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Methods for Detecting Cough and Airway Inflammation in Mice
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The Clinical Approach to Chronic Cough.

Imran Satia1, Wafa Hassan2, Lorcan McGarvey3

  • 1Department of Medicine, McMaster University, Hamilton, ON, Canada; Firestone Institute for Respiratory Health, St Joseph's Healthcare, Hamilton, ON, Canada.

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Summary

Chronic cough affects 10% of people, impacting quality of life. New treatments target cough hypersensitivity, offering hope for refractory chronic cough (RCC) management.

Keywords:
AntitussiveChronic coughNeuronal dysfunctionVagus nerve

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Area of Science:

  • Respiratory Medicine
  • Neurology
  • Pharmacology

Background:

  • Chronic cough affects 10% of the population, significantly impairing quality of life.
  • Refractory chronic cough (RCC) presents a major clinical challenge.
  • Cough hypersensitivity syndrome, a neuropathic mechanism, is increasingly recognized in RCC.

Purpose of the Study:

  • To review current investigations into the pathophysiology of chronic cough and RCC.
  • To summarize emerging management strategies for chronic cough and RCC.
  • To highlight the "treatable trait" approach and novel therapeutic targets.

Main Methods:

  • Review of current scientific literature on chronic cough and RCC.
  • Analysis of emerging treatment modalities, including neuromodulators and receptor antagonists.
  • Discussion of the "treatable trait" approach in managing chronic cough.

Main Results:

  • The "treatable trait" approach is gaining traction for managing chronic cough.
  • Neuropathic mechanisms and cough hypersensitivity are key in RCC.
  • New treatments, including P2X3 receptor antagonists, show promise but patient responses vary.

Conclusions:

  • Understanding cough hypersensitivity is crucial for managing RCC.
  • Targeting neuronal pathways offers new therapeutic avenues.
  • Further research is needed to optimize treatment strategies for RCC due to variable patient responses.