transient increase of neutrophils is observed [2]. Thus, this model shows similarities to human asthma which is likewise characterized by an eosinophilic inflammatory response, preceded by neutrophilia in asthmatic reactions [30]. The considerably higher ET-1 production in the SDX model can not be attributed to the degree of inflammation, since the extent of inflammation induced by LPS, as measured by the recruitment of inflammatory cells into BALF and tissue, is more severe.…”
Section: Discussionmentioning
confidence: 80%
“…Given that many investigations have shown neutrophils to be a major cellular component in allergen-induced asthma (2,3,9,27,36,42) and that neutrophils are increased in humans with asthma (42), neutrophils may also be an important mediator in the inflammatory response following sensitization and exposure to an allergen. However, similar to our observations with eosinophils, we did not find a consistent relationship between lung neutrophilia and AHR.…”
Section: Discussionmentioning
confidence: 99%
“…3,4,20 In TDI-induced asthma in human subjects, neutrophilia in BAL fluid has been found in association with asthmatic reactions induced by isocyanate challenge. 21 Neutrophils could be an important source of proinflammatory cytokines and proteolytic enzymes. 22,23 Sustained release of these inflammatory products enhances neutrophil-induced inflammation in the airway and subsequent airway hyperreactivity.…”
Section: Discussionmentioning
confidence: 99%