Document Detail


The effect of inhaled heparin on airway responsiveness to histamine and leukotriene D4.
MedLine Citation:
PMID:  12635579     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Inhaled heparin has been shown to reduce the early and late phase of asthmatic reactions and suppress an allergen-induced increase in bronchial hyperreactivity. The mechanism involved in the control of bronchial hyperreactivity in asthma by heparin is still not understood. The purpose of this study was to investigate the effect of inhaled heparin on the airway response to histamine and leukotriene D4. Children with a typical history of mild allergic asthma participated in this randomized, double-blind, placebo-controlled cross-over study. Subjects underwent provocation challenge tests with histamine or leukotriene D4 before and after inhalation of heparin and placebo. Twenty-three patients completed the study. We showed that placebo did not affect the bronchial hyperreactivity to histamine or leukotriene. A single dose of inhaled heparin significantly decreased bronchial hyperreactivity to histamine and leukotriene in children with mild asthma. Results of our study suggest that inhaled heparin, because of its antiallergic and/or anti-inflammatory properties, modifies airway hyperresponsiveness in children with allergic asthma.
Authors:
Iwona Stelmach; Joanna Jerzynska; Wlodzimierz Stelmach; Pawel Majak; Agnieszka Brzozowska; Pawel Gorski; Piotr Kuna
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Allergy and asthma proceedings : the official journal of regional and state allergy societies     Volume:  24     ISSN:  1088-5412     ISO Abbreviation:  Allergy Asthma Proc     Publication Date:    2003 Jan-Feb
Date Detail:
Created Date:  2003-03-14     Completed Date:  2003-07-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9603640     Medline TA:  Allergy Asthma Proc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  59-65     Citation Subset:  IM    
Affiliation:
Department of Pediatrics and Allergy, M. Curie Hospital, 35 Parzeczewska Street, 95-100 Zgierz, Poland.
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MeSH Terms
Descriptor/Qualifier:
Administration, Inhalation
Adolescent
Anti-Inflammatory Agents / administration & dosage,  therapeutic use*
Bronchial Hyperreactivity / chemically induced*,  drug therapy*,  physiopathology
Bronchial Provocation Tests
Bronchoconstrictor Agents / adverse effects*
Child
Child Welfare
Cross-Over Studies
Dose-Response Relationship, Drug
Double-Blind Method
Female
Forced Expiratory Volume / drug effects
Heparin / administration & dosage,  therapeutic use*
Histamine / adverse effects*
Humans
Leukotriene D4 / adverse effects*
Male
Nasal Provocation Tests
Predictive Value of Tests
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents; 0/Bronchoconstrictor Agents; 51-45-6/Histamine; 73836-78-9/Leukotriene D4; 9005-49-6/Heparin

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


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