CYTOKINES CONTRIBUTE TO AIRWAY DYSFUNCTION IN ANTIGEN-CHALLENGED GUINEA-PIGS - INHIBITION OF AIRWAY HYPERREACTIVITY, PULMONARY EOSINOPHIL ACCUMULATION, AND TUMOR-NECROSIS-FACTOR GENERATION BY PRETREATMENT WITH AN INTERLEUKIN-1 RECEPTOR ANTAGONIST

The role of pro-inflammatory cytokines in an animal model of allergic lung disease was examined by use of an interleukin-1 receptor antagonist (IL-1ra) and a specific bioassay for tumor necrosis factor (TNF). Ovalbumin-sensitized guinea pigs exhibit a marked bronchial hyperreactivity (assessed by airway responsiveness to intravenous histamine) and pulmonary eosinophil accumulation (assessed by bronchoalveolar lavage) 24 h after challenge with aerosolized antigen. Exposure of animals to an aerosol of IL-1ra (50 mug over 30 min) immediately before antigen challenge resulted in a marked protection against bronchial hyperreactivity and pulmonary eosinophil accumulation compared with IL-1ra vehicle-pretreated animals. Additionally, we report for the first time generation of TNF bioactivity in the bronchoalveolar lavage of antigen-challenged animals, which was significantly reduced in animals exposed to aerosolized IL-1ra before challenge. These studies point to a key role for the cytokines IL-1 and possibly TNF in the pulmonary changes observed during allergic airway disease.