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气道高反应性与炎症的药理学

The pharmacology of airway hyperresponsiveness and inflammation.

作者信息

Pauwels R

机构信息

University Hospital, Department of Respiratory Diseases, Ghent, Belgium.

出版信息

Lung. 1990;168 Suppl:221-9. doi: 10.1007/BF02718136.

DOI:10.1007/BF02718136
PMID:2117124
Abstract

Hyperresponsiveness is a key abnormality in asthma and deserves recognition both in the clinical presentation of asthma and its pathogenesis. Available evidence strongly suggests that inflammatory processes are important in producing this aspect of disordered airway physiology. Pharmacologic studies have greatly increased our knowledge of mechanisms involved in hyperresponsiveness but fall short of a complete explanation of the phenomenon. It is most likely that hyperresponsiveness, as measured in the laboratory, has many different components and that any single mechanism will be an insufficient explanation.

摘要

高反应性是哮喘的关键异常表现,在哮喘的临床表现及其发病机制中均值得关注。现有证据有力地表明,炎症过程在导致这种气道生理紊乱方面起着重要作用。药理学研究极大地增加了我们对高反应性相关机制的认识,但仍不足以完全解释这一现象。很可能实验室检测到的高反应性有许多不同的组成部分,任何单一机制都不足以解释该现象。

相似文献

1
The pharmacology of airway hyperresponsiveness and inflammation.气道高反应性与炎症的药理学
Lung. 1990;168 Suppl:221-9. doi: 10.1007/BF02718136.
2
[Platelet activating factor produces platelet activating factor, comes to nothing].
Med Klin (Munich). 1989 Jun 15;84(6):319-20.
3
[Non-allergic factors of bronchial asthma].[支气管哮喘的非变应性因素]
Recenti Prog Med. 1989 Feb;80(2):99-106.
4
The origin of airway hyperresponsiveness.气道高反应性的起源。
J Allergy Clin Immunol. 1986 Nov;78(5 Pt 1):825-32. doi: 10.1016/0091-6749(86)90226-5.
5
The contractile lability of smooth muscle in asthmatic airway hyperresponsiveness.哮喘气道高反应性中平滑肌的收缩易变性。
Expert Rev Respir Med. 2016;10(1):19-27. doi: 10.1586/17476348.2016.1111764. Epub 2015 Nov 11.
6
Airway responses to platelet-activating factor.
Am Rev Respir Dis. 1987 Oct;136(4 Pt 2):S28-32. doi: 10.1164/ajrccm/136.4_Pt_2.S28.
7
Airway hyperresponsiveness, remodeling, and smooth muscle mass: right answer, wrong reason?气道高反应性、重塑与平滑肌质量:答案正确,原因错误?
Am J Respir Cell Mol Biol. 2007 Sep;37(3):264-72. doi: 10.1165/rcmb.2006-0418OC. Epub 2007 Apr 26.
8
Inflammatory mediators of asthma.
Eur J Respir Dis Suppl. 1986;144:163-89.
9
Neurogenic and myogenic mechanisms of nonspecific bronchial hyperresponsiveness.非特异性支气管高反应性的神经源性和肌源性机制。
Eur J Respir Dis Suppl. 1983;128 (Pt 1):206-12.
10
Role for platelet-activating factor in asthma.血小板活化因子在哮喘中的作用。
Lipids. 1991 Dec;26(12):1277-9. doi: 10.1007/BF02536547.

本文引用的文献

1
Allergen-induced increase in bronchial responsiveness to histamine: relationship to the late asthmatic response and change in airway caliber.变应原诱导的支气管对组胺反应性增加:与迟发性哮喘反应及气道管径变化的关系。
J Allergy Clin Immunol. 1982 Sep;70(3):170-7. doi: 10.1016/0091-6749(82)90038-0.
2
Functional assessment of alveolar macrophages: comparison of cells from asthmatics and normal subjects.肺泡巨噬细胞的功能评估:哮喘患者与正常受试者细胞的比较。
J Allergy Clin Immunol. 1982 Aug;70(2):88-93. doi: 10.1016/0091-6749(82)90234-2.
3
Effects of leukotriene D on the airways in asthma.
白三烯D对哮喘气道的影响。
N Engl J Med. 1983 Feb 24;308(8):436-9. doi: 10.1056/NEJM198302243080807.
4
Immunologic studies in allergen-induced late-phase asthmatic reactions.变应原诱导的迟发性哮喘反应中的免疫学研究。
J Allergy Clin Immunol. 1984 Jul;74(1):49-60. doi: 10.1016/0091-6749(84)90086-1.
5
The protective effect of methylprednisolone on carbachol-induced bronchospasm.甲泼尼龙对卡巴胆碱诱导的支气管痉挛的保护作用。
Am Rev Respir Dis. 1984 Dec;130(6):1019-22. doi: 10.1164/arrd.1984.130.6.1019.
6
Indomethacin inhibits the airway hyperresponsiveness but not the neutrophil influx induced by ozone in dogs.吲哚美辛可抑制犬气道高反应性,但不能抑制臭氧诱导的中性粒细胞浸润。
Am Rev Respir Dis. 1984 Aug;130(2):220-4. doi: 10.1164/arrd.1984.130.2.220.
7
Increased biosynthesis of platelet-activating factor in activated human eosinophils.活化的人嗜酸性粒细胞中血小板活化因子的生物合成增加。
J Biol Chem. 1984 May 10;259(9):5526-30.
8
Biochemical correlates of airway hyperreactivity in guinea pigs: role of lysophosphatidyl choline.
J Allergy Clin Immunol. 1983 Oct;72(4):351-8. doi: 10.1016/0091-6749(83)90499-2.
9
Autonomic nervous system abnormalities and allergy.
Ann Intern Med. 1982 Mar;96(3):349-57. doi: 10.7326/0003-4819-96-3-349.
10
Mast cells in bronchoalveolar lumen of patients with bronchial asthma.支气管哮喘患者支气管肺泡腔内的肥大细胞。
Am Rev Respir Dis. 1984 Jun;129(6):1000-5. doi: 10.1164/arrd.1984.129.6.1000.