دورية أكاديمية
Association of extended nitric oxide parameters with bronchial hyperresponsiveness and bronchodilator response in children with asthma
| العنوان: | Association of extended nitric oxide parameters with bronchial hyperresponsiveness and bronchodilator response in children with asthma |
|---|---|
| المساهمون: | College of Medicine, Dept. of Pediatrics, Yoon Hee Kim, In Suk Sol, Seo Hee Yoon, Min Jung Kim, Kyung Won Kim, Myung Hyun Sohn, Kyu-Earn Kim, Kim, Kyung Won, Kim, Kyu Earn, Kim, Yoon Hee, Sol, In Suk, Son, Myung Hyun, Yoon, Seo Hee |
| بيانات النشر: | 1752-7163 |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Asthma/diagnosis, Asthma/drug therapy, Asthma/physiopathology, Bronchial Hyperreactivity/physiopathology, Bronchodilator Agents/pharmacology, Bronchodilator Agents/therapeutic use, Child, Female, Humans, Lung/metabolism, Male, Nitric Oxide/analysis, Regression Analysis |
| الوصف: | Theoretical non-linear modeling of exhaled nitric oxide has revealed extended flow-independent parameters that could explain where or how nitric oxide is produced in the lung and transferred to the airway gas stream. We aimed to evaluate the associations of bronchial hyperresponsiveness and bronchodilator response with extended flow-independent nitric oxide parameters. Nitric oxide (30, 50, 100, 200 ml s-1) was measured in 432 children with asthma on the same day with either a methacholine challenge test (n = 156) or spirometry with bronchodilator (n = 276; 96 previously diagnosed with asthma and treated with inhaled corticosteroid, 37 with acute exacerbation treated with systemic corticosteroid). We additionally included 107 healthy controls for evaluation of the suitability of the non-linear model of exhaled nitric oxide. In asthmatic children, the response-dose ratio of the methacholine challenge test was correlated positively with bronchial nitric oxide (JawNO) and airway tissue nitric oxide (CawNO) (r = 0.367 and r = 0.299, respectively; both p < 0.001), while the change in forced expiratory volume in 1 s, representing bronchodilator response, was associated positively with only JawNO (r = 0. 216, p < 0.001). On multiple regression, JawNO, CawNO, and the diffusing capacity of NO (DawNO) were significantly associated with the response-dose ratio. JawNO was significantly associated with change in forced expiratory volume in children with stable asthma but not those with acute exacerbation. Our findings suggest that bronchial hyperresponsiveness is associated with CawNO while factors other than airway tissue inflammation could affect bronchodilator response in children with mild asthma. Systemic corticosteroid use during asthma exacerbation could affect the association of bronchodilator response with extended nitric oxide parameters. ; restriction |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | unknown |
| تدمد: | 1752-7155 1752-7163 28656903 |
| العلاقة: | JOURNAL OF BREATH RESEARCH; J03354; OAK-2017-05854; https://ir.ymlib.yonsei.ac.kr/handle/22282913/161113Test; http://iopscience.iop.org/article/10.1088/1752-7163/aa7c1f/metaTest; T201704081; JOURNAL OF BREATH RESEARCH, Vol.11(4) : 46003, 2017 |
| DOI: | 10.1088/1752-7163/aa7c1f |
| DOI: | 10.1088/1752-7163/aa7c1f/meta |
| الإتاحة: | https://doi.org/10.1088/1752-7163/aa7c1fTest https://ir.ymlib.yonsei.ac.kr/handle/22282913/161113Test |
| حقوق: | CC BY-NC-ND 2.0 KR ; https://creativecommons.org/licenses/by-nc-nd/2.0/krTest/ |
| رقم الانضمام: | edsbas.4EB9B521 |
| قاعدة البيانات: | BASE |
| تدمد: | 17527155 17527163 28656903 |
|---|---|
| DOI: | 10.1088/1752-7163/aa7c1f |