Alveolar nitric oxide in adults with asthma: evidence of distal lung inflammation in refractory asthma.

Recent studies have suggested that alveolar nitric oxide (NO) concentration is a noninvasive test of distal lung inflammation. The current study determined whether alveolar NO concentration can be measured in patients with asthma of varying severity, tested the hypothesis that there is an associatio...

Celý popis

Podrobná bibliografie
Hlavní autoři: Berry, M, Hargadon, B, Morgan, A, Shelley, M, Richter, J, Shaw, D, Green, R, Brightling, C, Wardlaw, A, Pavord, I
Médium: Journal article
Jazyk:English
Vydáno: 2005
_version_ 1826268775547142144
author Berry, M
Hargadon, B
Morgan, A
Shelley, M
Richter, J
Shaw, D
Green, R
Brightling, C
Wardlaw, A
Pavord, I
author_facet Berry, M
Hargadon, B
Morgan, A
Shelley, M
Richter, J
Shaw, D
Green, R
Brightling, C
Wardlaw, A
Pavord, I
author_sort Berry, M
collection OXFORD
description Recent studies have suggested that alveolar nitric oxide (NO) concentration is a noninvasive test of distal lung inflammation. The current study determined whether alveolar NO concentration can be measured in patients with asthma of varying severity, tested the hypothesis that there is an association between alveolar NO and bronchoalveolar lavage (BAL) eosinophil count and determined whether refractory asthma is characterised by a raised alveolar NO concentration. Finally, the present authors assessed the effect of 2 weeks of prednisolone (30 mg q.d.) on alveolar NO concentration. Alveolar NO concentration was both measurable and repeatable in patients with refractory asthma. A positive correlation was found between alveolar NO concentration and BAL eosinophil count but not with bronchial wash or sputum eosinophil count. Alveolar NO concentration was increased in patients with refractory asthma (7.1 ppb) compared with mild-to-moderate asthma (3.4 ppb) and normal controls (3.4 ppb) and reduced by treatment with prednisolone. In conclusion, these findings support the hypothesis that alveolar nitric oxide is a measure of distal airway inflammation and suggest that distal lung inflammation is present in refractory asthma.
first_indexed 2024-03-06T21:14:47Z
format Journal article
id oxford-uuid:3f6734f1-2aa0-4066-a051-25198719b51f
institution University of Oxford
language English
last_indexed 2024-03-06T21:14:47Z
publishDate 2005
record_format dspace
spelling oxford-uuid:3f6734f1-2aa0-4066-a051-25198719b51f2022-03-26T14:31:51ZAlveolar nitric oxide in adults with asthma: evidence of distal lung inflammation in refractory asthma.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:3f6734f1-2aa0-4066-a051-25198719b51fEnglishSymplectic Elements at Oxford2005Berry, MHargadon, BMorgan, AShelley, MRichter, JShaw, DGreen, RBrightling, CWardlaw, APavord, IRecent studies have suggested that alveolar nitric oxide (NO) concentration is a noninvasive test of distal lung inflammation. The current study determined whether alveolar NO concentration can be measured in patients with asthma of varying severity, tested the hypothesis that there is an association between alveolar NO and bronchoalveolar lavage (BAL) eosinophil count and determined whether refractory asthma is characterised by a raised alveolar NO concentration. Finally, the present authors assessed the effect of 2 weeks of prednisolone (30 mg q.d.) on alveolar NO concentration. Alveolar NO concentration was both measurable and repeatable in patients with refractory asthma. A positive correlation was found between alveolar NO concentration and BAL eosinophil count but not with bronchial wash or sputum eosinophil count. Alveolar NO concentration was increased in patients with refractory asthma (7.1 ppb) compared with mild-to-moderate asthma (3.4 ppb) and normal controls (3.4 ppb) and reduced by treatment with prednisolone. In conclusion, these findings support the hypothesis that alveolar nitric oxide is a measure of distal airway inflammation and suggest that distal lung inflammation is present in refractory asthma.
spellingShingle Berry, M
Hargadon, B
Morgan, A
Shelley, M
Richter, J
Shaw, D
Green, R
Brightling, C
Wardlaw, A
Pavord, I
Alveolar nitric oxide in adults with asthma: evidence of distal lung inflammation in refractory asthma.
title Alveolar nitric oxide in adults with asthma: evidence of distal lung inflammation in refractory asthma.
title_full Alveolar nitric oxide in adults with asthma: evidence of distal lung inflammation in refractory asthma.
title_fullStr Alveolar nitric oxide in adults with asthma: evidence of distal lung inflammation in refractory asthma.
title_full_unstemmed Alveolar nitric oxide in adults with asthma: evidence of distal lung inflammation in refractory asthma.
title_short Alveolar nitric oxide in adults with asthma: evidence of distal lung inflammation in refractory asthma.
title_sort alveolar nitric oxide in adults with asthma evidence of distal lung inflammation in refractory asthma
work_keys_str_mv AT berrym alveolarnitricoxideinadultswithasthmaevidenceofdistallunginflammationinrefractoryasthma
AT hargadonb alveolarnitricoxideinadultswithasthmaevidenceofdistallunginflammationinrefractoryasthma
AT morgana alveolarnitricoxideinadultswithasthmaevidenceofdistallunginflammationinrefractoryasthma
AT shelleym alveolarnitricoxideinadultswithasthmaevidenceofdistallunginflammationinrefractoryasthma
AT richterj alveolarnitricoxideinadultswithasthmaevidenceofdistallunginflammationinrefractoryasthma
AT shawd alveolarnitricoxideinadultswithasthmaevidenceofdistallunginflammationinrefractoryasthma
AT greenr alveolarnitricoxideinadultswithasthmaevidenceofdistallunginflammationinrefractoryasthma
AT brightlingc alveolarnitricoxideinadultswithasthmaevidenceofdistallunginflammationinrefractoryasthma
AT wardlawa alveolarnitricoxideinadultswithasthmaevidenceofdistallunginflammationinrefractoryasthma
AT pavordi alveolarnitricoxideinadultswithasthmaevidenceofdistallunginflammationinrefractoryasthma