Behavior and clinical relevance of histamine and leukotrienes C4 and B4 in grass pollen-induced rhinitis

A. Miadonna, A. Tedeschi, E. Leggieri, M. Lorini, G. Folco, A. Sala, R. Qualizza, M. Froldi, C. Zanussi

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Abstract

The release kinetics of histamine and leukotriene C4 (LTC4) and B4 (LTB4) were investigated in nasal secretions of 10 patients with hay fever after antigen challenge. High levels of biologically active histamine were found in nasal washes from asymptomatic allergic and normal subjects. With repeated lavages, the amount of histamine recovered dropped markedly. Grass pollen challenge was followed by a significant (p <0.05) dose-dependent and time-limited (5 min) increase in histamine level in 7 of 10 patients; these values, however, were lower than those found in basal conditions. In 8 of 10 patients with hay fever, antigen challenge induced a significant (p <0.05) dose-dependent increase in LTC4 level, which persisted for 30 min. The LTC4 generation was well correlated with the appearance of allergic symptoms; LTB4 production was found in 2 patients only. A different pattern of symptoms was observed after in vivo nasal stimulation with histamine and LTC4. Histamine caused sneezing, itching, rhinorrhea, and nasal obstruction; conversely, the main symptom induced by LTC4 was a more pronounced and longer lasting nasal obstruction.

Original languageEnglish
Pages (from-to)357-362
Number of pages6
JournalAmerican Review of Respiratory Disease
Volume136
Issue number2
Publication statusPublished - 1987

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ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Miadonna, A., Tedeschi, A., Leggieri, E., Lorini, M., Folco, G., Sala, A., Qualizza, R., Froldi, M., & Zanussi, C. (1987). Behavior and clinical relevance of histamine and leukotrienes C4 and B4 in grass pollen-induced rhinitis. American Review of Respiratory Disease, 136(2), 357-362.