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Related Experiment Videos

Reflex decrease of histamine-induced bronchoconstriction after laryngeal stimulation in asthmatic patients.

M C Michoud1, A Jeanneret-Grosjean, A Cohen

  • 1Department of Medicine, Hôtel-Dieu Hospital, Université de Montréal, Canada.

The American Review of Respiratory Disease
|December 1, 1988
PubMed
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Stimulating vocal cords in asthma patients reflexively reduces bronchoconstriction via the nonadrenergic noncholinergic nervous system. This finding offers new insights into asthma management and respiratory reflex pathways.

Area of Science:

  • Respiratory Medicine
  • Neuroscience
  • Pulmonology

Background:

  • Asthma involves airway hyperresponsiveness.
  • The nonadrenergic noncholinergic (NAN C) nervous system plays a role in airway tone.
  • Reflex activation of NAN C pathways in asthma is not fully understood.

Purpose of the Study:

  • To investigate if vocal cord stimulation can reflexively activate the NAN C nervous system in asthmatic patients.
  • To determine the effect of vocal cord stimulation on histamine-induced bronchoconstriction.
  • To assess the role of circulating catecholamines in this reflex response.

Main Methods:

  • Subjects (asthmatic patients) underwent transnasal bronchoscopy.
  • Vocal cord stimulation was performed using a cytology brush.

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  • Cholinergic blockers were administered, and bronchoconstriction was induced with histamine.
  • Pulmonary resistance (RL) and plasma catecholamine levels were measured before and after stimulation.
  • Main Results:

    • Vocal cord stimulation significantly decreased RL in asthmatic patients (p < 0.01).
    • Pulmonary resistance decreased post-stimulation, indicating reduced bronchoconstriction (p < 0.05).
    • Plasma epinephrine and norepinephrine levels showed non-significant increases, suggesting a limited role of circulating catecholamines.

    Conclusions:

    • Vocal cord stimulation elicits a reflex decrease in bronchoconstriction in asthmatic patients.
    • This reflex is mediated, in part, by the nonadrenergic noncholinergic nervous system.
    • The findings suggest potential therapeutic modulation of asthma through airway reflexes.