Dissociation between airway inflammation and airway hyperresponsiveness in allergic asthma

Emanuele Crimi, Antonio Spanevello, Margherita Neri, Philip W. Ind, Giovanni A. Rossi, Vito Brusasco

Research output: Contribution to journalArticle

Abstract

In asthma, the acute increment of airway responsiveness caused by exposure to allergen is associated with influx of eosinophils into the airways. The relationship between chronic airway hyperresponsiveness and airway inflammation is unclear, as they do not change consistently following long-term anti-inflammatory treatments. We studied 71 patients with chronic asthma and allergic sensitization to perennial allergens. Airway responsiveness was determined by inhalation of methacholine, and airway inflammation was quantified by induced sputum (n = 28) or bronchoalveolar lavage (n = 43) and bronchial biopsy (n = 20). The relationships between airway responsiveness and the numbers of different inflammatory cells were assessed by multiple regression analysis. No significant correlations were found between the degree of airway responsiveness and the numbers of inflammatory cells in sputum or bronchoalveolar lavage or bronchial biopsy. By contrast, baseline lung function was inversely related to the numbers of eosinophils and directly related to the numbers of macrophages. The eosinophil cationic protein contents of either sputum or bronchoalveolar lavage were significantly correlated with the percentages of eosinophils but not with airway responsiveness. We suggest that other factors (e.g., airway wall remodeling or autonomic dysfunction) may be responsible for most of the interindividual variability of airway responsiveness in asthma.

Original languageEnglish
Pages (from-to)4-9
Number of pages6
JournalAmerican Journal of Respiratory and Critical Care Medicine
Volume157
Issue number1
Publication statusPublished - 1998

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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