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Original article
Down-regulation of endogenous hydrogen sulphide pathway in nasal mucosa of allergic rhinitis in guinea pigs
Y. Shaoqinga, Z. Ruxinb,
Corresponding author
, C. Yinjianc, C. Jianqiua, Y. Zhiqiangd, L. Genhonga
a Department of Otolaryngology, Jinan General Hospital of PLA, Shandong, China
b Department of Otolaryngology, Huadong Hospital, Fudan University, Shanghai, China
c Department of Laboratory Medicine, Jinan General Hospital of PLA, Shandong, China
d Department of Otolaryngology, Xuzhou 97th Hospital of PLA, Jiangshu, China
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    "textoCompleto" => "<span class="elsevierStyleSections"><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStylePara elsevierViewall">Rhinitis&#44; especially allergic rhinitis &#40;AR&#41;&#44; continues to be a major health problem and although some treatments are available&#44; none is ideal&#46; Research on the role of the gas signal messenger such as nitric oxide &#40;NO&#41; and carbon monoxide &#40;CO&#41; in allergy medicine is a rapidly emerging field&#46;<a class="elsevierStyleCrossRefs" href="#bib1"><span class="elsevierStyleSup">1&#44;2</span></a> However&#44; the molecular mechanisms of AR are still poorly understood&#44; and researchers are seeking novel endogenously produced gasotransmitters to investigate their possible roles in the pathogenesis of allergic inflammation&#46; Recently&#44; hydrogen sulphide &#40;H<span class="elsevierStyleInf">2</span>S&#41; was found to be the third endogenous signalling gasotransmitter because of its endogenous metabolism and physiologic functions&#46;<a class="elsevierStyleCrossRef" href="#bib3"><span class="elsevierStyleSup">3</span></a> Now H<span class="elsevierStyleInf">2</span>S is increasingly recognised as a member of a growing family of &#8220;gasotransmitters&#8221;&#44; together with its two counterparts&#44; NO and CO&#46;</p><p class="elsevierStylePara elsevierViewall">H<span class="elsevierStyleInf">2</span>S was only recognised as a kind of toxic gas in contaminated environments with a strong odour of rotten eggs for a long time&#44; and its major effects were intoxication of the central nervous system and inhibition of respiratory system&#46; Endogenous H<span class="elsevierStyleInf">2</span>S may be generated by two pyridoxal-5&#8242;-phosphate-dependent enzymes&#58; cystathionine &#946;-synthase &#40;CBS&#41; and cystathionine &#947;-lyase &#40;CSE&#41; in mammalian tissues&#44; which use L-cysteine as the main substrate&#46; The expressions of these two enzymes are tissue-type specific&#46;<a class="elsevierStyleCrossRefs" href="#bib4"><span class="elsevierStyleSup">4&#44;5</span></a> H<span class="elsevierStyleInf">2</span>S is directly produced in myocardial tissues&#44; arterial and venous tissues by CSE&#44;<a class="elsevierStyleCrossRefs" href="#bib6"><span class="elsevierStyleSup">6&#8211;8</span></a> and in some tissues such as the nervous system&#44; CBS is only needed for the generation of H<span class="elsevierStyleInf">2</span>S&#46;<a class="elsevierStyleCrossRef" href="#bib9"><span class="elsevierStyleSup">9</span></a> Otherwise&#44; the expressions of CBS and CSE are both identified in several mammalian tissues&#44; including liver&#44; kidney&#44; brain&#44; ileum&#44; and blood lymphocytes&#46;<a class="elsevierStyleCrossRefs" href="#bib3"><span class="elsevierStyleSup">3&#44;10</span></a></p><p class="elsevierStylePara elsevierViewall">Recent data suggest that H<span class="elsevierStyleInf">2</span>S may contribute to many inflammatory processes such as asthma&#44;<a class="elsevierStyleCrossRef" href="#bib11"><span class="elsevierStyleSup">11</span></a> acute pancreatitis&#44;<a class="elsevierStyleCrossRef" href="#bib12"><span class="elsevierStyleSup">12</span></a> endotoxaemia&#44;<a class="elsevierStyleCrossRef" href="#bib13"><span class="elsevierStyleSup">13</span></a> and COPD&#46;<a class="elsevierStyleCrossRef" href="#bib14"><span class="elsevierStyleSup">14</span></a> This demonstrated that H<span class="elsevierStyleInf">2</span>S plays a key role in modulating leukocyte adhesion to vascular endothelium&#44; leukocyte infiltration&#44; and oedema formation&#44; which are characters of inflammation&#46;</p><p class="elsevierStylePara elsevierViewall">To clarify the role of endogenous H<span class="elsevierStyleInf">2</span>S in the pathogenesis of AR&#44; we investigated the level of plasma H<span class="elsevierStyleInf">2</span>S in guinea pigs with AR&#46; Clinical symptoms of animals such as sneezing and nose rubbing&#44; and leukocyte infiltration in nasal lavage fluid &#40;NLF&#41; were studied as non-invasive markers of inflammation&#46; The expressions of CBS and CSE of nasal mucosa were also studied by real time RT-PCR&#46; Sodium hydrosulphide &#40;NaHS&#41; and propargylglycine &#40;PPG&#41; were used as donor and inhibitor of H<span class="elsevierStyleInf">2</span>S respectively in our study&#44;<a class="elsevierStyleCrossRef" href="#bib15"><span class="elsevierStyleSup">15</span></a> and PPG is a specific inhibitor of CSE&#44; which can suppress H<span class="elsevierStyleInf">2</span>S production in tissues&#46;<a class="elsevierStyleCrossRef" href="#bib16"><span class="elsevierStyleSup">16</span></a> Through regulated H<span class="elsevierStyleInf">2</span>S level by NaHS and PPG&#44; we investigated the changes of H<span class="elsevierStyleInf">2</span>S on the inflammation process of AR&#46;</p></span><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Materials and methods</span><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Material and animal model</span><p class="elsevierStylePara elsevierViewall">Twenty-four aged healthy male Hartley guinea pigs&#44; weight 230&#8211;280<span class="elsevierStyleHsp" style=""></span>g &#40;National rodent laboratory animal resources&#44; Shanghai branch&#44; China&#41; were taken and divided into four groups&#58; Saline control group&#44; AR sensitised group&#44; NaHS treated group&#44; and PPG treated group&#46; The animal models of allergic rhinitis were prepared according to the methods made by Al Suleimani M et al&#46;<a class="elsevierStyleCrossRef" href="#bib17"><span class="elsevierStyleSup">17</span></a> Guinea pigs &#40;n&#61;18&#41; were initially exposed to 1&#37; ovalbumin &#40;10mg&#47;kg&#44; Sigma Inc&#46;MD &#41; in saline given as a 1&#37; aerosol twice for 10<span class="elsevierStyleHsp" style=""></span>min each&#44; 7 days apart&#46; On days 14&#44; 15 and 16&#44; a booster of 1&#37; ovalbumin in saline was instilled intranasally at a volume of 20<span class="elsevierStyleHsp" style=""></span>&#956;l&#47;nostril&#47;day into both nostrils&#46; On day 21 guinea pigs were challenged with 2&#37; ovalbumin in saline instilled intranasally at a volume of 20<span class="elsevierStyleHsp" style=""></span>&#956;l&#47;nostril in each nostril&#46; Eighteen sensitised guinea pigs were divided into three groups&#44; one was continually treated with OVA as AR group&#46; In the second group&#44; named as NaHS group&#44; animals &#40;n&#61;6&#41; were intraperitoneally administered NaHS &#40;Sigma Inc&#46; MD&#41; at a dose of 14<span class="elsevierStyleHsp" style=""></span>&#956;mol&#47;kg&#47;day&#44; 12<span class="elsevierStyleHsp" style=""></span>h after every nose inspiration with ovalbumin and continually for two weeks&#46; In the third group&#44; named as PPG group&#44; animals &#40;n&#61;6&#41; were intraperitoneally administered PPG &#40;Sigma Inc&#46;MD&#41; at a dose of 30<span class="elsevierStyleHsp" style=""></span>mg&#47;kg&#47;day immediately after every nose inspiration with ovalbumin continually for two weeks too&#46; Control animals &#40;n&#61;6&#41; were challenged in a similar manner by using saline&#46;</p></span><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Observation of sneezing and nose rubbing and assessment of leukocyte infiltration</span><p class="elsevierStylePara elsevierViewall">Frequency of sneezing and nose rubbing were assessed as previously described by Al Suleimani M et al&#46; with modifications&#46;<a class="elsevierStyleCrossRef" href="#bib17"><span class="elsevierStyleSup">17</span></a> They were counted directly following nasal challenge&#44; and for 30<span class="elsevierStyleHsp" style=""></span>min thereafter&#46; A sneeze was characterized by an explosive expiration just after deep inspiration and an external perinasal scratch with the animal&#39;s forelimbs characterized a nose rub&#46; NLF was collected from guinea pigs 1<span class="elsevierStyleHsp" style=""></span>h post-challenge as follows<a class="elsevierStyleCrossRef" href="#bib17"><span class="elsevierStyleSup">17</span></a>&#58; nasal cavities were washed with 2<span class="elsevierStyleHsp" style=""></span>ml of pre-warmed saline infused from the tracheal side&#46; NLF was collected from the anterior naris and total cell count was assessed using a standard haemocytometer&#46; Leukocytes were counted under light microscope at power 40&#215;&#44; and the following formula was used&#58;</p><p class="elsevierStylePara elsevierViewall">Number of cells&#47;ml&#61;total number of cells counted&#215;dilution factor&#215;1000&#47;total volume counted &#40;0&#46;1<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleSup">3</span>&#41;&#46;</p></span><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Measurement of plasma H<span class="elsevierStyleInf">2</span>S concentration</span><p class="elsevierStylePara elsevierViewall">Guinea pigs were anaesthetised by intraperitoneal administration of pentobarbital &#40;40<span class="elsevierStyleHsp" style=""></span>mg&#47;Kg&#41;&#46; 1<span class="elsevierStyleHsp" style=""></span>ml blood was collected from heart through direct cardiac puncturation&#44; avoiding air contact&#46; A sample of plasma &#40;0&#46;1<span class="elsevierStyleHsp" style=""></span>ml&#41; was added to a test tube containing 0&#46;5<span class="elsevierStyleHsp" style=""></span>ml of 1&#37; zinc acetate and 2&#46;5<span class="elsevierStyleHsp" style=""></span>ml of distilled water&#44; then 0&#46;5<span class="elsevierStyleHsp" style=""></span>ml of 20<span class="elsevierStyleHsp" style=""></span>mmol&#47;L N&#44;N-dimethyl-p-phenylenediamine dihydrochloride in 7&#46;2<span class="elsevierStyleHsp" style=""></span>mol&#47;L HCl and 0&#46;4<span class="elsevierStyleHsp" style=""></span>ml of 30<span class="elsevierStyleHsp" style=""></span>mmol&#47;L FeCl<span class="elsevierStyleInf">3</span> in 1&#46;2<span class="elsevierStyleHsp" style=""></span>mol&#47;L HCl were also added to the same test tube for 20<span class="elsevierStyleHsp" style=""></span>min of incubation at room temperature&#46; The protein in the plasma was removed by adding 1<span class="elsevierStyleHsp" style=""></span>ml of 10&#37; trichloroacetic acid to the solution and centrifuging it&#46; The optical absorbance of the resulting solution at 670<span class="elsevierStyleHsp" style=""></span>nm was measured with a spectrometer &#40;Lambda Bio&#44; Perkin Elmer Inc&#44; MD&#41;&#46; H<span class="elsevierStyleInf">2</span>S concentration in the solution was calculated against the calibration curve of the standard NaHS solution&#46;</p></span><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Total RNA extraction and cDNA synthesis</span><p class="elsevierStylePara elsevierViewall">The guinea pigs were sacrificed by rapid decapitation&#46; Biopsies of nasal mucosa were taken from the inferior turbinate and put in liquid nitrogen immediately&#46; They were then minced with a scalpel on dry ice and transferred immediately to 2<span class="elsevierStyleHsp" style=""></span>ml polypropylene tubes&#44; homogenised and total RNA was extracted using Trizol&#8482; reagent &#40;Invitrogen Inc&#44; MD&#41; following the manufacturer&#39;s instructions&#46; The concentration and purity of RNA were determined spectrophotometrically&#46; Then the synthesis of cDNA was performed according to a cDNA synthesis kit &#40;PrimeScript RTase&#44; TaKaRa Inc&#44; Japan&#41;&#46;</p></span><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Real time reverse transcriptase-polymerase chain reaction for CBS and CSE mRNA expressions</span><p class="elsevierStylePara elsevierViewall">To determine the expressions of the CBS and CSE gene in nasal mucosa&#44; fluorescent quantitative real time RT-PCR assay was performed&#46; The sequences of the primers &#40;TaKaRa Inc&#44; Japan&#41; specific for CBS and CSE were performed with sense &#40;CBS&#58; CCAGGACTTGGAGGTACAGC&#44; CSE&#58; TCCGGATGGAGAAACACTTC&#41; and antisense &#40;CBS&#58; TCGGCACTGTGTGGTAATGT&#44;CSE&#58;GCTGCCTTTAAAGCTTGACC&#41; primers&#44; with an expected size of the amplified sequence of 155<span class="elsevierStyleHsp" style=""></span>bp for CBS and 400<span class="elsevierStyleHsp" style=""></span>bp for CSE&#46; &#946;-actin was used as control &#40;sense&#58; ACCCTTAAGGCCAACCGTGAAAAG&#44; antisense&#58; TCATGAGGTAGTCTGTC AGGT&#44; 240<span class="elsevierStyleHsp" style=""></span>bp&#41;&#46; Then the incubation of cDNA and primer was performed at 95<span class="elsevierStyleHsp" style=""></span>&#176;C for 5<span class="elsevierStyleHsp" style=""></span>min and the PCR reaction proceeded for 45 cycles&#58; 95<span class="elsevierStyleHsp" style=""></span>&#176;C for 20<span class="elsevierStyleHsp" style=""></span>s&#44; 57<span class="elsevierStyleHsp" style=""></span>&#176;C for 20<span class="elsevierStyleHsp" style=""></span>s&#44; and 72<span class="elsevierStyleHsp" style=""></span>&#176;C for 20<span class="elsevierStyleHsp" style=""></span>s in a programmable thermal cycler &#40;Line-Gene real-time PCR detection system&#44; bioer Inc&#44; China&#41; using a thermostable Taq DNA polymerase &#40;SYBR PrimeScript Ex Taq&#44; TaKaRa Inc&#44; Japan&#41; final incubation at 72<span class="elsevierStyleHsp" style=""></span>&#176;C for 7<span class="elsevierStyleHsp" style=""></span>min&#46; Fluorescent product was measured by a single acquisition mode at 86<span class="elsevierStyleHsp" style=""></span>&#176;C after each cycle&#46; After the completion of PCR amplification&#44; a melting curve analysis was performed&#46; <a class="elsevierStyleCrossRef" href="#fig1">Fig&#46; 1</a> shows a sharp peak with a melting temperature &#40;Tm&#41; of CBS&#40;Tm A&#41; of 86<span class="elsevierStyleHsp" style=""></span>&#176;C&#44; CSE&#40;Tm B&#41; of 84<span class="elsevierStyleHsp" style=""></span>&#176;C and &#946;-actin &#40;Tm C&#41; of 90<span class="elsevierStyleHsp" style=""></span>&#176;C&#46; For each sample&#44; the amount of both target and endogenous control &#40;&#946;-actin&#44; a housekeeping gene&#41; were determined&#46; The typical amplification curves of real-time RT-PCR for CBS&#44; CSE and &#946;-actin mRNA are shown in <a class="elsevierStyleCrossRef" href="#fig2">Fig&#46; 2</a>&#46; The amount of the target molecule was then divided by the amount of the endogenous reference&#44; to obtain a normalised target value&#46; The PCR products were also run on 1&#46;5&#37; agarose gel and visualised by ultraviolet light&#46;</p><elsevierMultimedia ident="fig1"></elsevierMultimedia><elsevierMultimedia ident="fig2"></elsevierMultimedia></span><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Statistical analysis</span><p class="elsevierStylePara elsevierViewall">All data were expressed as mean&#177;S&#46;D&#46; Statistical analyses of data were performed using ANOVA for multiple comparison and LSD for comparison among groups&#44; and Pearson Correlation for the two-variable correlation analysis&#46; P&#60;0&#46;05 was considered to be statistically significant&#46;</p></span></span><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Results</span><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Concentration of H<span class="elsevierStyleInf">2</span>S in plasma</span><p class="elsevierStylePara elsevierViewall">The blood H<span class="elsevierStyleInf">2</span>S level of the AR group was lower than that of the non-sensitised group &#40;p&#60;0&#46;01&#41;&#46; H<span class="elsevierStyleInf">2</span>S level increased significantly after being treated with H<span class="elsevierStyleInf">2</span>S donor NaHS&#44; and decreased after PPG was administrated&#44; as compared with AR group &#40;p&#60;0&#46;05&#41; &#40;see <a class="elsevierStyleCrossRef" href="#tbl1">Table 1</a>&#41;&#46; It indicated that down-regulation of H<span class="elsevierStyleInf">2</span>S level existed in AR&#44; and NaHS increased H<span class="elsevierStyleInf">2</span>S level and PPG decreased it successfully&#46;</p><elsevierMultimedia ident="tbl1"></elsevierMultimedia></span><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Sneezing&#44; nose rubbing and leukocyte infiltration</span><p class="elsevierStylePara elsevierViewall">The results are shown in <a class="elsevierStyleCrossRef" href="#fig3">Fig&#46; 3</a>&#46; Sneezing frequency and number of nose rubbings in sensitised AR group were significantly increased &#40;p&#60;0&#46;01&#41; as compared with a non-sensitised group&#44; and increased further in PPG treated group as compared with AR group &#40;p&#60;0&#46;05&#41;&#44; but significantly decreased in NaSH treated group &#40;p&#60;0&#46;05&#41;&#46; In AR group&#44; there was a significant increase of total cell count in NLF &#40;p&#60;0&#46;01&#41;&#44; especially eosinophils and neutrophils as compared with non-sensitised groups&#46; Total cell count significantly increased after PPG treated&#44; and decreased after NaHS treated &#40;p&#60;0&#46;05&#41;&#44; as compared with AR group&#46; It indicated that NaHS increased the H<span class="elsevierStyleInf">2</span>S level but reduced the inflammatory response of allergy e&#46;g&#46; inhibited leukocyte infiltration in nasal mucosa&#44; but PPG had the opposite effect on allergy&#46;</p><elsevierMultimedia ident="fig3"></elsevierMultimedia></span><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Expressions of CBS and CSE by real-time RT-PCR</span><p class="elsevierStylePara elsevierViewall">The cumulative data for mRNA expressions of CBS and CSE are presented in <a class="elsevierStyleCrossRef" href="#tbl1">Table 1</a> and <a class="elsevierStyleCrossRef" href="#fig4">Fig&#46; 4</a>&#46; CSE mRNA expression was down-regulated significantly in AR group as compared with control &#40;p&#60;0&#46;05&#41; and the expression was increased significantly after being stimulated by NaHS &#40;p&#60;0&#46;05&#41;&#44; and decreased significantly with PPG administration as compared with AR group &#40;p&#60;0&#46;05&#41;&#46; The expression of CBS in nasal mucosa was very weak and no significant changes of CBS mRNA levels were observed between groups &#40;p&#62;0&#46;05&#41;&#46; To verify the amplification curve results&#44; representative samples of the PCR products were run on 1&#46;5&#37; agarose gels&#46; Electrophoresis results showed that the order of CSE mRNA expression levels from high to low was control&#44; NaHS&#44; AR and PPG group &#40;<a class="elsevierStyleCrossRef" href="#fig5">Fig&#46; 5</a>&#41;&#46; Moreover&#44; correlation between the level of CSE mRNA and concentration of H<span class="elsevierStyleInf">2</span>S was also analysed&#46; There was a high significant direct relationship between them &#40;r&#61;0&#46;87&#44; P&#61;0&#46;001&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig6">Fig&#46; 6</a>&#41;&#46; It suggested that the level of H<span class="elsevierStyleInf">2</span>S was positively correlated with CSE of nasal mucosa through a concentration-dependent manner and that the NaHS and PPG regulated the level and might have a relationship with the expression of CSE of nasal mucosa in AR&#46; The CBS of nasal mucosa perhaps had little effect on level of H<span class="elsevierStyleInf">2</span>S in AR&#46;</p><elsevierMultimedia ident="fig4"></elsevierMultimedia><elsevierMultimedia ident="fig5"></elsevierMultimedia><elsevierMultimedia ident="fig6"></elsevierMultimedia></span></span><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Discussion</span><p class="elsevierStylePara elsevierViewall">After nasal provocation with ovalbumin&#44; the AR was evaluated from the occurrence of typical clinical symptoms with respect to nose and eyes irritation&#44; like sneezing&#44; conjunctival and nasal secretion&#46; In comparison to saline&#44; ovalbumin sensitisation increased sneezing frequency and numbers of nasal rubs&#46; Nasal cellular infiltration &#40;extravasation of leukocytes&#41; is a characteristic hallmark of AR&#46; Following nasal allergen challenge in sensitised guinea pigs&#44; there was a significant increase in total cell count &#40;p&#60;0&#46;01&#41; as compared with non-sensitised groups&#46; Furthermore&#44; both eosinophils and neutrophils were significantly induced&#46; Sneezing frequency&#44; number of nasal rubs&#44; and total cell counts in nasal washings can be used as indices of allergic response&#46;</p><p class="elsevierStylePara elsevierViewall">This study was the first to show down-regulation of endogenous H<span class="elsevierStyleInf">2</span>S in sensitised AR guinea pigs&#46; Previous studies had shown that gaseous transmitters&#44; NO and CO&#44; played important roles in the pathogenesis of AR&#46;<a class="elsevierStyleCrossRefs" href="#bib18"><span class="elsevierStyleSup">18&#44;19</span></a> H<span class="elsevierStyleInf">2</span>S is a colourless and flammable gas with a small molecular weight&#44; and now is increasingly recognised as a member of a growing family of &#8220;gasotransmitters&#8221;&#44; together with its two counterparts&#44; NO and CO&#46; It was only recently that researchers came to understand H<span class="elsevierStyleInf">2</span>S as a novel gasotransmitter playing an important biological role&#44; especially in airway inflammation such as in asthma&#44; COPD&#44; or lung injury&#46;<a class="elsevierStyleCrossRefs" href="#bib12"><span class="elsevierStyleSup">12&#44;14</span></a></p><p class="elsevierStylePara elsevierViewall">H<span class="elsevierStyleInf">2</span>S is produced mainly by two pyridoxal-5&#8217;phosphate-dependent enzymes responsible for the metabolism of L-cysteine&#44; CBS and CSE&#46; It should be noted that H<span class="elsevierStyleInf">2</span>S generation is closely associated with the catabolism of cysteine and methionine as well as with glutathione metabolism&#46; Both CBS and CSE are responsible for the metabolism of methionine into cysteine&#44; which is in turn used for the generation of H<span class="elsevierStyleInf">2</span>S&#44;<a class="elsevierStyleCrossRef" href="#bib20"><span class="elsevierStyleSup">20</span></a> but the two enzymes differ in the specific mechanism of H<span class="elsevierStyleInf">2</span>S formation&#46; CSE catalyses the conversion of cystine &#40;a cysteine disulphide&#41; to thiocysteine&#44; pyruvate and ammonia&#44; thiocysteine then non-enzymatically decomposes to cysteine and H<span class="elsevierStyleInf">2</span>S&#46; The major mechanism of H<span class="elsevierStyleInf">2</span>S produced by CBS probably involves the condensation of homocysteine with cysteine to yield cystathionine&#44; and H<span class="elsevierStyleInf">2</span>S is released during this reaction&#46;<a class="elsevierStyleCrossRefs" href="#bib21"><span class="elsevierStyleSup">21&#44;22</span></a> The expressions of CBS and CSE had been identified in many human and other mammalian cells&#44; including those from liver&#44; kidney&#44; brain&#44; skin fibroblasts&#44; and blood lymphocytes&#46; In some tissues CBS and CSE are both needed for generation of H<span class="elsevierStyleInf">2</span>S&#44; whereas in others only one enzyme is needed&#46;<a class="elsevierStyleCrossRefs" href="#bib4"><span class="elsevierStyleSup">4&#8211;8</span></a> Thus&#44; it has come to be known that the expression of CBS and&#47;or CSE is tissue specific&#46; In nasal mucosa&#44; more expression of CSE was found but not of CBS&#44; and the mRNA expression of CSE was positively correlated with the concentration of H<span class="elsevierStyleInf">2</span>S by concentration-dependent manner&#44; so the CSE was maybe the major H<span class="elsevierStyleInf">2</span>S-producing enzyme in nasal mucosa and it was positively correlated with the level of H<span class="elsevierStyleInf">2</span>S in AR&#44; because CSE mainly exists in vascular smooth muscle cells &#40;SMC&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib23"><span class="elsevierStyleSup">23</span></a> and expressed in nasal mucosa might be attributed to the rich distribution of vascular SMC&#46;</p><p class="elsevierStylePara elsevierViewall">In order to investigate the influence of H<span class="elsevierStyleInf">2</span>S level on symptoms of AR&#44; NaHS was used as H<span class="elsevierStyleInf">2</span>S donor&#46; NaHS can be dissociated to Na<span class="elsevierStyleSup">&#43;</span> and HS<span class="elsevierStyleSup">&#8722;</span> in solution&#44; and then HS<span class="elsevierStyleSup">&#8722;</span> associates with H<span class="elsevierStyleSup">&#43;</span> and produces H<span class="elsevierStyleInf">2</span>S&#46;<a class="elsevierStyleCrossRef" href="#bib24"><span class="elsevierStyleSup">24</span></a> In the experiment after NaHS treatment&#44; H<span class="elsevierStyleInf">2</span>S level was successfully up-regulated in plasma as compared with the AR group &#40;p&#60;0&#46;05&#41;&#44; and it alleviated the symptoms of AR&#46; PPG was used as an inhibitor of H<span class="elsevierStyleInf">2</span>S&#46; Our observations had shown that PPG significantly attenuated the expression of CSE&#44; and in the PGG group the level of H<span class="elsevierStyleInf">2</span>S was decreased significantly as compared with the AR group&#46; PPG can suppress the production of H<span class="elsevierStyleInf">2</span>S by inhibited CSE&#44; and symptoms of AR were aggravated after PPG treatment&#44; accompanied by enhanced leukocyte adhesion&#44; leukocyte infiltration&#44; perhaps with oedema formation&#46; All these suggested that the level of H<span class="elsevierStyleInf">2</span>S has a negative effect on symptoms of AR&#46;</p><p class="elsevierStylePara elsevierViewall">In mammalian tissues H<span class="elsevierStyleInf">2</span>S may be a physiological regulator with its vascular effect possibly mediated by the opening of the KATP channel of vascular tissue&#44;<a class="elsevierStyleCrossRef" href="#bib25"><span class="elsevierStyleSup">25</span></a> and H<span class="elsevierStyleInf">2</span>S could also inhibit vascular SMC proliferation&#44;<a class="elsevierStyleCrossRef" href="#bib26"><span class="elsevierStyleSup">26</span></a> and CSE mRNA was expressed mainly by the SMC of the vascular cells but not by the endothelial cells&#46;<a class="elsevierStyleCrossRef" href="#bib27"><span class="elsevierStyleSup">27</span></a> A potentially critical role for CSE-derived H<span class="elsevierStyleInf">2</span>S in allergic response is its ability to regulate airway smooth muscle associated with the tone of vascular&#46; H<span class="elsevierStyleInf">2</span>S can also suppress leukocyte adherence to the vascular endothelium and reduce leukocyte infiltration and oedema formation&#46;<a class="elsevierStyleCrossRef" href="#bib28"><span class="elsevierStyleSup">28</span></a> We speculated that the down-regulation of the H<span class="elsevierStyleInf">2</span>S&#47;CSE pathway in the nasal mucosa of AR was associated with the change of blood flow&#46; The release of H<span class="elsevierStyleInf">2</span>S was decreased as CSE was suppressed by PPG leading to increased vasodilatation&#44; and increased permeability of the nasal mucosa epithelium and vascular endothelium&#44; and rapidly generated mediators of inflammation &#40;leukotrienes&#44; chemokines&#41;&#44; associated with the allergic response&#44; including rhinorrhoea&#44; mucosal oedema&#44; neutrophil and eosinophil chemotactic effects&#46; The level of H<span class="elsevierStyleInf">2</span>S increased by NaHS had the opposite results with vasoconstrictor effects and was accompanied by the inhibition of inflammatory mediator release&#46;</p><p class="elsevierStylePara elsevierViewall">As mentioned above&#44; H<span class="elsevierStyleInf">2</span>S is also an important modulator of vascular tone like NO and CO&#44; and plays an anti-oxidant role in inflammation&#46;<a class="elsevierStyleCrossRef" href="#bib29"><span class="elsevierStyleSup">29</span></a> It should be noted that NO and CO may have direct vasorelaxation through endothelial cells&#46;<a class="elsevierStyleCrossRef" href="#bib30"><span class="elsevierStyleSup">30</span></a> Immunohistochemistry researches show that NOS and HO&#44; which are major rate-limited enzymes of NO and CO respectively&#44; are mainly located in cytoplasm of endothelial cells&#46;<a class="elsevierStyleCrossRef" href="#bib31"><span class="elsevierStyleSup">31</span></a> But the expression of H<span class="elsevierStyleInf">2</span>S-generating enzyme was identified in vascular SMC&#44; not in endothelium<a class="elsevierStyleCrossRef" href="#bib27"><span class="elsevierStyleSup">27</span></a> and it was shown that the vasorelaxant effect of H<span class="elsevierStyleInf">2</span>S might mainly mediate by an interaction of the gas with smooth muscles&#46;<a class="elsevierStyleCrossRef" href="#bib24"><span class="elsevierStyleSup">24</span></a> Thus&#44; H<span class="elsevierStyleInf">2</span>S seems to have a unique action mechanism among vasodilator gases in nasal mucosa&#46; The gas signals among NO&#44; CO and H<span class="elsevierStyleInf">2</span>S may be a self-balancing regulation of endothelial cells and muscle cells in nasal mucosa of allergic inflammation&#46; Vasorelaxation of H<span class="elsevierStyleInf">2</span>S may be influenced by NO or CO&#44; a recent study also suggests that low doses of H<span class="elsevierStyleInf">2</span>S may induce vasoconstriction by scavenging endothelial NO&#46;<a class="elsevierStyleCrossRefs" href="#bib32"><span class="elsevierStyleSup">32&#44;33</span></a> Perhaps the roles of H<span class="elsevierStyleInf">2</span>S are regulated by NO or CO in the pathogenesis of AR&#44; although further research is needed&#46;</p></span><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStylePara elsevierViewall">Our findings have shown that down-regulation of endogenous H<span class="elsevierStyleInf">2</span>S pathway in AR&#44; and the level of H<span class="elsevierStyleInf">2</span>S was positively correlated with the expression of CSE in nasal mucosa&#46; It indicated that endogenous H<span class="elsevierStyleInf">2</span>S had latent roles in the pathogenesis of AR&#46; Furthermore&#44; the roles of H<span class="elsevierStyleInf">2</span>S in pathogenesis of AR appear so complex&#44; and more new lines of research are needed&#44; and might have potential benefit for the investigation of AR&#46;</p></span></span>"
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        0 => array:2 [
          "identificador" => "xres85636"
          "titulo" => array:5 [
            0 => "Abstract"
            1 => "Background"
            2 => "Methods"
            3 => "Results"
            4 => "Conclusion"
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec73915"
          "titulo" => "Keywords"
        ]
        2 => array:1 [
          "titulo" => "Introduction"
        ]
        3 => array:2 [
          "titulo" => "Materials and methods"
          "secciones" => array:6 [
            0 => array:1 [
              "titulo" => "Material and animal model"
            ]
            1 => array:1 [
              "titulo" => "Observation of sneezing and nose rubbing and assessment of leukocyte infiltration"
            ]
            2 => array:1 [
              "titulo" => "Measurement of plasma HS concentration"
            ]
            3 => array:1 [
              "titulo" => "Total RNA extraction and cDNA synthesis"
            ]
            4 => array:1 [
              "titulo" => "Real time reverse transcriptase-polymerase chain reaction for CBS and CSE mRNA expressions"
            ]
            5 => array:1 [
              "titulo" => "Statistical analysis"
            ]
          ]
        ]
        4 => array:2 [
          "titulo" => "Results"
          "secciones" => array:3 [
            0 => array:1 [
              "titulo" => "Concentration of HS in plasma"
            ]
            1 => array:1 [
              "titulo" => "Sneezing&#44; nose rubbing and leukocyte infiltration"
            ]
            2 => array:1 [
              "titulo" => "Expressions of CBS and CSE by real-time RT-PCR"
            ]
          ]
        ]
        5 => array:1 [
          "titulo" => "Discussion"
        ]
        6 => array:1 [
          "titulo" => "Conclusions"
        ]
        7 => array:2 [
          "identificador" => "xack31655"
          "titulo" => "Acknowledgments"
        ]
        8 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
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    "fechaRecibido" => "2008-12-13"
    "fechaAceptado" => "2009-03-02"
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        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec73915"
          "palabras" => array:7 [
            0 => "Hydrogen sulphide"
            1 => "Allergic rhinitis"
            2 => "Cystathionine &#946;-synthase"
            3 => "Cystathionine &#947;-lyase"
            4 => "Guinea pig"
            5 => "Real time RT-PCR"
            6 => "Nasal mucosa"
          ]
        ]
      ]
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    "tieneResumen" => true
    "resumen" => array:1 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p class="elsevierStyleSimplePara elsevierViewall">The present study was designed to explore the possible changes in endogenous hydrogen sulphide &#40;H<span class="elsevierStyleInf">2</span>S&#41;&#44; a novel gasotransmitter&#44; on the pathogenesis of allergic rhinitis &#40;AR&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">AR guinea pig model was established by nasal ovalbumin sensitisation&#46; Guinea pigs were divided into four groups&#58; Saline control&#44; AR sensitised&#44; sodium hydrosulphide &#40;NaHS&#41; treated&#44; and propargylglycine &#40;PPG&#41; treated group&#46; The frequency of sneezing and nose rubbing was recorded&#46; Leukocyte infiltration in nasal lavage fluid &#40;NLF&#41; and plasma H<span class="elsevierStyleInf">2</span>S level were measured&#46; Expression of Cystathionine-&#946;-synthase &#40;CBS&#41; and Cystathionine-&#947;-lyase &#40;CSE&#41; mRNA as H<span class="elsevierStyleInf">2</span>S-producing enzymes in nasal mucosa was determined by real time Reverse Transcriptase-Polymerase Chain Reaction &#40;RT-PCR&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The frequency of sneezing and nose rubbing&#44; and levels of leukocyte infiltration in NLF were higher than those of control &#40;P&#60;0&#46;01&#41;&#44; but plasma H<span class="elsevierStyleInf">2</span>S in sensitised guinea pigs was lower than those of control &#40;P&#60;0&#46;05&#41;&#46; From the results of RT-PCR&#44; it was found that the expression of CSE was higher than CBS in nasal mucosa&#44; and in sensitised guinea pigs it was lower than that of control &#40;P&#60;0&#46;05&#41;&#46; NaHS successfully increased the level of H<span class="elsevierStyleInf">2</span>S and alleviated the symptoms of AR accompanied by up-regulation of CSE as compared with AR group &#40;P&#60;0&#46;05&#41;&#46; PPG significantly suppressed the expression of CSE and decreased the H<span class="elsevierStyleInf">2</span>S level&#44; yet also aggravated the symptoms of AR&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">H<span class="elsevierStyleInf">2</span>S level may be negatively correlated with the process of inflammation and positively correlated with expression of CSE in nasal mucosa&#46; The endogenous H<span class="elsevierStyleInf">2</span>S pathway is down-regulated in AR&#46;</p>"
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          "en" => "<p class="elsevierStyleSimplePara elsevierViewall">The typical amplification and melting curves of real-time RT-PCR for CSE&#40;A&#41;&#44; CBS&#40;B&#41; and &#946;-actin&#40;C&#41;&#46;The figure shows a sharp peak with a melting temperature of CSE&#40;Tm A&#41; of 84<span class="elsevierStyleHsp" style=""></span>&#176;C&#44;CBS&#40;Tm B&#41; of 86<span class="elsevierStyleHsp" style=""></span>&#176;C and &#946;-actin &#40;Tm C&#41; of 90<span class="elsevierStyleHsp" style=""></span>&#176;C&#46;</p>"
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            "Tamanyo" => 242438
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p class="elsevierStyleSimplePara elsevierViewall">Cycles of CSE&#40;A&#41;&#44; CBS&#40;B&#41; and &#946;-actin&#40;C&#41;&#46;For the four curves&#58; control group&#40;a&#41;&#44; NaHS group&#40;b&#41;&#44; AR group&#40;c&#41; and PPG group&#40;d&#41;&#46;The vertical axis represents the degree of amplification by SYBR-Green fluorescence and the horizontal axis represents the number of amplification cycles&#46; With the same cycle number&#44; the groups have similar amplification of &#946;-actin and CBS but different amplification of CSE&#46;</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "fig3"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
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        ]
        "descripcion" => array:1 [
          "en" => "<p class="elsevierStyleSimplePara elsevierViewall">The Sneezing and nose rubbing of guinea pigs&#46; Each column and vertical bar represents the mean&#177;S&#46;D&#46; &#42;&#44;&#42;&#42;&#58; Significantly different from the control group &#40;p&#60;0&#46;05 and p&#60;0&#46;01&#44; respectively&#41;&#46; <span class="elsevierStyleSup">&#9839;</span>&#44;<span class="elsevierStyleSup">&#9839;&#9839;</span> Significantly different from the AR group &#40;p&#60;0&#46;05 and p&#60;0&#46;01&#44; respectively&#41;&#46;</p>"
        ]
      ]
      3 => array:7 [
        "identificador" => "fig4"
        "etiqueta" => "Figure 4"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr4.jpeg"
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            "Ancho" => 1627
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          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p class="elsevierStyleSimplePara elsevierViewall">Expressions of CSE and CBS mRNA&#46; Each column and vertical bar represents the mean&#177;S&#46;D&#46; &#42;&#44;&#42;&#42;&#58; Significantly different from the control group &#40;p&#60;0&#46;05 and p&#60;0&#46;01&#44; respectively&#41;&#46; <span class="elsevierStyleSup">&#9839;</span>&#44;<span class="elsevierStyleSup">&#9839;&#9839;</span> Significantly different from the AR group &#40;p&#60;0&#46;05 and p&#60;0&#46;01&#44; respectively&#41;&#46;</p>"
        ]
      ]
      4 => array:7 [
        "identificador" => "fig5"
        "etiqueta" => "Figure 5"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr5.jpeg"
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            "Ancho" => 2916
            "Tamanyo" => 88833
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p class="elsevierStyleSimplePara elsevierViewall">Image of gel of RT-PCR for CSE&#40;A&#41;&#44;CBS&#40;B&#41; and &#946;-actin&#40;C&#41; mRNA from nasal mucosa of guinea pigs&#46; Sizes of PCR products were 400<span class="elsevierStyleHsp" style=""></span>bp&#40;CSE&#41;&#44;155<span class="elsevierStyleHsp" style=""></span>bp&#40;CBS&#41; and 240<span class="elsevierStyleHsp" style=""></span>bp&#40;&#946;-actin&#41;&#46;Lanes 1&#8211;5 &#40;from left to right&#41; were products of AR&#44; control&#44; PPG&#44; NaHS groups and DNA marker &#40;100&#8764;600<span class="elsevierStyleHsp" style=""></span>bp&#41;&#46;There was a decrease in CSE cDNA in AR group compare with control&#44; and it increased after NaSH treated and decreases after PPG treated&#44; whereas there was no change in &#946;-actin mRNA&#46; The expressions of CBS mRNA were so weak that no significant difference between groups was found&#46;</p>"
        ]
      ]
      5 => array:7 [
        "identificador" => "fig6"
        "etiqueta" => "Figure 6"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr6.jpeg"
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            "Ancho" => 1635
            "Tamanyo" => 97134
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p class="elsevierStyleSimplePara elsevierViewall">Correlation between concentration of H<span class="elsevierStyleInf">2</span>S in plasma and CSE mRNA expression level in nasal mucosa&#46; Pearson Correlation was used to analyse the relationship between the level of H<span class="elsevierStyleInf">2</span>S and expression of CSE mRNA&#46; There was a highly significant direct relationship between them &#40;r&#61;0&#46;87&#44; P&#61;0&#46;001&#41;&#46;</p>"
        ]
      ]
      6 => array:6 [
        "identificador" => "tbl1"
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        "mostrarFloat" => true
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        "tabla" => array:2 [
          "leyenda" => "<p class="elsevierStyleSimplePara elsevierViewall">The concentration of H<span class="elsevierStyleInf">2</span>S of Plasma&#44; eotaxin of nasal lavage fluid&#44; expression of mRNA of CSE and CBS of nasal mucosa&#46; All data represent as mean&#177;S&#46;D&#46;&#42;&#44;&#42;&#42;&#58; Significantly different from the control group &#40;p&#60;0&#46;05 and p&#60;0&#46;01&#44; respectively&#41;&#46; <span class="elsevierStyleSup">&#9839;&#44;&#9839;&#9839;</span> Significantly different from the AR group &#40;p&#60;0&#46;05 and p&#60;0&#46;01&#44; respectively&#41;&#46;</p>"
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                  <table border="0" frame="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">H<span class="elsevierStyleInf">2</span>S &#40;umol&#47;L&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">18&#46;9&#177;1&#46;2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">13&#46;9&#177;0&#46;9&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">16&#46;8&#177;1&#46;1<span class="elsevierStyleSup">&#9839;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">8&#46;8&#177;1&#46;6&#42;&#42;<span class="elsevierStyleSup">&#9839;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">CSE &#40;&#215;10<span class="elsevierStyleSup">&#8722;2</span>&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">9&#46;2&#177;1&#46;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#46;4&#177;0&#46;8&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">5&#46;0&#177;0&#46;2&#42;<span class="elsevierStyleSup">&#9839;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;57&#177;0&#46;16&#42;&#42;<span class="elsevierStyleSup">&#9839;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t">CBS &#40;&#215;10<span class="elsevierStyleSup">&#8722;4</span>&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5&#46;8&#177;1&#46;1&nbsp;\t\t\t\t\t\t\n
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    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:33 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nitric oxide in allergic rhinitis and asthma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46; Frieri"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
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                        "fecha" => "1998"
                        "volumen" => "19"
                        "paginaInicial" => "349"
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                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9876773"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Localisation of heme oxygenase isoforms in allergic human nasal mucosa"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "S&#46; Lo"
                            1 => "S&#46; Di Palma"
                            2 => "L&#46; Pitkin"
                            3 => "A&#46;W&#46; McCombe"
                          ]
                        ]
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00405-004-0873-2"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Arch Otorhinolaryngol"
                        "fecha" => "2005"
                        "volumen" => "262"
                        "paginaInicial" => "595"
                        "paginaFinal" => "598"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15592935"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hydrogen sulfide &#40;H2S&#41;-the third gas of interest for pharmacologists"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46; Lowicka"
                            1 => "J&#46; Beltowski"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pharmacol Rep"
                        "fecha" => "2007"
                        "volumen" => "59"
                        "paginaInicial" => "4"
                        "paginaFinal" => "24"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17377202"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reaction mechanism and regulation of cystathionine beta-synthase"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46; Banerjee"
                            1 => "R&#46; Evande"
                            2 => "O&#46; Kabil"
                            3 => "S&#46; Ojha"
                            4 => "S&#46; Taoka"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Biochim Biophys Acta"
                        "fecha" => "2003"
                        "volumen" => "1647"
                        "paginaInicial" => "30"
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                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12686104"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
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              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Murine cystathionine gamma-lyase&#58; complete cDNA and genomic sequences&#44; promoter activity&#44; tissue distribution and developmental expression"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "I&#46; Ishii"
                            1 => "N&#46; Akahoshi"
                            2 => "X&#46;N&#46; Yu"
                            3 => "Y&#46; Kobayashi"
                            4 => "K&#46; Namekata"
                            5 => "G&#46; Komaki"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1042/BJ20040243"
                      "Revista" => array:6 [
                        "tituloSerie" => "Biochem J"
                        "fecha" => "2004"
                        "volumen" => "381"
                        "paginaInicial" => "113"
                        "paginaFinal" => "123"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15038791"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
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                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "H2S generated by heart in rat and its effects on cardiac function"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "B&#46; Geng"
                            1 => "J&#46;H&#46; Yang"
                            2 => "Y&#46;F&#46; Qi"
                            3 => "J&#46; Zhao"
                            4 => "Y&#46;Z&#46; Pang"
                            5 => "J&#46;B&#46; Du"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Biochem Biophys Res Commun"
                        "fecha" => "2004"
                        "volumen" => "313"
                        "paginaInicial" => "362"
                        "paginaFinal" => "368"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14684169"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The vasorelaxant effect of H2S as a novel endogenous gaseous KATP channel opener"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "W&#46;M&#46; Zhao"
                            1 => "J&#46; Zhang"
                            2 => "Y&#46;J&#46; Lu"
                            3 => "R&#46; Wang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/emboj/20.21.6008"
                      "Revista" => array:6 [
                        "tituloSerie" => "EMBO J"
                        "fecha" => "2001"
                        "volumen" => "20"
                        "paginaInicial" => "6008"
                        "paginaFinal" => "6016"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11689441"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The possible role of hydrogen sulfide as an endogenous smooth muscle relaxant in synergy with nitric oxide"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46; Hosoki"
                            1 => "N&#46; Matsuki"
                            2 => "H&#46; Kimura"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Biochem Biophys Res Commun"
                        "fecha" => "1997"
                        "volumen" => "273"
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            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hydrogen sulfide&#58; neurochemistry and neurobiology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
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ISSN: 03010546
Original language: English
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