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1 Pulmonary, Critical Care, and Occupational Medicine Division, Department of Internal Medicine, Department of Veterans Affairs Medical Center and The University of Iowa, Iowa City, Iowa 52242; 2 Eisai Research Institute, Andover, Massachusetts 01810; and 3 Department of Environmental Health Sciences, The Johns Hopkins School of Hygiene and Public Health, Baltimore, Maryland 21205
To determine whether the
inflammatory effects of inhaled endotoxin could be prevented, we
pretreated mice with synthetic competitive antagonists (975, 1044, and
1287) for lipopolysaccharide (LPS) before a LPS inhalation challenge.
In preliminary studies, we found that these LPS antagonists did not act
as agonists in vitro (THP-1 cells) or in vivo (after intratracheal
instillation of 10 µg) and that these compounds (at least 1 µg/ml)
effectively antagonized the release of tumor necrosis factor-
by
LPS-stimulated THP-1 cells. Pretreatment of mice with 10 µg of either
1044 or 1287 resulted in a decrease in the LPS-induced airway
hyperreactivity. Moreover, pretreatment of mice with 10 µg of 975, 1044, or 1287 resulted in significant reductions in LPS-induced lung
lavage fluid concentrations of total cells, neutrophils, and specific proinflammatory cytokines compared with mice pretreated with sterile saline. Using residual oil fly ash to induce airway inflammation, we
found that the action of the LPS antagonists was specific to LPS-induced airway disease. These results suggest that LPS antagonists may be an effective and potentially safe treatment for
endotoxin-induced airway disease.
asthma; endotoxin; lung inflammation; lipopolysaccharide
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