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Circadian variation in airway function.

P J Barnes

    The American Journal of Medicine
    |December 20, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Nocturnal asthma, or nighttime wheezing, is often caused by circadian rhythms. In asthmatics, these natural body rhythms amplify airway constriction, leading to severe bronchospasm during sleep.

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    Area of Science:

    • Pulmonology
    • Sleep Medicine
    • Chronobiology

    Background:

    • Nocturnal asthma is a frequent and disruptive symptom.
    • Previous explanations like allergens or reflux are insufficient.
    • Circadian variations in airway caliber are observed in normal subjects.

    Purpose of the Study:

    • To explain the mechanisms behind nocturnal asthma.
    • To investigate the role of circadian rhythms in nighttime wheezing.

    Main Methods:

    • Review of proposed mechanisms for nocturnal asthma.
    • Analysis of circadian variations in airway caliber.
    • Examination of hormonal and autonomic influences during sleep.

    Main Results:

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  • Asthmatic subjects exhibit a greater amplitude of circadian airway caliber variation.
  • Decreased nighttime epinephrine levels may reduce defenses against bronchoconstriction.
  • Increased vagal activity and falling cortisol levels may also contribute.
  • Conclusions:

    • Nocturnal asthma results from a complex interplay of circadian rhythms.
    • These rhythms magnify airway constrictor effects in asthmatics, causing severe bronchospasm.
    • Understanding circadian influences is key to managing nighttime asthma symptoms.