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Updated: Aug 18, 2026

Standardized Measurement of Nasal Membrane Transepithelial Potential Difference (NPD)
Published on: September 13, 2018
Transepithelial potential difference in the bronchial system of children with chronic bronchitis and bronchial asthma
E H Ballke1, S Wiersbitzky, A König
1Klinik für Kinder- und Jugendmedizin, Ernst-Moritz-Arndt-Universität, Greifswald, Germany.
Insights
Transepithelial potential difference (tpd) varied significantly in children with chronic respiratory diseases. Higher tpd in asthmatics correlated with eosinophils, suggesting their role in respiratory tract changes.
Area of Science:
- Pediatric Pulmonology
- Respiratory Physiology
Background:
- Chronic non-specific respiratory diseases (CNSRD) encompass conditions like bronchial asthma and chronic bronchitis in children.
- Understanding the physiological differences between these conditions is crucial for accurate diagnosis and treatment.
Purpose of the Study:
- To investigate the transepithelial potential difference (tpd) in the tracheobronchial system of children with CNSRD.
- To explore potential correlations between tpd measurements and specific disease characteristics, such as eosinophilia.
Main Methods:
- Transepithelial potential difference (tpd) was measured in the tracheobronchial system of 45 children (18 with asthma, 27 with bronchitis) via bronchoscopy under general anesthesia.
- Bronchial secretions were analyzed for eosinophil presence.
Main Results:
- A highly significant statistical variation in tpd was observed among the children.
- Children with asthma and significant eosinophilia in bronchial secretions exhibited a higher mean tpd (26.5 ± 8.5 mV) compared to children with bronchitis (18.2 ± 6.3 mV).
Conclusions:
- Transepithelial potential difference (tpd) measurements show significant variation in pediatric chronic respiratory diseases.
- The presence of eosinophils in bronchial secretions appears to be associated with altered tpd in asthmatic children, suggesting a role in the pathophysiology of respiratory tract changes.
Abstract:
In 45 children with chronic non-specific respiratory diseases (CNSRD), 18 with bronchial asthma and 27 with relapsing or chronic bronchitis, the transepithelial potential difference (tpd) was measured in the tracheobronchial system (bronchoscopy under general anaesthesia). The statistical variation in the tpds was highly significant. In asthmatics with significant eosinophilia in the bronchial secretions of the main bronchus we found a tpd of 26.5 (+/- 8.5) mV and in bronchitics a tpd of 18.2 (+/- 6.3) mV. This suggests that the presence or absence of eosinophils in the secretions, the products of intermediate cell metabolism or different pathogenetic processes, could be responsible for the variety of change in the tpd measured in the respiratory tract.
Related Concept Videos
Chronic Obstructive Pulmonary Disease-II: Pathophysiology
Chronic Inflammation
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma I: Introduction
Chronic Obstructive Pulmonary Disease I: Introduction
Chronic Obstructive Pulmonary Disease II: Emphysema
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features

