Document 0250 DOCN M9650250 TI Inflammatory and T-cell profile of asthmatic airways 6 hours after local allergen provocation. DT 9605 AU Gratziou C; Carroll M; Montefort S; Teran L; Howarth PH; Holgate ST; University Medicine, Southampton General Hospital, United; Kingdom. SO Am J Respir Crit Care Med. 1996 Feb;153(2):515-20. Unique Identifier : AIDSLINE MED/96160556 AB T cells in the airways are considered to play a key role in orchestrating the inflammatory response of asthma through the elaboration of specific cytokines. Using flow cytometry we have investigated the T-cell response of sensitized asthmatic airways 6 h after local allergen provocation. Twelve subjects with atopic asthma underwent bronchoalveolar lavage (BAL) before and 6 h after local instillation of allergen into the right middle lobe (RML) and saline into the right upper lobe (RUL). Allergen challenge produced a significant 26% fall in FEV1, an increase in eosinophils in BAL at 6 h, and at 24 h an increase in methacholine responsiveness compatible with late-phase airway inflammation. When compared with saline challenge, allergen produced an overall decrease in the number of BAL lymphocytes from 21.3 +/- 2.8% to 16.0 +/- 3.08% of total cells but no change in the proportion of CD4+, CD8+, CD25+, or HLA-DR+ cells. Allergen provocation reduced the proportion of T cells expressing the beta 2 integrin lymphocyte functional antigen-1 (LFA-1) from 72.5 +/- 30 to 43.9 +/- 9.1 mean fluorescent units (p < 0.01) and a similar trend in intercellular adhesion molecule-1 (ICAM-1) (p = 0.08). These results indicate that late-phase inflammatory events 6 h after local allergen provocation involve the selective retention of airway T cells expressing specific cell adhesion molecules. DE Adult *Allergens Antigens, CD/ANALYSIS Asthma/*IMMUNOLOGY/PATHOLOGY/PHYSIOPATHOLOGY Bronchi/*IMMUNOLOGY/PATHOLOGY Bronchial Provocation Tests Bronchoalveolar Lavage Fluid/IMMUNOLOGY Bronchoscopy Cell Count CD4 Lymphocyte Count CD8-Positive T-Lymphocytes Female Flow Cytometry Forced Expiratory Volume Human HLA-DR Antigens/ANALYSIS Inflammation Intercellular Adhesion Molecule-1/METABOLISM Lymphocyte Count Male Support, Non-U.S. Gov't *T-Lymphocyte Subsets T-Lymphocytes/METABOLISM JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).