Document Detail


Airway cough sensitivity to inhaled capsaicin and bronchial responsiveness to methacholine in asthmatic and bronchitic subjects.
MedLine Citation:
PMID:  10201054     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this study was to evaluate the effect of chronic airway inflammation on airway cough sensitivity and non-specific bronchial responsiveness, and the relationship between them. The capsaicin cough threshold, defined as the lowest concentration of capsaicin causing five or more coughs, and non-specific bronchial responsiveness, defined as the methacholine concentration causing a 20% fall in forced expiratory volume in 1 s (FEV1) (PC20-FEV1), were measured in 18 asthmatic, 13 bronchitic (sinobronchial syndrome) and 28 healthy non-atopic subjects. All subjects were non-smoking men. The geometric mean values (mumol) of the cough threshold were 18.9 (GSEM 1.29), 8.69 (GSEM 1.29) and 27.6 (GSEM 1.31) in asthmatic, bronchitic and normal subjects, respectively. The value in bronchitic subjects was significantly lower (P << 0.02) than that in normal subjects. The geometric mean value of PC20-FEV1 in asthmatic subjects (0.48 mg/ml (GSEM 1.38)) was significantly lower than that in bronchitic subjects (18.5 mg/ml (GSEM 1.75)) (P << 0.001). There was no correlation between cough threshold and PC20-FEV1 values (correlation coefficient (r) = 0.155). These results indicate that cough sensitivity is potentiated by chronic airway inflammation in bronchitis but not in asthma, and suggest that cough sensitivity and bronchial responsiveness may be independently potentiated by different mechanisms resulting from chronic airway inflammation.
Authors:
M Fujimura; Y Kamio; T Hashimoto; T Matsuda
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Respirology (Carlton, Vic.)     Volume:  3     ISSN:  1323-7799     ISO Abbreviation:  Respirology     Publication Date:  1998 Dec 
Date Detail:
Created Date:  1999-05-17     Completed Date:  1999-05-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9616368     Medline TA:  Respirology     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  267-72     Citation Subset:  IM    
Affiliation:
Third Department of Internal Medicine, Kanazawa University School of Medicine, Japan.
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MeSH Terms
Descriptor/Qualifier:
Administration, Inhalation
Analysis of Variance
Asthma / physiopathology*
Bronchial Hyperreactivity / physiopathology*
Bronchial Provocation Tests
Bronchitis / physiopathology*
Bronchoconstrictor Agents / administration & dosage,  diagnostic use*
Capsaicin / administration & dosage,  diagnostic use*
Chronic Disease
Cough / physiopathology*
Forced Expiratory Volume / drug effects
Humans
Male
Methacholine Chloride / administration & dosage,  diagnostic use*
Middle Aged
Nebulizers and Vaporizers
Regression Analysis
Vital Capacity / drug effects
Chemical
Reg. No./Substance:
0/Bronchoconstrictor Agents; 404-86-4/Capsaicin; 62-51-1/Methacholine Chloride

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


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