Related Experiment Video
Updated: Jun 24, 2026

A Reversible, Non-invasive Method for Airway Resistance Measurements and Bronchoalveolar Lavage Fluid Sampling in Mice
Published on: April 13, 2010
[Involvement of distal airways in asthma: lessons from pediatric cohorts]
C Delacourt1, J-C Dubus, J de Blic
1Service de Pédiatrie, CHI de Créteil, France.
Insights
Pediatric asthma can cause lasting lung function impairment, especially when starting early or persisting. Further research is needed on distal airway issues and treatment effectiveness in children with asthma.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Asthma Research
Context:
- Asthma significantly impacts children's distal airways, particularly in early-onset or persistent cases.
- Factors like in utero smoke exposure, sensitization, and hyperresponsiveness worsen respiratory outcomes.
- Airway impairment may persist even after symptom resolution and is often unresponsive to standard inhaled corticosteroids.
Purpose:
- To highlight the significant impairment of distal airways in pediatric asthma.
- To identify key factors contributing to unfavorable respiratory function outcomes in children with asthma.
- To underscore the limited responsiveness of distal airway alterations to conventional therapies.
Summary:
- Early-onset and persistent childhood asthma are linked to significant distal airway dysfunction.
- In utero tobacco smoke exposure, sensitization, and bronchial hyperresponsiveness are major risk factors for poor respiratory outcomes.
- Distal airway changes in pediatric asthma may result from early remodeling or suboptimal drug delivery, persisting despite treatment.
Impact:
- This research emphasizes the need for further investigation into the long-term clinical consequences of distal airway involvement in pediatric asthma.
- Evaluating the impact of various treatment strategies on distal airway function is crucial for improving patient outcomes.
- Understanding these factors can lead to more targeted and effective interventions for children with asthma.
Introduction:
Prospective studies of paediatric cohorts contribute to our knowledge of changes in pulmonary function in children with asthma.
State Of The Art:
Asthma is associated with a significant impairment of the distal airways which is more pronounced when asthma has started early, before 5 years of age, or when asthma is persistent. In utero exposure to tobacco smoke allergenic sensitization and persistent bronchial hyperresponsiveness are the main factors associated with an unfavourable respiratory function outcome. This impairment may persist despite the disappearance of symptoms. Distal airway alterations are also poorly responsive to conventional inhaled corticosteroid therapy. This could be due to early remodelling phenomenon or non-optimal deposition of the drugs on distal airways.
Perspectives And Conclusions:
The medium and long term clinical implications of distal airway involvement in paediatric asthma and the impact of treatment need to be evaluated.
Related Concept Videos
Asthma I: Introduction
Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
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:
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features
Asthma III: Clinical Manifestations
Asthma-I: Introduction