Time points zero, 30 min after the last inhalation and 1 week after the last
inhalation were taken. Neopterin concentrations were determined by
enzyme-linked immunosorbent assay with a detection limit of 2 nmol/l
(Brahms, Berlin, Germany).
Serum tryptophan and kynurenine concentrations were assessed by
reversed-phase HPLC on a ProStar Varian system (USA) according to the
protocol described earlier.27 (link) In brief, serum specimens were deproteinized with trichloroacetic
acid and separated on reversed-phase C18 material using 15 mmol/l acetic
acid-sodium acetate buffer (pH 4.0) and a flow rate of 0.9 ml/min.
Tryptophan was monitored by means of its native fluorescence at 286 nm
excitation and 366 nm emission wavelengths (ProStar 360 detector, Varian,
USA). Kynurenine was detected by ultraviolet-absorption at 360 nm wavelength
(Shimadzu SPD-6A UV detector, Austria) in the same chromatographic run.
Finally, kynurenine to tryptophan (Kyn/Trp) ratio was calculated as an
indirect estimate of indoleamine 2,3- dioxygenase activity by dividing
kynurenine concentrations (μmol/l) by tryptophan concentrations
(mmol/l).