Enhancing effect of dipyridamole inhalation on adenosine‐induced bronchospasm in asthmatic patients

The study was performed on 13 asthmatic patients to determine whether inhaled dipyridamole would act directly by inducing bronchoconstriction or indirectly by potentiating the adenosine‐induced bronchoconstriction. The study was performed in 3 consecutive days. On the first day adenosine challenge w...

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Veröffentlicht in:Allergy (Copenhagen) 1988-04, Vol.43 (3), p.179-183
Hauptverfasser: Crimi, N., Palermo, F., Oliveri, R., Maccarrone, C., Palermo, B., Vancheri, C., Polosa, R., Mistretta, A.
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container_end_page 183
container_issue 3
container_start_page 179
container_title Allergy (Copenhagen)
container_volume 43
creator Crimi, N.
Palermo, F.
Oliveri, R.
Maccarrone, C.
Palermo, B.
Vancheri, C.
Polosa, R.
Mistretta, A.
description The study was performed on 13 asthmatic patients to determine whether inhaled dipyridamole would act directly by inducing bronchoconstriction or indirectly by potentiating the adenosine‐induced bronchoconstriction. The study was performed in 3 consecutive days. On the first day adenosine challenge was performed and the PD20 value calculated. On the other days the adenosine challenge was done 5 min after randomized inhalations of dipyridamole or a control solution. The mean percent change in FEV1 after dipyridamole (Δ%= 2.0) and control solution (Δ%= 1.0) was not significant. Inhaled adenosine caused bronchoconstriction with a geometric mean PD20 of 1.09 mg. After control solution inhalation, a mean PD20 value of 1.31 mg was observed. Dipyridamole inhalation increased adenosine hyperresponsiveness and in all subjects shifted the dose‐response curves of adenosine challenge to the left with a mean PD20 value of 0.40 mg. This enhancing effect of dipyridamole was significant when compared with the baseline value (P < 0.01) and control solution (P < 0.O1). The study demonstrated that dipyridamole inhalation increased airway responsiveness to adenosine in all subjects. This effect is due to indirect activity of dipyridamole on airways without changes in baseline airway caliber.
doi_str_mv 10.1111/j.1398-9995.1988.tb00416.x
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The study was performed in 3 consecutive days. On the first day adenosine challenge was performed and the PD20 value calculated. On the other days the adenosine challenge was done 5 min after randomized inhalations of dipyridamole or a control solution. The mean percent change in FEV1 after dipyridamole (Δ%= 2.0) and control solution (Δ%= 1.0) was not significant. Inhaled adenosine caused bronchoconstriction with a geometric mean PD20 of 1.09 mg. After control solution inhalation, a mean PD20 value of 1.31 mg was observed. Dipyridamole inhalation increased adenosine hyperresponsiveness and in all subjects shifted the dose‐response curves of adenosine challenge to the left with a mean PD20 value of 0.40 mg. This enhancing effect of dipyridamole was significant when compared with the baseline value (P &lt; 0.01) and control solution (P &lt; 0.O1). The study demonstrated that dipyridamole inhalation increased airway responsiveness to adenosine in all subjects. 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The study was performed in 3 consecutive days. On the first day adenosine challenge was performed and the PD20 value calculated. On the other days the adenosine challenge was done 5 min after randomized inhalations of dipyridamole or a control solution. The mean percent change in FEV1 after dipyridamole (Δ%= 2.0) and control solution (Δ%= 1.0) was not significant. Inhaled adenosine caused bronchoconstriction with a geometric mean PD20 of 1.09 mg. After control solution inhalation, a mean PD20 value of 1.31 mg was observed. Dipyridamole inhalation increased adenosine hyperresponsiveness and in all subjects shifted the dose‐response curves of adenosine challenge to the left with a mean PD20 value of 0.40 mg. This enhancing effect of dipyridamole was significant when compared with the baseline value (P &lt; 0.01) and control solution (P &lt; 0.O1). The study demonstrated that dipyridamole inhalation increased airway responsiveness to adenosine in all subjects. 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identifier ISSN: 0105-4538
ispartof Allergy (Copenhagen), 1988-04, Vol.43 (3), p.179-183
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source Wiley Online Library - AutoHoldings Journals; MEDLINE
subjects adenosine
Adenosine - metabolism
Adenosine - pharmacology
adenosine‐induced bronchospasm
Administration, Inhalation
Adolescent
Adult
airway hyperresponsiveness
Allergic diseases
Asthma - physiopathology
Biological and medical sciences
Bronchi - drug effects
Bronchi - physiopathology
Bronchial Spasm - chemically induced
dipyridamole
Dipyridamole - pharmacology
Drug Synergism
Female
Humans
Immunopathology
Male
Medical sciences
Middle Aged
Respiratory and ent allergic diseases
title Enhancing effect of dipyridamole inhalation on adenosine‐induced bronchospasm in asthmatic patients
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