Document Detail

Airway contribution to alveolar nitric oxide in healthy subjects and stable asthma patients.
MedLine Citation:
PMID:  18218917     Owner:  NLM     Status:  MEDLINE    
Alveolar nitric oxide (NO) concentration (Fa(NO)), increasingly considered in asthma, is currently interpreted as a reflection of NO production in the alveoli. Recent modeling studies showed that axial molecular diffusion brings NO molecules from the airways back into the alveolar compartment during exhalation (backdiffusion) and contributes to Fa(NO). Our objectives in this study were 1) to simulate the impact of backdiffusion on Fa(NO) and to estimate the alveolar concentration actually due to in situ production (Fa(NO,prod)); and 2) to determine actual alveolar production in stable asthma patients with a broad range of NO bronchial productions. A model incorporating convection and diffusion transport and NO sources was used to simulate Fa(NO) and exhaled NO concentration at 50 ml/s expired flow (Fe(NO)) for a range of alveolar and bronchial NO productions. Fa(NO) and Fe(NO) were measured in 10 healthy subjects (8 men; age 38 +/- 14 yr) and in 21 asthma patients with stable asthma [16 men; age 33 +/- 13 yr; forced expiratory volume during 1 s (FEV(1)) = 98.0 +/- 11.9%predicted]. The Asthma Control Questionnaire (Juniper EF, Buist AS, Cox FM, Ferrie PJ, King DR. Chest 115: 1265-1270, 1999) assessed asthma control. Simulations predict that, because of backdiffusion, Fa(NO) and Fe(NO) are linearly related. Experimental results confirm this relationship. Fa(NO,prod) may be derived by Fa(NO,prod) = (Fa(NO) - 0.08.Fe(NO))/0.92 (Eq. 1). Based on Eq. 1, Fa(NO,prod) is similar in asthma patients and in healthy subjects. In conclusion, the backdiffusion mechanism is an important determinant of NO alveolar concentration. In stable and unobstructed asthma patients, even with increased bronchial NO production, alveolar production is normal when appropriately corrected for backdiffusion.
Yannick Kerckx; Alain Michils; Alain Van Muylem
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-01-24
Journal Detail:
Title:  Journal of applied physiology (Bethesda, Md. : 1985)     Volume:  104     ISSN:  8750-7587     ISO Abbreviation:  J. Appl. Physiol.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-03     Completed Date:  2008-06-17     Revised Date:  2013-09-26    
Medline Journal Info:
Nlm Unique ID:  8502536     Medline TA:  J Appl Physiol (1985)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  918-24     Citation Subset:  IM    
Chest Dept., CUB Erasme, 808 Route de Lennik, B-1070 Brussels, Belgium.
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MeSH Terms
Asthma / metabolism*
Bronchi / metabolism,  physiology
Forced Expiratory Volume / physiology
Helium / diagnostic use
Linear Models
Middle Aged
Models, Statistical
Nitric Oxide / metabolism*
Oxygen / diagnostic use
Pulmonary Alveoli / metabolism*
Respiratory Physiological Phenomena*
Respiratory System*
Reg. No./Substance:
10102-43-9/Nitric Oxide; 58933-55-4/heliox; 7440-59-7/Helium; 7782-44-7/Oxygen
Comment In:
J Appl Physiol (1985). 2008 Apr;104(4):909-11   [PMID:  18258805 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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