[The effect of quiet breathing of nitrogen dioxide and sulfur dioxide on the sensitivity of the respiratory tract to hyperventilation of sulfur dioxide]. 1990

R Jörres, and S Boerger, and I S Kursawe, and H Magnussen
Krankenhaus Grosshansdorf, Zentrum für Pneumologie und Thoraxchirurgie, LVA Hamburg.

In 14 patients with an oversensitive bronchial system (non-smokers), we investigated the question as to whether quiet breathing in a nitrogen dioxide or sulphur dioxide atmosphere would modify the sensitivity of the airways to sulphur dioxide. On three consecutive days, over a period of 30 minutes at rest, the patients breathed either filtered air or an atmosphere containing 0.25 ppm nitrogen dioxide, or 0.5 ppm sulphur dioxide. There then followed isocapnic hyperventilation of 0.75 ppm sulphur dioxide in increasing ventilation steps of 3 minutes duration each. On three other experimental days, in 7 patients, a stepwise hyperventilation of filtered air was carried out. Quiet breathing of nitrogen dioxide or sulphur dioxide resulted in no obstruction of the airways. The ventilation required to achieve a doubling of the specific airway resistance (PV100SRaw) during hyperventilation of sulphur dioxide was, on average, 46.5, 37.7 and 45.4 l/min after inhalation of filtered air, nitrogen dioxide and sulphur dioxide, respectively. Following nitrogen dioxide, PV100SRaw was significantly smaller (p less than 0.01 than following filtered air or sulphur dioxide. During hyperventilation of filtered air, the average PV100SRaw was 58.2, 51.8 and 55.7 l/min, respectively. We conclude that in non-smokers with an hypersensitive bronchial system, the inhalation of nitrogen dioxide can bring about an increase in the obstructive reaction to sulphur dioxide, without itself leading to an obstruction of the airways; in contrast, sulphur dioxide does not modify the degree of sensitivity.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009585 Nitrogen Dioxide Nitrogen oxide (NO2). A highly poisonous gas. Exposure produces inflammation of lungs that may only cause slight pain or pass unnoticed, but resulting edema several days later may cause death. (From Merck, 11th ed) It is a major atmospheric pollutant that is able to absorb UV light that does not reach the earth's surface. Nitrogen Peroxide,Dioxide, Nitrogen,Peroxide, Nitrogen
D012123 Pulmonary Ventilation The total volume of gas inspired or expired per unit of time, usually measured in liters per minute. Respiratory Airflow,Ventilation Tests,Ventilation, Pulmonary,Expiratory Airflow,Airflow, Expiratory,Airflow, Respiratory,Test, Ventilation,Tests, Ventilation,Ventilation Test
D001985 Bronchial Provocation Tests Tests involving inhalation of allergens (nebulized or in dust form), nebulized pharmacologically active solutions (e.g., histamine, methacholine), or control solutions, followed by assessment of respiratory function. These tests are used in the diagnosis of asthma. Allergen Bronchial Provocation Tests,Allergen Challenge, Endobronchial,Antigen Bronchial Provocation Tests,Bronchial Allergen Challenge,Bronchial Challenge Tests,Inhalation Provocation Tests,Provocation Tests, Bronchial,Endobronchial Challenge Tests,Allergen Challenge, Bronchial,Allergen Challenges, Bronchial,Allergen Challenges, Endobronchial,Bronchial Allergen Challenges,Bronchial Challenge Test,Bronchial Provocation Test,Challenge Test, Bronchial,Challenge Test, Endobronchial,Challenge Tests, Bronchial,Challenge Tests, Endobronchial,Challenge, Bronchial Allergen,Challenge, Endobronchial Allergen,Challenges, Bronchial Allergen,Challenges, Endobronchial Allergen,Endobronchial Allergen Challenge,Endobronchial Allergen Challenges,Endobronchial Challenge Test,Inhalation Provocation Test,Provocation Test, Bronchial,Provocation Test, Inhalation,Provocation Tests, Inhalation,Test, Bronchial Challenge,Test, Bronchial Provocation,Test, Endobronchial Challenge,Test, Inhalation Provocation,Tests, Bronchial Challenge,Tests, Bronchial Provocation,Tests, Endobronchial Challenge,Tests, Inhalation Provocation
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000393 Air Pollutants Any substance in the air which could, if present in high enough concentration, harm humans, animals, vegetation or materials. Substances include GASES; PARTICULATE MATTER; and volatile ORGANIC CHEMICALS. Air Pollutant,Air Pollutants, Environmental,Environmental Air Pollutants,Environmental Pollutants, Air,Air Environmental Pollutants,Pollutant, Air,Pollutants, Air,Pollutants, Air Environmental,Pollutants, Environmental Air
D000403 Airway Resistance Physiologically, the opposition to flow of air caused by the forces of friction. As a part of pulmonary function testing, it is the ratio of driving pressure to the rate of air flow. Airway Resistances,Resistance, Airway,Resistances, Airway

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