The aim of the present study was to elucidate whether the culture of cells recovered from induced sputum may represent a suitable model to evaluate
cytokine and
chemokine production by airway inflammatory cells. Sputum induction was performed in 21 normal subjects and 30 asthmatic patients. A total of 21 out of the 30 asthmatic patients were taking inhaled
corticosteroids, while the remaining nine were
steroid-naive asthmatics. The
steroid-naive group was evaluated before and after a 14-day treatment with oral
prednisone (40 mg.day(-1)). The supernatant of lysed and centrifuged sputum and the supernatant of sputum cell culture were analysed. Tumour
necrosis factor-alpha,
interleukin (IL)-8 (CXCL8), IL-1beta,
IL-13 and
eotaxin-2 (CCL24) concentrations were determined by specific ELISA.
Eotaxin-2 production by cell culture was higher in the
asthma group (131+/-108 pg.mL(-1)) than in the control group (36+/-41 pg.mL(-1)) and treatment with oral
corticosteroids eliminated this difference. In addition, reduction of
eotaxin-2 levels by
corticosteroid treatment was greater in cell culture (81.3% reduction) than in sputum (26.4%). There was correlation between the decrease in
eotaxin-2 production and the decrease in blood eosinophil number and between
eotaxin-2 and eosinophils in sputum.
Eotaxin-2 may play an important role in
asthma and the response to
corticosteroid treatment suggests that analysis of sputum cell culture is relevant as an inflammatory parameter.