Document Detail


Effects of azithromycin on ozone-induced airway neutrophilia and cytokine release.
MedLine Citation:
PMID:  10853849     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Exposure of humans to ozone causes increased neutrophils and inflammatory cytokines in airway lining fluid. Recent research shows that macrolide antibiotics may reduce interleukin (IL)-8 production by bronchial epithelial cells and inhibit neutrophil chemotaxis. A double-blind, cross-over study was performed in which 12 healthy subjects underwent two separate 4-h exposures to 0.2 parts per million ozone while exercising intermittently. In the 73.5 h before exposure, subjects were pretreated with either 1,250 mg azithromycin or placebo. Sputum induction conducted 74 h pre- and 18 h post-exposure was used to measure total cells, per cent neutrophils, IL-6, and IL-8. There were significant (p<0.05) pre- to post-exposure increases in total cells, neutrophils, IL-6 and IL-8 in both the azithromycin and placebo arms. However, no significant differences were found between azithromycin and placebo conditions in the post- minus pre-exposure value for these variables. The results suggest that in healthy subjects, in the design used, azithromycin, in usual clinical doses, does not have anti-inflammatory effects on human airways as indicated in the measured variables.
Authors:
G I Criqui; C Solomon; B S Welch; R E Ferrando; H A Boushey; J R Balmes
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The European respiratory journal : official journal of the European Society for Clinical Respiratory Physiology     Volume:  15     ISSN:  0903-1936     ISO Abbreviation:  Eur. Respir. J.     Publication Date:  2000 May 
Date Detail:
Created Date:  2000-10-18     Completed Date:  2000-10-18     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8803460     Medline TA:  Eur Respir J     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  856-62     Citation Subset:  IM    
Affiliation:
Lung Biology Center, Dept of Medicine, University of California, San Francisco 94143-0854, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anti-Bacterial Agents
Azithromycin / pharmacology*
Cross-Over Studies
Double-Blind Method
Female
Humans
Interleukin-6 / analysis,  biosynthesis*
Interleukin-8 / analysis,  biosynthesis*
Lung / physiology
Male
Neutrophils / drug effects*
Ozone / pharmacology*
Peroxidase / analysis,  biosynthesis*
Spirometry
Sputum / chemistry*,  cytology*
Grant Support
ID/Acronym/Agency:
NIH/SCOR/P50HL56385/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Interleukin-6; 0/Interleukin-8; 10028-15-6/Ozone; 83905-01-5/Azithromycin; EC 1.11.1.7/Peroxidase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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