Eur Respir J 2006, doi:10.1183/09031936.00060205
Eotaxin 2 in sputum cell culture to evaluate asthma inflammation
1 Dept of Medicine, University of S. Paulo Medical School at Ribeirão Preto
* To whom correspondence should be addressed. E-mail: evianna{at}uol.com.br.
We aimed to elucidate whether culture of cells recovered from induced sputum may represent a suitable model to evaluate cytokines and chemokines production by airways inflammatory cells. Sputum induction was performed in 21 normal subjects and 30 asthmatic patients: 21 were taking inhaled corticosteroid and 9 were steroid-naive asthmatics evaluated before and after 14-day treatment with oral prednisone (40 mg·day-1). The supernatant of lysed and centrifuged sputum and the supernatant of sputum cell culture were analysed. TNF- Eotaxin 2 production by cell culture was higher in the asthma group (131±108 pg·ml-1) than in the control group (36±41 pg·ml-1) and treatment with oral corticosteroid abolished this difference. In addition, reduction of eotaxin 2 levels by corticosteroid treatment was greater in cell culture (81.3% reduction) than in sputum (26.4%) (p<0.05). There was correlation (r=0.74; p=0.04) between the decrease in eotaxin 2 production and the decrease in blood eosinophil number and between eotaxin 2 and eosinophils in sputum (r=0.56; p=0.01). Eotaxin 2 may play an important role in asthma and response to corticosteroid treatment suggests that analysis of sputum cell culture is relevant as an inflammatory parameter. Keywords: Asthma, cell culture, inflammatory mediators, sputum, steroid
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