Increased urinary leukotriene E4 excretion in patients with atopic dermatitis

被引:24
作者
Hishinuma, T [1 ]
Suzuki, N [1 ]
Aiba, S [1 ]
Tagami, H [1 ]
Mizugaki, M [1 ]
机构
[1] Tohoku Univ, Sch Med, Dept Dermatol, Aoba Ku, Sendai, Miyagi 9808574, Japan
关键词
atopic dermatitis; IgE; leukotriene E-4; liquid chromatography; tandem mass spectrometry;
D O I
10.1046/j.1365-2133.2001.03947.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background Synthesis of cysteinyl leukotrienes (LTs) is known to play a part in the pathogenesis of inflammatory diseases. Objectives To define the involvement of cysteinyl LTs in atopic dermatitis (AD). Methods Synthesis of cysteinyl LTs was assessed in patients with AD and healthy volunteers by measuring urinary LTE4, a useful index of systemic cysteinyl LT synthesis, using liquid chromatography/tandem mass spectrometry. Results Mean +/- SD urinary LTE4 levels in patients with AD (125 +/- 69 pg mg(-1) creatinine, n = 20) were significantly higher (P < 0.01) than in healthy volunteers (60 +/- 19 pg mg(-1) creatinine, n = 17). A significant correlation between urinary LTE4 and total serum IgE levels in patients with AD was observed (r = 0.643, P < 0.05). Conclusions Our findings demonstrate an enhanced synthesis of cysteinyl LTs in patients with AD and suggest that cysteinyl LTs are involved in the pathophysiology of AD.
引用
收藏
页码:19 / 23
页数:5
相关论文
共 14 条
[1]   DIURNAL-VARIATION OF URINARY LEUKOTRIENE E(4) AND HISTAMINE EXCRETION RATES IN NORMAL SUBJECTS AND PATIENTS WITH MILD-TO-MODERATE ASTHMA [J].
ASANO, K ;
LILLY, CM ;
ODONNELL, WJ ;
ISRAEL, E ;
FISCHER, A ;
RANSIL, BJ ;
DRAZEN, JM .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 1995, 96 (05) :643-651
[2]   Basophil histamine release and leukotriene production in response to anti-IgE and anti-IgE receptor antibodies - Comparison of normal subjects and patients with urticaria, atopic dermatitis or bronchial asthma [J].
Bischoff, SC ;
Zwahlen, R ;
Stucki, M ;
Mullner, G ;
deWeck, AL ;
Stadler, BM ;
Dahinden, CA .
INTERNATIONAL ARCHIVES OF ALLERGY AND IMMUNOLOGY, 1996, 110 (03) :261-271
[3]   LEUKOTRIENES AND INFLAMMATION [J].
BRAIN, SD ;
WILLIAMS, TJ .
PHARMACOLOGY & THERAPEUTICS, 1990, 46 (01) :57-66
[4]   ENHANCED SYNTHESIS OF CYSTEINYL LEUKOTRIENES IN ATOPIC-DERMATITIS [J].
FAULER, J ;
NEUMANN, C ;
TSIKAS, D ;
FROLICH, JC .
BRITISH JOURNAL OF DERMATOLOGY, 1993, 128 (06) :627-630
[5]   SPECIFIC IGE ANTIBODIES IN ATOPIC ECZEMA [J].
HOFFMAN, DR ;
YAMAMOTO, FY ;
GELLER, B ;
HADDAD, Z .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 1975, 55 (04) :256-267
[6]   PATIENTS WITH SEVERE ATOPIC-DERMATITIS HAVE ACTIVATED CIRCULATING BASOPHILS [J].
JAMES, JM ;
KAGEYSOBOTKA, A ;
SAMPSON, HA .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 1993, 91 (06) :1155-1162
[7]  
JONES HE, 1975, BRIT J DERMATOL, V92, P17
[8]   Chemical mediators in atopic dermatitis:: Involvement of leukotriene B4 released by a type I allergic reaction in the pathogenesis of atopic dermatitis [J].
Koro, O ;
Furutani, K ;
Hide, M ;
Yamada, S ;
Yamamoto, S .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 1999, 103 (04) :663-670
[9]   Determination of leukotriene E4 in human urine using liquid chromatography-tandem mass spectrometry [J].
Mizugaki, M ;
Hishinuma, T ;
Suzuki, N .
JOURNAL OF CHROMATOGRAPHY B, 1999, 729 (1-2) :279-285
[10]   COMPARISON OF RESULTS OF SKIN-TESTS, RAST, AND DOUBLE-BLIND, PLACEBO-CONTROLLED FOOD CHALLENGES IN CHILDREN WITH ATOPIC-DERMATITIS [J].
SAMPSON, HA ;
ALBERGO, R .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 1984, 74 (01) :26-33