In this study, we examined the mechanism by which bronchoalveolar lavage (BAL) cells induced hyperreactivity of the trachea in vitro. As both interleukin-5 (IL-5) and substance P (SP) appeared to be involved, the effect of these mediators was examined in vivo.Tracheae were incubated with BAL cells from ovalbumin or saline challenged animals, and from naive animals, in the absence or presence of either IL-5, SP, or both. In addition, the effect of intra-airway application of IL-5, SP, both, or vehicle on tracheal hyperreactivity was examined.Incubation These data suggest that IL-5 is important in the recruitment of eosinophils, whereas both IL-5 and substance P are involved in the induction of airway hyperreactivity. Eur Respir J., 1996, 9, 493-499 Airway hyperreactivity to bronchoconstrictor mediators is a main characteristic in a majority of asthmatic patients and correlates well with the severity of the disease [1]. Airway hyperreactivity often coincides with the infiltration of inflammatory cells, in particular eosinophilic granulocytes [2]. The mechanistic relationship between hyperreactivity and cell infiltration is currently unknown.Recently, we and others demonstrated that antibodies to interleukin-5 (IL-5) inhibit the airway hyperreactivity and eosinophil infiltration in a guinea-pig model of allergic asthma [3,4]. Conversely, administration of IL-5 has been demonstrated to induce airway eosinophilia and hyperreactivity in guinea-pigs and mice [3,5,6]. These data underline the putative role of the eosinophil in airway hyperreactivity. On the other hand, in guinea-pigs depleted of sensory neuropeptides by capsaicin treatment, ovalbumin challenge does not induce airway hyperreactivity despite the infiltration of eosinophils [7,8]. A possible explanation is that as well as other factors IL-5 is involved in the recruitment of eosinophils, whereas sensory neuropeptides seem to be involved in the process by which eosinophils induce hyperreactivity. In agreement with this, IL-5 enhances adhesion of eosinophils to endothelial cells and is an eosinophil chemoattractant [9,10]. Furthermore, it is well-known that IL-5 primes eosinophils for enhanced effector function to activators [11][12][13][14][15]. Although substance P (SP) may also act as a priming substance for eosinophil chemoattractants [16], little is known about the effect on eosinophil activation.To investigate the role of inflammatory cells in the induction of airway hyperreactivity, BAL cells from ovalbumin-challenged guinea-pigs were incubated with isolated tracheal rings from naive animals. Furthermore, the effect of IL-5 or SP, or the combination of these factors, on the responsiveness of guinea-pig trachea was examined after incubation in vitro or after intra-airway application in vivo.