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Vol. 50, Issue 4, 515-596, December 1998

Inflammatory Mediators of Asthma: An Update

Peter J. Barnesa, K. Fan Chung and Clive P. Page

Department of Thoracic Medicine (P.J.B., K.F.C), National Heart and Lung Institute, Imperial College, and Department of Pharmacology (C.P.P), Kings College, London, United Kingdom

I. Introduction
    A. Cellular Origin of Mediators
    B. Synthesis and Metabolism
    C. Mediator Receptors
    D. Mediator Effects
    E. Involvement of Mediators in Asthma
    F. Chronic Inflammation
    G. Transcription Factors
    H. Mediator Interactions
II. Amine Mediators
    A. Histamine
        1. Synthesis and metabolism.
        2. Receptors.
        3. Effects on airways.
        4. Role in asthma.
    B. Serotonin (5-Hydroxytryptamine)
        1. Synthesis and metabolism.
        2. Receptors.
        3. Effects on airways.
        4. Role in asthma.
    C. Adenosine
        1. Synthesis and metabolism.
        2. Receptors.
        3. Effects on airways.
        4. Role in asthma.
III. Lipid-Derived Mediators
    A. Prostanoids
        1. Synthesis and metabolism.
        2. Receptors.
        3. Effects on airways.
        4. Role in asthma.
    B. Leukotrienes
        1. Synthesis and metabolism.
        2. Receptors.
        3. Effects on airways.
        4. Role in asthma.
    C. Platelet-Activating Factor
        1. Synthesis and metabolism.
        2. Receptors.
        3. Effects on airways.
        4. Role in asthma.
    D. Other Lipid Mediators
        1. Synthesis and metabolism.
        2. Receptors.
        3. Effects on airways.
        4. Role in asthma.
IV. Peptide Mediators
    A. Bradykinin
        1. Synthesis and metabolism.
        2. Receptors.
        3. Effects on airways.
        4. Role in asthma.
    B. Tachykinins
        1. Synthesis and metabolism.
        2. Receptors.
        3. Effects on airways.
        4. Role in asthma.
    C. Calcitonin Gene-Related Peptide
        1. Synthesis and metabolism.
        2. Receptors.
        3. Effects on airways.
        4. Role in asthma.
    D. Endothelins
        1. Synthesis and metabolism.
        2. Receptors.
        3. Effects on airways.
        4. Role in asthma.
    E. Complement
        1. Synthesis and metabolism.
        2. Receptors.
        3. Effects on airways.
        4. Role in asthma.
V. Small Molecules
    A. Reactive Oxygen Species
        1. Synthesis and metabolism.
        2. Effects on airways.
        3. Role in asthma.
    B. Nitric Oxide
        1. Synthesis and metabolism.
        2. Receptors.
        3. Effects on airways.
        4. Role in asthma.
VI. Cytokines
    A. General Overview
        1. The cytokine network in chronic inflammation.
        2. Cytokine receptors.
    B. Lymphokines
        1. Interleukin-2.
        2. Interleukin-3.
        3. Interleukin-4.
        4. Interleukin-5.
        5. Interleukin-13.
        6. Interleukin-15.
        7. Interleukin-16.
        8. Interleukin-17.
    C. Proinflammatory Cytokines
        1. Interleukin-1.
        2. Tumor necrosis factor-alpha .
        3. Interleukin-6.
        4. Interleukin-11.
        5. Granulocyte-macrophage colony-stimulating factor.
        6. Stem cell factor.
    D. Inhibitory Cytokines
        1. Interleukin-10.
        2. Interleukin-1 receptor antagonist.
        3. Interferon-gamma .
        4. Interleukin-12.
        5. Interleukin-18.
    E. Growth Factors
        1. Platelet-derived growth factor.
        2. Transforming growth factor-beta .
        3. Fibroblast growth factor.
        4. Epidermal growth factor.
        5. Insulin-like growth factor.
VII. Chemokines
    A. CC Chemokines
        1. Synthesis and metabolism.
        2. Receptors.
        3. Effects on airways.
        4. Role in asthma.
    B. CXC Chemokines
        1. Synthesis and metabolism.
        2. Receptors.
        3. Effects on airways.
        4. Role in asthma.
VIII. Proteases
    A. Synthesis and Metabolism
    B. Receptors
    C. Effects on Airways
        1. Airway smooth muscle.
        2. Other effects.
    D. Role in Asthma
        1. Release.
        2. Effects of inhibitors.
References


a   Address for correspondence: P. J. Barnes, Department of Thoracic Medicine, National Heart and Lung Institute, Imperial College School of Medicine, Dovehouse St., London SW3 6LY, UK. E-mail: p.j.barnes{at}ic.ac.uk.


0031-6997/98/5004-0515$03.00/0
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Copyright © 1998 by The American Society for Pharmacology and Experimental Therapeutics



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Eur Respir JHome page
V. Freund, F. Pons, V. Joly, E. Mathieu, N. Martinet, and N. Frossard
Upregulation of nerve growth factor expression by human airway smooth muscle cells in inflammatory conditions
Eur. Respir. J., August 1, 2002; 20(2): 458 - 463.
[Abstract] [Full Text] [PDF]


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J. Pharmacol. Exp. Ther.Home page
T. J. Toward and K. J. Broadley
Goblet Cell Hyperplasia, Airway Function, and Leukocyte Infiltration after Chronic Lipopolysaccharide Exposure in Conscious Guinea Pigs: Effects of Rolipram and Dexamethasone
J. Pharmacol. Exp. Ther., August 1, 2002; 302(2): 814 - 821.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
K. Ito, G. Caramori, S. Lim, T. Oates, K. F. Chung, P. J. Barnes, and I. M. Adcock
Expression and Activity of Histone Deacetylases in Human Asthmatic Airways
Am. J. Respir. Crit. Care Med., August 1, 2002; 166(3): 392 - 396.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
K. Ito, S. Lim, G. Caramori, B. Cosio, K. F. Chung, I. M. Adcock, and P. J. Barnes
A molecular mechanism of action of theophylline: Induction of histone deacetylase activity to decrease inflammatory gene expression
PNAS, June 25, 2002; 99(13): 8921 - 8926.
[Abstract] [Full Text] [PDF]


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ThoraxHome page
K Hashimoto, R S Peebles Jr, J R Sheller, K Jarzecka, J Furlong, D B Mitchell, T V Hartert, and B S Graham
Suppression of airway hyperresponsiveness induced by ovalbumin sensitisation and RSV infection with Y-27632, a Rho kinase inhibitor
Thorax, June 1, 2002; 57(6): 524 - 527.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
A. J. Melendez and A. K. Khaw
Dichotomy of Ca2+ Signals Triggered by Different Phospholipid Pathways in Antigen Stimulation of Human Mast Cells
J. Biol. Chem., May 3, 2002; 277(19): 17255 - 17262.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
M. E. Poynter, C. G. Irvin, and Y. M. W. Janssen-Heininger
Rapid Activation of Nuclear Factor-{kappa}B in Airway Epithelium in a Murine Model of Allergic Airway Inflammation
Am. J. Pathol., April 1, 2002; 160(4): 1325 - 1334.
[Abstract] [Full Text] [PDF]


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Eur Respir JHome page
S.D. Message and S.L. Johnston
The immunology of virus infection in asthma
Eur. Respir. J., December 1, 2001; 18(6): 1013 - 1025.
[Abstract] [Full Text] [PDF]


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Mol. Pharmacol.Home page
R. A. Bakker, S. B. J. Schoonus, M. J. Smit, H. Timmerman, and R. Leurs
Histamine H1-Receptor Activation of Nuclear Factor-kappa B: Roles for Gbeta gamma - and Galpha q/11-Subunits in Constitutive and Agonist-Mediated Signaling
Mol. Pharmacol., November 1, 2001; 60(5): 1133 - 1142.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
M. Abe, K. Shibata, H. Akatsu, N. Shimizu, N. Sakata, T. Katsuragi, and H. Okada
Contribution of Anaphylatoxin C5a to Late Airway Responses After Repeated Exposure of Antigen to Allergic Rats
J. Immunol., October 15, 2001; 167(8): 4651 - 4660.
[Abstract] [Full Text] [PDF]


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ChestHome page
A. Emelyanov, G. Fedoseev, A. Abulimity, K. Rudinski, A. Fedoulov, A. Karabanov, and P. J. Barnes
Elevated Concentrations of Exhaled Hydrogen Peroxide in Asthmatic Patients
Chest, October 1, 2001; 120(4): 1136 - 1139.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
A. DUGUET, H. IIJIMA, S.-Y. EUM, Q. HAMID, and D. H. EIDELMAN
Eosinophil Peroxidase Mediates Protein Nitration in Allergic Airway Inflammation in Mice
Am. J. Respir. Crit. Care Med., October 1, 2001; 164(7): 1119 - 1126.
[Abstract] [Full Text] [PDF]


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BloodHome page
G. Monneret, S. Gravel, M. Diamond, J. Rokach, and W. S. Powell
Prostaglandin D2 is a potent chemoattractant for human eosinophils that acts via a novel DP receptor
Blood, September 15, 2001; 98(6): 1942 - 1948.
[Abstract] [Full Text] [PDF]


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Eur Respir JHome page
P.J. Barnes
Cytokine modulators as novel therapies for airway disease
Eur. Respir. J., July 2, 2001; 18(34_suppl): 67S - 77s.
[Abstract] [Full Text] [PDF]


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Eur Respir JHome page
C. Olgart and N. Frossard
Human lung fibroblasts secrete nerve growth factor: effect of inflammatory cytokines and glucocorticoids
Eur. Respir. J., July 1, 2001; 18(1): 115 - 121.
[Abstract] [Full Text] [PDF]


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Eur Respir JHome page
J. Lindbom, A.G. Ljungman, M. Lindahl, and C. Tagesson
Expression of members of the phospholipase A2 family of enzymes in human nasal mucosa
Eur. Respir. J., July 1, 2001; 18(1): 130 - 138.
[Abstract] [Full Text] [PDF]


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J. Pharmacol. Exp. Ther.Home page
T. J. Toward and K. J. Broadley
Chronic Lipopolysaccharide Exposure on Airway Function, Cell Infiltration, and Nitric Oxide Generation in Conscious Guinea Pigs: Effect of Rolipram and Dexamethasone
J. Pharmacol. Exp. Ther., July 1, 2001; 298(1): 298 - 306.
[Abstract] [Full Text]


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Am. J. Respir. Cell Mol. Bio.Home page
S. J. Mundell, M. E. Olah, R. A. Panettieri Jr., J. L. Benovic, and R. B. Penn
Regulation of G Protein-Coupled Receptor-Adenylyl Cyclase Responsiveness in Human Airway Smooth Muscle by Exogenous and Autocrine Adenosine
Am. J. Respir. Cell Mol. Biol., February 1, 2001; 24(2): 155 - 163.
[Abstract] [Full Text]


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J. Immunol.Home page
R. Ishimitsu, H. Nishimura, T. Yajima, T. Watase, H. Kawauchi, and Y. Yoshikai
Overexpression of IL-15 In Vivo Enhances Tc1 Response, Which Inhibits Allergic Inflammation in a Murine Model of Asthma
J. Immunol., February 1, 2001; 166(3): 1991 - 2001.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
S. LIM, D. GRONEBERG, A. FISCHER, T. OATES, G. CARAMORI, W. MATTOS, I. ADCOCK, P. J. BARNES, and K. F. CHUNG
Expression of Heme Oxygenase Isoenzymes 1 and 2 in Normal and Asthmatic Airways . Effect of Inhaled Corticosteroids
Am. J. Respir. Crit. Care Med., November 1, 2000; 162(5): 1912 - 1918.
[Abstract] [Full Text]


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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
D. C. Underwood, R. R. Osborn, S. Bochnowicz, E. F. Webb, D. J. Rieman, J. C. Lee, A. M. Romanic, J. L. Adams, D. W. P. Hay, and D. E. Griswold
SB 239063, a p38 MAPK inhibitor, reduces neutrophilia, inflammatory cytokines, MMP-9, and fibrosis in lung
Am J Physiol Lung Cell Mol Physiol, November 1, 2000; 279(5): L895 - L902.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
K. MAGHNI, R. TAHA, W. AFIF, Q. HAMID, and J. G. MARTIN
Dichotomy between Neurokinin Receptor Actions in Modulating Allergic Airway Responses in an Animal Model of Helper T Cell Type 2 Cytokine-associated Inflammation
Am. J. Respir. Crit. Care Med., September 1, 2000; 162(3): 1068 - 1074.
[Abstract] [Full Text]


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ThoraxHome page
P G Holt and P D Sly
Paediatric origins of adult lung diseases bullet 2: Prevention of adult asthma by early intervention during childhood: potential value of new generation immunomodulatory drugs
Thorax, August 1, 2000; 55(8): 700 - 703.
[Full Text]


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J. Pharmacol. Exp. Ther.Home page
D. C. Underwood, R. R. Osborn, C. J. Kotzer, J. L. Adams, J. C. Lee, E. F. Webb, D. C. Carpenter, S. Bochnowicz, H. C. Thomas, D. W. P. Hay, et al.
SB 239063, a Potent p38 MAP Kinase Inhibitor, Reduces Inflammatory Cytokine Production, Airways Eosinophil Infiltration, and Persistence
J. Pharmacol. Exp. Ther., April 1, 2000; 293(1): 281 - 288.
[Abstract] [Full Text]


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Am. J. Respir. Crit. Care Med.Home page
P. J. BARNES
Endogenous Inhibitory Mechanisms in Asthma
Am. J. Respir. Crit. Care Med., March 1, 2000; 161(3): S176 - 181.
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ChestHome page
P. J. Barnes
Mechanisms in COPD : Differences From Asthma
Chest, February 1, 2000; 117(2_suppl): 10S - 14S.
[Abstract] [Full Text] [PDF]


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ThoraxHome page
J. A Nightingale, D. F Rogers, and P. J Barnes
Effect of inhaled ozone on exhaled nitric oxide, pulmonary function, and induced sputum in normal and asthmatic subjects
Thorax, December 1, 1999; 54(12): 1061 - 1069.
[Abstract] [Full Text]


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Am. J. Respir. Crit. Care Med.Home page
P. J. BARNES
Novel Approaches and Targets for Treatment of Chronic Obstructive Pulmonary Disease
Am. J. Respir. Crit. Care Med., November 1, 1999; 160(5): S72 - 79.
[Abstract] [Full Text] [PDF]




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