Effects of beta 2-receptor agonists on airway responsiveness. 1993

A A Verberne, and K F Kerrebijn
Department of Paediatrics, Erasmus University, Rotterdam, The Netherlands.

Airway hyper-responsiveness is one of the characteristics of asthma. It may be distinguished by airway hyper-sensitivity and an increase of the maximal response plateau. Short-acting beta 2-agonists have an acute protective effect on airway sensitivity, which is shorter in duration than the bronchodilating effect, without affecting the maximal response plateau. Long-term treatment has no beneficial effect on airway responsiveness. A diminishment of the protection against metacholine- and histamine-induced airway obstruction and a rebound increase of this after cessation of continuous treatment have been reported. Single doses of long-acting beta 2-agonists give a prolonged protection against methacholine- and histamine-induced airway sensitivity of at least 12 hours. A small decrease in the maximal response plateau has been noted. Currently, there is little data on long-term treatment. One study has described the development of tolerance to the protecting effect on methacholine-induced airway sensitivity after 2 months treatment. However, a protection by 1.0 doubling dose remained and the bronchodilating effect was not influenced. So far, no rebound increase in airway sensitivity has been reported after cessation of continuous treatment.

UI MeSH Term Description Entries
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000318 Adrenergic beta-Agonists Drugs that selectively bind to and activate beta-adrenergic receptors. Adrenergic beta-Receptor Agonists,beta-Adrenergic Agonists,beta-Adrenergic Receptor Agonists,Adrenergic beta-Agonist,Adrenergic beta-Receptor Agonist,Betamimetics,Receptor Agonists, beta-Adrenergic,Receptors Agonists, Adrenergic beta,beta-Adrenergic Agonist,beta-Adrenergic Receptor Agonist,Adrenergic beta Agonist,Adrenergic beta Agonists,Adrenergic beta Receptor Agonist,Adrenergic beta Receptor Agonists,Agonist, Adrenergic beta-Receptor,Agonist, beta-Adrenergic,Agonist, beta-Adrenergic Receptor,Agonists, Adrenergic beta-Receptor,Agonists, beta-Adrenergic,Agonists, beta-Adrenergic Receptor,Receptor Agonist, beta-Adrenergic,Receptor Agonists, beta Adrenergic,beta Adrenergic Agonist,beta Adrenergic Agonists,beta Adrenergic Receptor Agonist,beta Adrenergic Receptor Agonists,beta-Agonist, Adrenergic,beta-Agonists, Adrenergic,beta-Receptor Agonist, Adrenergic,beta-Receptor Agonists, Adrenergic
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
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
D016535 Bronchial Hyperreactivity Tendency of the smooth muscle of the tracheobronchial tree to contract more intensely in response to a given stimulus than it does in the response seen in normal individuals. This condition is present in virtually all symptomatic patients with asthma. The most prominent manifestation of this smooth muscle contraction is a decrease in airway caliber that can be readily measured in the pulmonary function laboratory. Bronchial Hyperreactivities,Hyperreactivities, Bronchial,Hyperreactivity, Bronchial

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