“…BAL-AH activity in patients with mild bronchial asthma was significantly lower than that in normal donors, How may PAF contribute to the pathogenesis of asthma and how it behavior in asthmatics? PAF receptor mRNA levels were significantly increased in eosinophils and in the lungs of asthmatics [10,11] PAF-induced histamine release and basophils activation may be relevant in the pathogenesis of aspirin-induced asthma [14] PAF-induced eosinophil chemotaxis increased during asthmatic attacks and was inhibited by steroids [21] PAF was able to enhance LTC4 formation by stimulated eosinophils obtained from asthmatic patients [25] PAF enhanced LTB4 release and increased 5-LO activity from stimulated neutrophils from asthmatics [28] PAF increased expression of matrix metalloproteinase-9 which may be actively involved in remodeling [33] Granulocytes from asthmatics showed significantly higher PAF generation [46] Remarkable increase in plasma PAF level was found in patients with seasonal asthma following allergen-induced bronchoconstriction level, chronic asthma, and during acute asthmatic attacks [35,37,38,40] The increased production of PAF decreased to normal following successful allergen immunotherapy [37] Increased concentration of PAF was found in BAL fluid from asthmatic patients [39] Lower serum and BAL level of PAF-AH, an enzyme that specifically inactivates PAF activity was observed in asthmatics [40,73] PAF administration can mimic some of the abnormalities observed in asthma, including bronchoconstriction, bronchial hyperresponsiveness, inflammatory infiltration, mucus hypersecretion, vascular leakage and gas exchange impairment [41-45, 50-53-55] Zileuton, a 5-LO inhibitor, effectively attenuated all systemic and respiratory effects promoted by inhaled PAF [51,63] PAF-AH gene may be a modulating locus for the severity of asthma [71] The most common loss-of-function mutation (V279F) in the PAF-AH gene itself is not any predisposing factor of atopy, asthma, or asthma severity in Japanese adult population [72] Effects of PAF receptor antagonists in asthma Y-24180 was able to inhibit eosinophil activation in bronchoalveolar lavage fluid from atopic asthmatics [27] Y-24180 improved the PC20-FEV1 value in patients with asthma [76] SR27417 had a modest inhibitory effect on LAR and showed no effects upon EAR, allergen-induced airway responsiveness [80] The randomized controlled trials of PAF a...…”