Relationship between quasi-static pulmonary hysteresis and maximal airway narrowing in humans

J Appl Physiol (1985). 1992 Jun;72(6):2075-80. doi: 10.1152/jappl.1992.72.6.2075.

Abstract

Two groups of subjects were studied: one with (group 1: 5 healthy and 4 mildly asthmatic subjects) and another without (group 2:9 moderately and severely asthmatic subjects) a plateau of response to methacholine (MCh). We determined the effect of deep inhalation by comparing expiratory flows at 40% of forced vital capacity from maximal and partial flow-volume curves (MEF40M/P) and the quasi-static transpulmonary pressure-volume (Ptp-V) area. In group 1, MEF40M/P increased from 1.58 +/- 0.23 (SE) at baseline up to a maximum of 3.91 +/- 0.69 after MCh when forced expiratory volume in 1 s (FEV1) was decreased on plateau by 24 +/- 2%. The plateau of FEV1 was always paralleled by a plateau of MEF40M/P. In group 2, MEF40 M/P increased from 1.58 +/- 0.10 at baseline up to a maximum of 3.48 +/- 0.26 after MCh when FEV1 was decreased by 31 +/- 3% and then decreased to 2.42 +/- 0.24 when FEV1 was decreased by 46 +/- 2%. Ptp-V area was similar in the two groups at baseline yet was increased by 122 +/- 9% in group 2 and unchanged in group 1 at MCh end point. These findings suggest that the increased maximal response to MCh in asthmatic subjects is associated with an involvement of the lung periphery.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Asthma / physiopathology
  • Bronchoconstriction / drug effects
  • Bronchoconstriction / physiology*
  • Female
  • Forced Expiratory Volume
  • Humans
  • Lung / drug effects
  • Lung / physiology*
  • Male
  • Methacholine Chloride / pharmacology
  • Muscle Contraction / drug effects
  • Muscle Contraction / physiology
  • Respiratory Mechanics / drug effects
  • Respiratory Mechanics / physiology

Substances

  • Methacholine Chloride