Original article
Superoxide generation and its modulation by adenosine in the neutrophils of subjects with asthma

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Abstract

Airway inflammation with neutrophil infiltration may play a role in airway hyperreactivity. Neutrophils may exert their effects through the generation of Superoxide O2 anion and other oxygen-derived free radicals. O2 generation by neutrophils has been demonstrated to be modulated by adenosine at physiologic concentrations. Therefore, we have investigated the function of peripheral blood neutrophils with respect to O2 anion generation and its regulation by adenosine in both subjects with asthma and normal subjects and also the relationship between O2 anion generation and airway hyperresponsiveness in subjects with asthma. Purified neutrophils were obtained from eight subjects with stable asthma and seven normal control subjects not taking chronic medications. O2 anion generation in subjects with asthma was significantly higher compared with that of normal subjects after stimulation with either N-formyl-methionyl-leucyl-phenylalanine (mean, 14.8 nmol/106 cells for subjects with asthma versus mean, 9.6 nmol/106 cells for normal subjects; p < 0.01) or phorbol myristate acetate (mean, 13.6 nmol/106 cells versus mean, 8.1 nmol/106 cells; p < 0.05). Adenosine inhibited N-formyl-methionyl-leucyl-phenylalanine-stimulated O2 anion generation in a dose-related fashion in subjects with asthma and normal subjects to a similar degree. Adenosine had no effect on O2 anion generation after phorbol myristate acetate stimulation. These results indicate that neutrophils from subjects with asthma produce more O2 anion when they are stimulated than do neutrophils from normal subjects and that this difference is not due to adenosine modulation. In subjects with asthma, O2 anion generation correlated with the degree of airway hyperresponsiveness to inhaled methacholine.

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    Supported by a grant from the Department of Research and Education, Kaiser Hospitals.

    Dr. P. Lad was supported in part by National Institutes of Health Grants AM30878 and AM34550.

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