Abstract

Peripheral blood neutrophils from patients with allergic rhinitis and from normal subjects were incubated for 5 min at 37°C with 0.15 μM calcium ionophore A23187 in the absence or presence of exogenous arachidonic acid (2.5 to 10 μM). In neutrophils from allergic patients, the leukotriene B 4 (LTB 4) level was significantly increased by exogenous arachidonic acid in a concentration-dependent manner (16.2 ± 4.2 and 38.1 ± 6.8 pmol/5 min per 2·10 6 cells in the absence and presence of 10 μM arachidonic acid, respectively; P < 0.005; n = 8). The LTB 4 level in neutrophils from healthy subjects was only 0.97 ± 0.17 pmol/5 in per 2·10 6 cells ( n = 5) and was not enhanced by exogenous arachidonate. When cells from allergic patients were challenged in the presence of exogenous [1- 14C]arachidonic acid, released LTB 4 was radiolabeled and the incorporated radioactivity increased with the labeled arachidonate concentration. Labeled LTB 4 was never detectable after incubating neutrophils from normal donors with exogenous labeled arachidonate. When neutrophils were incubated with [1- 14C]arachidonate for 1 h, the different lipid pools of the two cell populations were labeled but both types of neutrophils produced unlabeled LTB 4 in response to ionophore stimulation. The hydrolysis of choline and ethanolamine phospholipids into diacyl-, alkenylacyl- and alkylacyl-species revealed that solely the alkylacyl-subclass of phosphatidylcholine was unlabeled. We conclude (i) that neutrophils from allergic patients stimulated by low ionophore concentration produce more LTB 4 than neutrophils from healthy subjects and incorporate exogenous arachidonate, (ii) that endogenous arachidonate converted to LTB 4 by the 5-lipoxygenase pathway may provide only from 1- O-alkyl-2-arachidonoyl-glycero-3-phosphocholine.

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