Healthy subjects express differences in clinical responses to inhaled lipopolysaccharide that are related with inflammation and with atopy  Olivier Michel,

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Healthy subjects express differences in clinical responses to inhaled lipopolysaccharide that are related with inflammation and with atopy  Olivier Michel, MD, PhDa, Mieke Dentener, PhDb, Francis Corazza, MDa, Wim Buurman, MD, PhDc, Ragnar Rylander, MD, PhDd  Journal of Allergy and Clinical Immunology  Volume 107, Issue 5, Pages 797-804 (May 2001) DOI: 10.1067/mai.2001.114249 Copyright © 2001 Mosby, Inc. Terms and Conditions

Fig. 1 The time-related response induced by inhalation of 50 μg LPS (•) compared with saline solution (○). Results are means (±SE) of the changes in temperature (F test = 4.9, P < .01), FEV1 (F test = 3.1, P < .05), blood PMN count (F test = 55.3, P < .001), blood concentration in E-selectin (F test = 9.9, P < .001), CRP (F test = 11.9, P < .001), and LBP (F test = 24.5, P < .001). Wilcoxon paired test: *P < .05, **P < .02, ***P < .01. Journal of Allergy and Clinical Immunology 2001 107, 797-804DOI: (10.1067/mai.2001.114249) Copyright © 2001 Mosby, Inc. Terms and Conditions

Fig. 2 The association between the clinical responses to inhaled LPS with inflammation. Left, Compared with nonresponders (•), subjects who had a significant increase in body temperature (○; F test = 16.3, P < .01) also had larger responses in blood inflammatory markers: PMN (bPMN; F test = 7.6, P < .01), CRP (bCRP; F test = 6.9, P < .02), and LBP (bLBP; F test = 11.0, P < .01). Center, Compared with nonresponders (•), subjects with a significant increase in AR (○; F test = 4.5 P < .05) also had a significant rise in sputum ECP (sECP; F test = 8.4, P < .01), but not in sputum TNF (sTNF) or sputum MPO (sMPO). Right, Compared with nonresponders (•), subjects with a significant decrease in FEV1 (○; F test = 31.2, P < .001) were not significantly associated with the response in sputum ECP (F test = 1.1, P > .1 ), TNF (F test = 2.9, P = .09), or MPO (F test = 3.0, P = .09). Mann-Whitney tests: *P < .05, **P < .02, ***P < .01. PMNs are expressed in cells per microliter, CRP in milligrams per liter, LBP in milligrams per liter, FEV1 as a percentage, ECP in nanograms per milliliter, TNF in picograms per milliliter, and MPO in nanograms per milliliter. All data are means ± SE. Journal of Allergy and Clinical Immunology 2001 107, 797-804DOI: (10.1067/mai.2001.114249) Copyright © 2001 Mosby, Inc. Terms and Conditions

Fig. 3 The association between the clinical and inflammatory responses to inhaled LPS with atopy (ie, SPT ≥ 4 mm). Left, Compared with atopic subjects (○), the amplitude of the systemic response is larger in nonatopic subjects (•): increase in body temperature (°C; F test = 14.8, P < .001), blood PMN (bPMNs; F test = 6.9, P < .01), and blood LBP (bLBP; F test = 5.2, P < .03), but not blood CRP (bCRP). Right, Nonatopic subjects (•) had a larger decrease in FEV1 (F test = 8.9, P < .01; upper panel ) but not in AR, sputum ECP (sECP), or sputum MPO (sMPO) (lower 3 panels). Mann-Whitney tests: *P < .05, **P < .02. PMNs are expressed in cells per microliter, CRP in milligrams per liter, LBP in milligrams per liter, FEV1 as a percentage, ECP in nanograms per milliliter, TNF in picograms per milliliter, and MPO in nanograms per milliliter. All data are means ± SE. Journal of Allergy and Clinical Immunology 2001 107, 797-804DOI: (10.1067/mai.2001.114249) Copyright © 2001 Mosby, Inc. Terms and Conditions