TITLE

Salbutamol but not ipratropium abolishes leukotriene D-induced gas exchange abnormalities in asthma

AUTHOR(S)
Dahlén, Barbro; Gómez, Federico; Casas, Alejandro; Howarth, Peter; Dahlén, Sven-Erik; Rodriguez-Roisin, Robert
PUB. DATE
October 2012
SOURCE
European Journal of Clinical Pharmacology;Oct2012, Vol. 68 Issue 10, p1375
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Purpose: Leukotriene D (LTD) is a central mediator in asthma inducing bronchoconstriction and profound disturbances in pulmonary gas exchange in asthmatic subjects. The aim of the study was to compare, for the first time, the influence of the bronchodilators salbutamol (400 μg) and ipratropium (80 μg) on lung function changes induced by inhaled LTD. Methods: Treatments were evaluated in a randomized, three-period, double-blind, placebo-controlled, cross-over study where spirometric and pulmonary gas exchange indices were followed in 12 subjects with mild asthma before and after LTD challenge. Results: Compared with placebo, salbutamol provided significant protection against the fall in FEV (forced expiratory volume in 1 s) after LTD challenge. Salbutamol also abolished the LTD-induced gas exchange disturbances [decreased arterial oxygen tension (PaO) and increased alveolar-arterial oxygen tension difference (AaPO)]. Ipratropium provided significant but less marked attenuation of the changes in FEV and arterial oxygenation induced by LTD. Conclusion: Despite the equal bronchodilatory effects of salbutamol and ipratropium before the challenge with LTD, salbutamol was superior to ipratropium in preventing spirometric and gas exchange abnormalities. This result indicates a broader action of salbutamol on several of the disturbances that contribute to airway obstruction including, for example, exudation of plasma in the airway mucosa. The clinical implication of this new finding is that in this model of acute asthmatic airway obstruction, salbutamol was more effective than ipratropium.
ACCESSION #
79824359

 

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