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副交感神经系统在抗原诱导的支气管痉挛中的作用。

Role of the parasympathetic system in antigen-induced bronchospasm.

作者信息

Rosenthal R R, Norman P S, Summer W R, Permutt S

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1977 Apr;42(4):600-6. doi: 10.1152/jappl.1977.42.4.600.

DOI:10.1152/jappl.1977.42.4.600
PMID:863822
Abstract

Human subjects, sensitive to ragweed, inhaled aerosols of increasing concentrations of ragweed pollen extract in the presence and absence of pretreatment with inhaled atropine. The cumulative dose of antigen required for a 35% decrease in airways conductance was termed PD35. Atropine, 1.2 or 5 mg, increased airways conductance before antigenic challenge but did not alter signigicantly the PD35 for ragweed extract, although these doses of atropine inhibited airways responses to inhaled methacholine chloride and citric acid. We conclude that the cholinergic nervous system plays a modulating role in bronchomotor tone and responses to irritants, but that parasympathetic reflexes are not invariably a major component of human bronchial responses to inhaled allergen.

摘要

对豚草敏感的人体受试者,在吸入阿托品预处理前后,吸入浓度逐渐增加的豚草花粉提取物气雾剂。使气道传导率降低35%所需的抗原累积剂量称为PD35。1.2毫克或5毫克的阿托品在抗原激发前可增加气道传导率,但对豚草提取物的PD35没有显著影响,尽管这些剂量的阿托品可抑制气道对吸入氯化乙酰甲胆碱和柠檬酸的反应。我们得出结论,胆碱能神经系统在支气管运动张力和对刺激物的反应中起调节作用,但副交感神经反射并非总是人类支气管对吸入变应原反应的主要组成部分。

相似文献

1
Role of the parasympathetic system in antigen-induced bronchospasm.副交感神经系统在抗原诱导的支气管痉挛中的作用。
J Appl Physiol Respir Environ Exerc Physiol. 1977 Apr;42(4):600-6. doi: 10.1152/jappl.1977.42.4.600.
2
The effect of atropine on acute antigen-mediated airway constriction in subjects with allergic asthma.
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3
Inhalation challenge with ragweed pollen in ragweed-sensitive asthmatics.对豚草敏感的哮喘患者进行豚草花粉吸入激发试验。
J Allergy Clin Immunol. 1983 Mar;71(3):302-10. doi: 10.1016/0091-6749(83)90084-2.
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Methacholine dose-response curves in normal and asthmatic man: effect of starting conductance and pharmacological antagonism.正常人和哮喘患者的乙酰甲胆碱剂量反应曲线:起始电导和药理学拮抗作用的影响
Clin Sci (Lond). 1984 Jun;66(6):665-73. doi: 10.1042/cs0660665.
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The influence of aerosol retention and pattern of deposition on bronchial responsiveness to atropine and methacholine in humans.气溶胶滞留和沉积模式对人体支气管对阿托品和乙酰甲胆碱反应性的影响。
Am Rev Respir Dis. 1989 Dec;140(6):1727-33. doi: 10.1164/ajrccm/140.6.1727.
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Effect of alpha receptor blocking drug, thymoxamine, on allergen induced bronchoconstriction in extrinsic asthma.α受体阻断药百里胺对外源性哮喘中变应原诱发的支气管收缩的作用。
Clin Allergy. 1975 Sep;5(3):311-6. doi: 10.1111/j.1365-2222.1975.tb01868.x.
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The effect of atropine on allergen-induced increases in bronchial responsiveness to histamine.阿托品对变应原诱导的支气管对组胺反应性增加的影响。
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The role of ragweed pollen in autumnal asthma.豚草花粉在秋季哮喘中的作用。
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Measurement of pharmacological antagonism produced by atropine in bronchi of normal and asthmatic subjects.正常人和哮喘患者支气管中阿托品产生的药理拮抗作用的测量。
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引用本文的文献

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Dyspnea Perception During Induced Bronchoconstriction Is Complicated by the Inhaled Methacholine in Children With Clinical Asthma.临床哮喘患儿在诱发支气管收缩期间的呼吸困难感知因吸入乙酰甲胆碱而变得复杂。
Allergy Asthma Immunol Res. 2018 Mar;10(2):131-136. doi: 10.4168/aair.2018.10.2.131.
2
Muscarinic receptor antagonists: effects on pulmonary function.毒蕈碱受体拮抗剂:对肺功能的影响。
Handb Exp Pharmacol. 2012(208):317-41. doi: 10.1007/978-3-642-23274-9_14.
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Pulmonary neuronal M2 muscarinic receptor function in asthma and animal models of hyperreactivity.
哮喘及高反应性动物模型中肺神经元M2毒蕈碱受体的功能
Thorax. 1998 Jul;53(7):613-6. doi: 10.1136/thx.53.7.613.
4
Influence of age on response to ipratropium and salbutamol in asthma.年龄对哮喘患者对异丙托溴铵和沙丁胺醇反应的影响。
Thorax. 1981 Jul;36(7):523-9. doi: 10.1136/thx.36.7.523.
5
Effect of prior bronchoconstriction on the airway response to histamine in normal subjects.既往支气管收缩对正常受试者气道组胺反应的影响。
Thorax. 1984 Jan;39(1):40-5. doi: 10.1136/thx.39.1.40.
6
Pathogenesis of asthma: a review.哮喘的发病机制:综述
J R Soc Med. 1983 Jul;76(7):580-6. doi: 10.1177/014107688307600711.
7
The effects of atropine on anaphylactic shock in the guinea-pig.阿托品对豚鼠过敏性休克的影响。
Agents Actions. 1982 Apr;12(1-2):103-7. doi: 10.1007/BF01965117.
8
Measurement of bronchial responsiveness.支气管反应性的测量。
Clin Rev Allergy. 1989 Fall;7(3):279-300. doi: 10.1007/BF02914479.
9
A study of the bronchial provocation test with methacholine in patients with active pulmonary tuberculosis.活动性肺结核患者乙酰甲胆碱支气管激发试验的研究
Korean J Intern Med. 1989 Jan;4(1):59-64. doi: 10.3904/kjim.1989.4.1.59.