The effect of corticosteroid or methotrexate therapy on lung lymphocytes and macrophages in sarcoidosis

作者: Robert P. Baughman , Elyse E. Lower

DOI: 10.1164/AJRCCM/142.6_PT_1.1268

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摘要: Methotrexate appears to be an effective alternative corticosteroid therapy for some patients with sarcoidosis. The mechanism of action methotrexate as immunosuppressive is unknown. Patients symptomatic pulmonary sarcoidosis underwent function tests and bronchoscopy bronchoalveolar lavage. were treated 10 mg or prednisone weekly at least 6 months repeat studies performed. A comparison was made between those receiving (12 patients) patients). For both groups, there a significant improvement in the vital capacity (Prednisone: Pre = 2.5 ± 0.14 L (Mean SEM); Post 3.1 0.18 L, p < 0.01; Methotrexate: 2.4 L; 2.8 0.01). In addition, percentage lymphocytes lavage fell significantly (Pre: 30 3.5%; Post: 16 2.7%, 0.001) 37 3.4%; 13 2.9%, groups. Alv...

参考文章(26)
Kunkel Sl, Lynch Jp rd, Larrick J, Spengler M, Bachwich Pr, Tumor necrosis factor production by human sarcoid alveolar macrophages. American Journal of Pathology. ,vol. 125, pp. 421- 425 ,(1986)
Kim Ck, Strohofer S, Baughman R, Variation of differential cell counts of bronchoalveolar lavage fluid. Archives of Pathology & Laboratory Medicine. ,vol. 110, pp. 341- 343 ,(1986)
Hu Sk, Kerwar Ss, Mitcho Yl, Oronsky Al, Studies on the effect of methotrexate on macrophage function. The Journal of Rheumatology. ,vol. 15, pp. 206- 209 ,(1988)
R G Crystal, C Saltini, P Pinkston, J Müller-Quernheim, Corticosteroid therapy suppresses spontaneous interleukin 2 release and spontaneous proliferation of lung T lymphocytes of patients with active pulmonary sarcoidosis. Journal of Immunology. ,vol. 139, pp. 755- 760 ,(1987)
Ronald Crystal, B. R. Line, B. A. Keogh, G. W. Hunninghake, The alveolitis of pulmonary sarcoidosis. Evaluation of natural history and alveolitis-dependent changes in lung function The American review of respiratory disease. ,vol. 128, pp. 256- 265 ,(1983) , 10.1164/ARRD.1983.128.2.256
Harold L. Israel, D. W. Fouts, Robert A. Beggs, A controlled trial of prednisone treatment of sarcoidosis. The American review of respiratory disease. ,vol. 107, pp. 609- 614 ,(2015) , 10.1164/ARRD.1973.107.4.609
D R Germolec, G J Rosenthal, M I Luster, G W Weigand, J A Blank, Suppression of B cell function by methotrexate and trimetrexate. Evidence for inhibition of purine biosynthesis as a major mechanism of action. Journal of Immunology. ,vol. 141, pp. 410- 416 ,(1988)
B Beutler, N Krochin, I. Milsark, C Luedke, A Cerami, Control of cachectin (tumor necrosis factor) synthesis: mechanisms of endotoxin resistance Science. ,vol. 232, pp. 977- 980 ,(1986) , 10.1126/SCIENCE.3754653
Elyse E. Lower, Robert P. Baughman, The Use of Low Dose Methotrexate in Refractory Sarcoidosis The American Journal of the Medical Sciences. ,vol. 299, pp. 153- 157 ,(1990) , 10.1097/00000441-199003000-00002