1989
DOI: 10.2500/108854189778959885
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Platelet Activating Factor: Effects on Bronchomotor Tone and Bronchial Responsiveness in Human Beings

Abstract: Platelet-activating factor (PAF) is a newly discovered lipid mediator of inflammation. When inhaled by normal volunteers, it induces bronchoconstriction associated with facial flushing and with a transient fall in circulating neutrophils. Of greater interest is its ability to induce prolonged increases inbronchial responsiveness to methacholine. These observations support an important rolefor PAF in asthama; the availability of specific PAF antagonists will allow us to test this hypothesis.

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Cited by 6 publications
(6 citation statements)
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“…Platelet-activating factor can play a central role in the propagation of chronic inflammatory conditions by increasing systemic, pulmonary, and microvascular permeability and disrupting vascular integrity . Additionally, PAF stimulates migration of eosinophils into the airways and induces airway smooth muscle contraction and hyperreactivity in otherwise healthy subjects , . Increased numbers of eosinophils in airway secretions are a characteristic feature of asthma and are associated with disease severity , .…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Platelet-activating factor can play a central role in the propagation of chronic inflammatory conditions by increasing systemic, pulmonary, and microvascular permeability and disrupting vascular integrity . Additionally, PAF stimulates migration of eosinophils into the airways and induces airway smooth muscle contraction and hyperreactivity in otherwise healthy subjects , . Increased numbers of eosinophils in airway secretions are a characteristic feature of asthma and are associated with disease severity , .…”
Section: Discussionmentioning
confidence: 99%
“…We have previously demonstrated that stimulation of human pulmonary vascular endothelial cells (HMVEC-L) with thrombin and tryptase activates calcium-independent phospholipase A 2 (iPLA 2 ), which results in increased arachidonic acid release and production of prostaglandin I 2 (PGI 2 ) and platelet-activating factor (PAF) . PAF induces bronchoconstriction, bronchial hyperresponsiveness, inflammatory infiltration, mucus hypersecretion, and impaired gas exchange, and this contributes to the pathogenesis of bronchial asthma , . Additionally, PAF associated with endothelial cells assists in the tethering and transendothelial migration of circulating inflammatory cells, and this results in increased pulmonary microvascular permeability and sequestration of neutrophils, platelets, and fibrin . 1 Abbreviations: BEL, bromoenol lactone; EDTA, ethylenediaminetetraacetic acid; EGTA, ethylene glycol tetraacetic acid; HMVEC-L, human microvascular endothelial cells-lung; iPLA 2 , calcium-independent phospholipase A 2 ; KO, knockout; PAF, platelet-activating factor; PAR-1, protease-activated receptor-1; PAR-2, protease-activated receptor-2; PLA 2 , phospholipase A 2 ; PGI 2 , prostaglandin I 2 ; WT, wild type. …”
mentioning
confidence: 99%
“…On the basis of the experimental model of asthma as well as human studies it has been known that PAF administration can mimic some of the abnormalities observed in asthma, including bronchoconstriction, bronchial hyperresponsiveness, inflammatory infiltration, mucus hypersecretion, and gas exchange impairment, suggesting that PAF may contribute to the pathogenesis of bronchial asthma [41][42][43][44][45]. Similarly, increased expression of PAF receptor in eosinophils from asthmatics may be relevant to the pathogenesis of atopic asthma [10].…”
Section: The Role Of Paf In Asthmamentioning
confidence: 94%
“…PAF inhaled by normal and asthmatic subjects causes bronchoconstriction induced as the increase in non-specific bronchial reactivity [41][42][43][44][45] as well as significant disturbances in pulmonary gas exchange [53][54][55]. Following PAF inhalation, both normal and asthmatic subjects and asthmatics may however develop tachyphylaxis [41,43].…”
Section: The Role Of Paf In Asthmamentioning
confidence: 97%
“…PAF-AH is an enzyme that breaks down PAF and PAF-like phospholipids, which are potent mediators of inflammation. Because animal and human studies provide evidence that the administration of PAF can induce bronchoconstriction, bronchial hyperreactivity, mucus secretion, or higher vascular permeability (50)(51)(52)(53)(54)(55)(56), PAF degradation would be hypothesized to have a beneficial effect. For prevalent asthma, PAF receptor antagonists have been studied and, for the most part, have not been efficacious (15,(57)(58)(59)(60)(61)(62)(63)(64)(65)(66)(67).…”
Section: Discussionmentioning
confidence: 99%