Inflammatory Mediators in Induced Sputum and Airway Hyperresponsiveness in Cough Variant Asthma during Long-Term Inhaled Corticosteroid Treatment
Joint Authors
Liu, Kaixiong
Liu, Meixuan
Xia, Jing-wen
Zhu, Ning
Chen, Xiaodong
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-08-07
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
This study aimed to investigate improvements in inflammatory mediator levels in induced sputum and airway hyperresponsiveness (AHR) in cough variant asthma (CVA) during long-term inhaled corticosteroid (ICS) treatment.
Patients and Methods.
Patients with CVA (N=35) and classic asthma (N=26) and healthy subjects (N=24) were recruited into this study.
All patients were treated with budesonide (400 μg/day).
Measurement of inflammatory mediators in induced sputum and PD20-FEV1 (the accumulated provocative dose resulting in a 20% decrease in FEV1) in histamine-challenged subjects was performed every three months after the start of medication.
Interleukin- (IL-) 5 and IL-10 were assayed by ELISA, and the percentage of eosinophils was detected with Giemsa stain.
Trends during the follow-up period were analyzed using a general linear model.
Results.
Inflammatory mediator levels in induced sputum and PD20-FEV1 in patients with CVA and classic asthma differed from those in the control group, although no differences were found in the two asthmatic groups.
PD20-FEV1 significantly increased in CVA patients after ICS treatment for 3 months, while classic asthma patients exhibited a delayed change in AHR.
After ICS treatment, levels of IL-5 and IL-10 as well as the percentage of eosinophils in the CVA group were altered at 3 months and 6 months, respectively.
Accordingly, the level of inflammatory mediators in classic asthma changed more slowly.
Conclusion.
CVA has a greater improvement in airway inflammation and airway hyperresponsiveness (AHR) than classic asthma with respect to inhaled corticosteroid (ICS).
Short-term ICS considerably reduces AHR although longer treatment is required for complete control of airway inflammation.
American Psychological Association (APA)
Liu, Meixuan& Liu, Kaixiong& Zhu, Ning& Xia, Jing-wen& Chen, Xiaodong. 2012. Inflammatory Mediators in Induced Sputum and Airway Hyperresponsiveness in Cough Variant Asthma during Long-Term Inhaled Corticosteroid Treatment. Mediators of Inflammation،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-1029398
Modern Language Association (MLA)
Liu, Meixuan…[et al.]. Inflammatory Mediators in Induced Sputum and Airway Hyperresponsiveness in Cough Variant Asthma during Long-Term Inhaled Corticosteroid Treatment. Mediators of Inflammation No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-1029398
American Medical Association (AMA)
Liu, Meixuan& Liu, Kaixiong& Zhu, Ning& Xia, Jing-wen& Chen, Xiaodong. Inflammatory Mediators in Induced Sputum and Airway Hyperresponsiveness in Cough Variant Asthma during Long-Term Inhaled Corticosteroid Treatment. Mediators of Inflammation. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-1029398
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1029398