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T Watase

Publications and source records attributed to T Watase.

8 recordsLinked to original sources

The role of leukotriene D4 in allergic rhinitis.

We investigated the clinical significance of leukotriene D4 (LTD4) in nasal symptoms of allergy and compared this with antigen and histamine. Nasal provocations were carried out in patients with allergic rhinitis using serially increasing doses of LTD4, histamine, or antigen. The nasal responses induced were evaluated by counting the number of sneezes, the quantity of nasal secretion, and of nasal airway resistance. When the effects of topical provoking agents were compared at the threshold concentration, LTD4 produced no sneezing--unlike antigen and histamine--increased nasal secretion to a lesser degree than antigen and histamine (P less than .001), and increased nasal airway resistance similar to histamine but less than antigen (P less than .1) and longer than histamine, and similar to antigen in duration. LTD4 was approximately 5,000 times stronger than histamine in threshold concentration for nasal response. In conclusion, LTD4 plays an important role in nasal allergy presumably through long lasting and strong nasal blockage effects.

Antigens

The effects of autonomotropic drugs on allergic nasal mucosa.

The purpose of the present study was to elucidate the effects of different kinds of autonomotropic drugs on the nasal mucosa as well as on the nasal reaction to specific allergens in patients with nasal allergy. First, phenylephrine (alpha-agonist), phentolamine (alpha-antagonist), isoproterenol (beta-agonist), propranolol (beta-antagonist), methacholine (choline agonist), or ipratropium (choline antagonist) was applied to the nasal mucosa with an atomizer using saline as control. Definitive effects appeared at the spray of alpha-agonist or choline agonist. Phenylephrine reduced nasal airway resistance, and methacholine increased nasal secretion. Secondly, after treatment with the drugs, nasal provocations were performed. The statistically significant effects were noted as follows: phenylephrine spray inhibited the increase of nasal airway resistance, while phentolamine or isoproterenol enhanced it. Methacholine enhanced nasal secretion, while ipratropium inhibited it. None of the drugs, however, affected the number of sneezes. The present results suggest that adrenergic receptors are mainly distributed on the walls of vessels and cholinergic receptors mainly on the secretory glands. Pharmacological conditions of the local autonomic nervous system would affect the nasal response in allergy in different ways according to different conditions.

Airway Resistance

Nasal histamine sensitivity in allergic rhinitis.

Our recent studies of nasal histamine sensitivity in nasal allergy are presented. The sensitivity differed according to the site and size of the nasal mucosa and was correlated with the degree of provocation reaction to antigen. This sensitivity appears to be established in childhood and strongly correlated with the increased sensitivity of histamine receptors as well as the autonomic nervous system dysfunction of the nose.

Adolescent