[Current data on non-specific bronchial hyperreactivity]. 1989

A Lockhart
Laboratoire de Physiologie, UFR Cochin Port-Royal, Paris.

It is not necessary to have excessive shortening of smooth muscle to cause the disproportionate bronchial obstruction which is a characteristic of bronchial hyperresponsiveness (HRB). There are also no convincing arguments favouring increased contractility in vivo of airway smooth muscle in subjects having HRB in vivo. Excessive bronchial obstruction seems to be linked to factors increasing the effects of smooth muscle contraction: hypertrophy of smooth muscle, excessive thickening of the wall linked to pre-existing bronchial lesions, vasodilatation and acute parietal oedema caused by stimuli used to demonstrate HRB. Activation of effectors involved in HRB may be by direct through action on the post junctional receptors, indirect through local liberation of paracrine mediators, or stimulation of bronchial receptors causing a reflex increase in vagal tone. Various techniques have been used to cause HRB in man and in different of animal species. Whether the method employed damages the epithelium, causes an inflammatory infiltrate or interfere with the degradation of paracrine mediators, HRB is both transient and weak. Thus experimental HRB does not open pathways for the research into the cause of asthma. On the other hand these studies permit a better understanding of factors which aggravate human asthma. Even the causes of human HRB are poorly understood. The prevalence of HRB is greater than of asthma, there is no narrow correlation between the severity of asthma and the intensity of HRB and there are arguments in favour of the familial segregation of HRB. The question is posed, therefore, whether HRB is similar to atopy with a genetic factor determining the predisposition to the expression of asthma under the influence of environmental factors.

UI MeSH Term Description Entries
D009130 Muscle, Smooth Unstriated and unstriped muscle, one of the muscles of the internal organs, blood vessels, hair follicles, etc. Contractile elements are elongated, usually spindle-shaped cells with centrally located nuclei. Smooth muscle fibers are bound together into sheets or bundles by reticular fibers and frequently elastic nets are also abundant. (From Stedman, 25th ed) Muscle, Involuntary,Smooth Muscle,Involuntary Muscle,Involuntary Muscles,Muscles, Involuntary,Muscles, Smooth,Smooth Muscles
D012130 Respiratory Hypersensitivity A form of hypersensitivity affecting the respiratory tract. It includes ASTHMA and RHINITIS, ALLERGIC, SEASONAL. Airway Hyperresponsiveness,Hypersensitivity, Respiratory,Airway Hyper-Responsiveness,Airway Hyper Responsiveness,Airway Hyperresponsivenesses,Hyper-Responsiveness, Airway,Hyperresponsiveness, Airway,Respiratory Hypersensitivities
D001980 Bronchi The larger air passages of the lungs arising from the terminal bifurcation of the TRACHEA. They include the largest two primary bronchi which branch out into secondary bronchi, and tertiary bronchi which extend into BRONCHIOLES and PULMONARY ALVEOLI. Primary Bronchi,Primary Bronchus,Secondary Bronchi,Secondary Bronchus,Tertiary Bronchi,Tertiary Bronchus,Bronchi, Primary,Bronchi, Secondary,Bronchi, Tertiary,Bronchus,Bronchus, Primary,Bronchus, Secondary,Bronchus, Tertiary
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000402 Airway Obstruction Any hindrance to the passage of air into and out of the lungs. Choking,Airway Obstructions,Obstruction, Airway,Obstructions, Airway
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D001249 Asthma A form of bronchial disorder with three distinct components: airway hyper-responsiveness (RESPIRATORY HYPERSENSITIVITY), airway INFLAMMATION, and intermittent AIRWAY OBSTRUCTION. It is characterized by spasmodic contraction of airway smooth muscle, WHEEZING, and dyspnea (DYSPNEA, PAROXYSMAL). Asthma, Bronchial,Bronchial Asthma,Asthmas

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