Diffusion lung capacity of carbon monoxide: A novel marker of airways remodeling in asthmatic children?

Diffusion lung capacity of carbon monoxide: A novel marker of airways remodeling in asthmatic children?

Allergy Rhinol (Providence). 2012;3(2):e66-73

Authors: Piacentini GL, Tezza G, Cattazzo E, Kantar A, Ragazzo V, Boner AL, Peroni DG

Abstract
Asthma is universally considered a chronic inflammatory disorder of the airways. Several noninvasive markers, such as exhaled nitric oxide (FeNO) and exhaled breath temperature (PletM), have been proposed to evaluate the degree of airway inflammation and remodeling in asthmatic children. The aim of this study was to evaluate the relationship between diffusion lung capacity of carbon monoxide (DLCO) and these inflammatory markers in asthmatic children. We compared data of FeNO, PletM, and DLCO collected in 35 asthmatic children at admission (T0) and discharge (T1) after a period spent in a dust-mite-free environment (Misurina, Italian Dolomites, 1756 m). PletM showed a reduction from 29.48°C at T0 to 29.13°C at T1 (p = 0.17); DLCO passed from 93 to 102 (p = 0.085). FeNO mean value was 29.7 ppb at admission and 18.9 ppb at discharge (p = 0.014). Eosinophil mean count in induced sputum was 4 at T0 and 2 at T1 (p = 0.004). Spearman standardization coefficient beta was 0.414 between eosinophils and FeNO and -0.278 between eosinophils and DLCO. Pearson’s correlation index between DLCO and PletM was -0.456 (p = 0.019). A negative correlation between DLCO and PletM was found. However, DLCO did not show a significant correlation with FeNO and eosinophils in the airways. Additional studies are needed to clarify the role of DLCO as a potential tool in monitoring childhood asthma.

PMID: 23342292 [PubMed – in process]

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Remodeling Asthma Patients’ Airways – Ivanhoe


MD News (press release)

Remodeling Asthma Patients' Airways
Ivanhoe
(Ivanhoe Newswire) — Asthma is a common chronic respiratory condition characterized clinically by an excessive tendency toward reversible airway narrowing. Scientists believe that the airway narrowing induced by allergen exposure in patients with
Research revelation could shape future long-term treatment of asthmaHealthCanal.com
Frequent Bronchoconstriction Tied to Airway RemodelingDoctors Lounge

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Increased apoptosis of CD4 and CD8 T lymphocytes in the airways of horses with recurrent airway obstruction.

Increased apoptosis of CD4 and CD8 T lymphocytes in the airways of horses with recurrent airway obstruction.

Vet Res Commun. 2011 May 19;

Authors: Moran G, Buechner-Maxwell VA, Folch H, Henriquez C, Galecio JS, Perez B, Carrasco C, Barria M

Recurrent airway obstruction (RAO, also known as equine heaves) is an inflammatory condition similar to human asthma caused by exposure of susceptible horses to poorly ventilated stable environments. The disease is characterized by neutrophilic airway inflammation, mucus hypersecretion and reversible bronchoconstriction. This inflammatory process is mediated by several factors, including antibodies, cytokines, resident cells of the airway and inflammatory cellular components that arrive in the respiratory tract. An increasing body of evidence has lent support to the concept that a dysregulation of T cell apoptosis may play a central role in the development of airway inflammation and the associated asthma. Therefore, the aim of this study was to investigate early and late apoptosis of CD4 and CD8 T cell subpopulations obtained from the airways of acute RAO-positive animals after exposure to hay/straw. The percentages of CD4 and CD8 T cells and their associated frequencies of apoptosis were quantified using flow cytometry. Hay/straw exposure induced clinical airway obstruction, airway neutrophilia and increased airway mucus production in RAO-positive horses. In addition, allergen exposure increased the percentage of CD4 T cells in RAO-positive horses as well as the frequency of early and late apoptosis in both CD4 and CD8 lymphocyte subpopulations. These results suggest that the higher frequency of lymphocyte apoptosis may play a role in disease progression of horses afflicted with RAO and may partially explain the characteristic remission of this pathological condition once the allergen source is removed. However, further studies are needed to clarify the role of T cell apoptosis in RAO-affected horses.

PMID: 21594641 [PubMed – as supplied by publisher]

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ATS: What’s Bitter to Taste Might Ease Tight Airways – MedPage Today


Health Newstrack

ATS: What's Bitter to Taste Might Ease Tight Airways
MedPage Today
DENVER — What's bitter on the tongue may be sweet relief to people suffering from asthma and COPD, a researcher said here. A wide-ranging analysis of genes expressed in lung tissue has
Researchers a step closer to find new class of asthma, COPD drugsTruthDive
Researchers move closer to identifying new class of asthma, COPD drugsEurekAlert (press release)
Bitter May Be Better When It Comes to BronchodilationAbout – News & Issues

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Asthma may be linked to bacterial colonies in our airways – Milwaukee Journal Sentinel (blog)

Asthma may be linked to bacterial colonies in our airways
Milwaukee Journal Sentinel (blog)
"People thought that asthma was caused by inhalation of allergens but this study shows that it may be more complicated than that," said Homer Boushey, a professor of medicine at the University of California, San Francisco and one of the authors of a
Asthma linked to bacterial communitiesTimes of India

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