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Stephen T. Holgate, MD and Sundeep S. Salvi, MD, PhD Mast Cell Tryptase as a Proinflammatory Mediator in Late-Phase Asthmatic Response Salvi SS: Effects of inhibition of mast cell tryptase (P = 0.012) and mean maximum fall in FEV for the LAR by inhaled APC366 (selective tryptase inhibitor) (P = 0.007) after pretreatment with APC366 in comparison on allergen-induced early and late asthmatic with placebo. No significant changes were demonstrated in responses, airway hyperresponsiveness in mild postallergen challenge BHR between the two treatment atopic asthmatics. J Allergy Clin Immunol 2001, periods. Although the EAR was reduced by 18% after 107:1039–1045. treatment with APC366 in comparison with placebo, this was not statistically significant. Rating: •Of importance. Discussion: This study has highlighted the importance of Introduction: Mast cell tryptase is an important mediator mast cell tryptase in the late-phase response in asthmatics implicated in the pathogenesis of asthma. It can induce after challenge with inhaled allergen. Short-term adminis- bronchoconstriction and bronchial hyperresponsiveness tration of APC366 attenuated the LAR but had no signifi- (BHR) and, more recently, has been shown to possess cant effect on EAR and BHR following allergen challenge in important proinflammatory properties. It is released along mild allergic asthmatics.
Current Allergy and Asthma Reports – Springer Journals
Published: May 25, 2002
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