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This is called the early asthmatic response (EAR). The EAR usually resolves within 1�C2?h, but may be followed by a late asthmatic response (LAR), typically beginning between 2 and 4?h after allergen inhalation (2). The LAR is accompanied by an influx of inflammatory cells into the airways, which are predominantly eosinophils (3), but also includes an increase in airway neutrophils (4) and basophils (5). The allergen-induced changes in inflammatory cells can be most easily measured in induced sputum. Allergen-induced bronchoconstriction is largely, but not completely resolved, at 24?h, at which time there is usually an increase in airway responsiveness measured by a reduction in the provocative concentration of methacholine causing a find more 20% fall in FEV1 (MCh PC20) (6). The importance of the allergen-induced increase in airway eosinophils, in causing allergen-induced LAR and airway hyperresponsiveness flupentixol remains unclear. We have previously reported that pretreatment with both an anti-histamine and a leukotriene receptor antagonist abolishes both the EAR and LAR (7). As mast cells or basophils are the only cell types able to produce both histamine and cysteinly leukotrienes, and there is an increase in airway basophils during the LAR (5), these results have suggested that basophils recruited into the airway, may be responsible for the LAR. In addition, a previous study has examined the ability of a humanized monoclonal antibody (hMab) directed against IL-5 (mepolizumab) to prevent allergen-induced responses in human subjects (8). These authors demonstrated that mepolizumab completely inhibited allergen-induced sputum eosinophilia, but did not attenuate either the allergen-induced EAR or LAR. Unfortunately, these researchers could not demonstrate any allergen-induced airway hyperresponsiveness during placebo treatment, so could not make any comment on the role of eosinophils in mediating this more prolonged airway response after inhaled allergen. Thus, the importance of the allergen-induced increase in airway eosinophils in causing allergen-induced bronchoconstrictor responses and airway hyperresponsiveness is unclear. The purpose of this study was to identify the relationship between allergen-induced changes in sputum cell counts, and allergen-induced bronchoconstrictor responses and the increase OSI-906 mw in methacholine airway responsiveness. The subjects consisted of 28 female and 22 male, nonsmoking, mild allergic asthmatics, with no other lung disease, ranging in age from 18 to 56?years (Table?1). These were 50 sequential subjects undergoing a screening allergen challenges prior to entry into trials of novel therapies for allergic asthma. The baseline FEV1 was >70% of predicted normal in all subjects and the provocative concentration of methacholine causing a 20% fall in FEV1 (MCh PC20) was