Potent bronchoprotective effect of deep inspiration and its absence in asthma

Nicola Scichilone, Trisevgeni Kapsali, Solbert Permutt, Alkis Togias, Beth Laube

Risultato della ricerca: Article

179 Citazioni (Scopus)

Abstract

In the absence of deep inspirations, healthy individuals develop bronchoconstriction with methacholine inhalation. One hypothesis is that deep inspiration results in bronchodilation. In this study, we tested an alternative hypothesis, that deep inspiration acts as a bronchoprotector. Single-dose methacholine bronchoprovocations were performed after 20 min of deep breath inhibition, in nine healthy subjects and in eight asthmatics, to establish the dose that reduces forced expiratory volume in 1 s by >15%. The provocation was repeated with two and five deep inspirations preceding methacholine. Additional studies were carried out to assess optimization and reproducibility of the protocol and to rule out the possibility that bronchoprotection may result from changes in airway geometry or from differential spasmogen deposition. In healthy subjects, five deep inspirations conferred 85% bronchoprotection. The bronchoprotective effect was reproducible and was not attributable to increased airway caliber or to differential deposition of methacholine. Deep inspirations did not protect the bronchi of asthmatics. We demonstrated that bronchoprotection is a potent physiologic function of lung inflation and established its absence, even in mild asthma. This observation deepens our understanding of airway dysfunction in asthma.
Lingua originaleEnglish
pagine (da-a)711-720
Numero di pagine10
RivistaJournal of Applied Physiology
Volume89
Stato di pubblicazionePublished - 2000

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Methacholine Chloride
Asthma
Healthy Volunteers
Bronchoconstriction
Economic Inflation
Forced Expiratory Volume
Bronchi
Inhalation
Lung

All Science Journal Classification (ASJC) codes

  • Physiology
  • Physiology (medical)

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Potent bronchoprotective effect of deep inspiration and its absence in asthma. / Scichilone, Nicola; Kapsali, Trisevgeni; Permutt, Solbert; Togias, Alkis; Laube, Beth.

In: Journal of Applied Physiology, Vol. 89, 2000, pag. 711-720.

Risultato della ricerca: Article

Scichilone, N, Kapsali, T, Permutt, S, Togias, A & Laube, B 2000, 'Potent bronchoprotective effect of deep inspiration and its absence in asthma', Journal of Applied Physiology, vol. 89, pagg. 711-720.
Scichilone, Nicola ; Kapsali, Trisevgeni ; Permutt, Solbert ; Togias, Alkis ; Laube, Beth. / Potent bronchoprotective effect of deep inspiration and its absence in asthma. In: Journal of Applied Physiology. 2000 ; Vol. 89. pagg. 711-720.
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AU - Scichilone, Nicola

AU - Kapsali, Trisevgeni

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AU - Togias, Alkis

AU - Laube, Beth

PY - 2000

Y1 - 2000

N2 - In the absence of deep inspirations, healthy individuals develop bronchoconstriction with methacholine inhalation. One hypothesis is that deep inspiration results in bronchodilation. In this study, we tested an alternative hypothesis, that deep inspiration acts as a bronchoprotector. Single-dose methacholine bronchoprovocations were performed after 20 min of deep breath inhibition, in nine healthy subjects and in eight asthmatics, to establish the dose that reduces forced expiratory volume in 1 s by >15%. The provocation was repeated with two and five deep inspirations preceding methacholine. Additional studies were carried out to assess optimization and reproducibility of the protocol and to rule out the possibility that bronchoprotection may result from changes in airway geometry or from differential spasmogen deposition. In healthy subjects, five deep inspirations conferred 85% bronchoprotection. The bronchoprotective effect was reproducible and was not attributable to increased airway caliber or to differential deposition of methacholine. Deep inspirations did not protect the bronchi of asthmatics. We demonstrated that bronchoprotection is a potent physiologic function of lung inflation and established its absence, even in mild asthma. This observation deepens our understanding of airway dysfunction in asthma.

AB - In the absence of deep inspirations, healthy individuals develop bronchoconstriction with methacholine inhalation. One hypothesis is that deep inspiration results in bronchodilation. In this study, we tested an alternative hypothesis, that deep inspiration acts as a bronchoprotector. Single-dose methacholine bronchoprovocations were performed after 20 min of deep breath inhibition, in nine healthy subjects and in eight asthmatics, to establish the dose that reduces forced expiratory volume in 1 s by >15%. The provocation was repeated with two and five deep inspirations preceding methacholine. Additional studies were carried out to assess optimization and reproducibility of the protocol and to rule out the possibility that bronchoprotection may result from changes in airway geometry or from differential spasmogen deposition. In healthy subjects, five deep inspirations conferred 85% bronchoprotection. The bronchoprotective effect was reproducible and was not attributable to increased airway caliber or to differential deposition of methacholine. Deep inspirations did not protect the bronchi of asthmatics. We demonstrated that bronchoprotection is a potent physiologic function of lung inflation and established its absence, even in mild asthma. This observation deepens our understanding of airway dysfunction in asthma.

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