Skip to main content
British Medical Journal logoLink to British Medical Journal
. 1975 May 17;2(5967):360–362. doi: 10.1136/bmj.2.5967.360

Atropine, sodium cromoglycate, and thymoxamine in PGF2 alpha-induced bronchoconstriction in extrinsic asthma.

K R Patel
PMCID: PMC1673183  PMID: 124195

Abstract

In six patients with extrinsic bronchial asthma the inhalation of prostaglandin (PG) F2 alpha in a small dosage produced significant bronchoconstriction, whereas PGE2 produced bronchodilatation. In these patients cholinergic blockade with atropine partially inhibited the PGF2 alpha-induced bronchoconstriction, but the alpha-receptor-blocking drug thymoxamine and sodium cromoglycate did not. These results suggest that the effect of PGF2 alpha is mediated through cholinergic receptors in the airways, and this effect is grossly exaggerated in asthma. The failure to inhibit PGF2 alpha-induced bronchoconstriction with sodium cromoglycate and the observation of an inhibitory effect of sodium cromoglycate in both allergic and exercise asthma suggest that locally formed PGF2 alpha may not be the main factor in the pathogenesis of bronchial asthma.

Full text

PDF
360

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ball J. H., Kaminsky N. I., Hardman J. G., Broadus A. E., Sutherland E. W., Liddle G. W. Effects of catecholamines and adrenergic-blocking agents on plasma and urinary cyclic nucleotides in man. J Clin Invest. 1972 Aug;51(8):2124–2129. doi: 10.1172/JCI107019. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bourne H. R., Melmon K. L. Adenyl cyclase in human leukocytes: evidence for activation by separate beta adrenergic and prostaglandin receptors. J Pharmacol Exp Ther. 1971 Jul;178(1):1–7. [PubMed] [Google Scholar]
  3. DUBOIS A. B., BOTELHO S. Y., COMROE J. H., Jr A new method for measuring airway resistance in man using a body plethysmograph: values in normal subjects and in patients with respiratory disease. J Clin Invest. 1956 Mar;35(3):327–335. doi: 10.1172/JCI103282. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Edmonds J. F., Berry E., Wyllie J. H. Release of prostaglandins caused by distension of the lungs. Br J Surg. 1969 Aug;56(8):622–623. [PubMed] [Google Scholar]
  5. Eichhorn J. H., Salzman E. W., Silen W. Cyclic GMP response in vivo to cholinergic stimulation of gastric mucosa. Nature. 1974 Mar 15;248(445):238–239. doi: 10.1038/248238a0. [DOI] [PubMed] [Google Scholar]
  6. Gréen K., Hedqvist P., Svanborg N. Increased plasma levels of 15-keto-13,14-dihydro-prostaglandin F2X after allergen-provoked asthma in man. Lancet. 1974 Dec 14;2(7894):1419–1421. doi: 10.1016/s0140-6736(74)90075-0. [DOI] [PubMed] [Google Scholar]
  7. Karim S. M., Sandler M., Williams E. D. Distribution of prostaglandins in human tissues. Br J Pharmacol Chemother. 1967;31:340–344. doi: 10.1111/j.1476-5381.1967.tb02003.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Mathé A. A., Hedqvist P., Holmgren A., Svanborg N. Bronchial hyperreactivity to prostaglandin F 2 and histamine in patients with asthma. Br Med J. 1973 Jan 27;1(5847):193–196. doi: 10.1136/bmj.1.5847.193. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Patel K. R., Alston W. C., Kerr J. W. The relationship of leucocyte adenyl cyclase activity and airways response to beta blockade and allergen challenge in extrinsic asthma. Clin Allergy. 1974 Sep;4(3):311–322. doi: 10.1111/j.1365-2222.1974.tb01391.x. [DOI] [PubMed] [Google Scholar]
  10. Paterson N. A., Ahmad D., Lefcoe N. M. Airways narrowing in exercise in normal subjects and the effect of disodium cromoglycate. Br J Dis Chest. 1973 Jul;67(3):197–207. doi: 10.1016/0007-0971(73)90054-5. [DOI] [PubMed] [Google Scholar]
  11. Pepys J., Hargreave F. E., Chan M., McCarthy D. S. Inhibitory effects of disodium cromoglycate on allergen-inhalation tests. Lancet. 1968 Jul 20;2(7560):134–137. doi: 10.1016/s0140-6736(68)90419-4. [DOI] [PubMed] [Google Scholar]
  12. Piper P. J., Vane J. R. Release of additional factors in anaphylaxis and its antagonism by anti-inflammatory drugs. Nature. 1969 Jul 5;223(5201):29–35. doi: 10.1038/223029a0. [DOI] [PubMed] [Google Scholar]
  13. Robison G. A., Butcher R. W., Sutherland E. W. Adenyl cyclase as an adrenergic receptor. Ann N Y Acad Sci. 1967 Feb 10;139(3):703–723. doi: 10.1111/j.1749-6632.1967.tb41239.x. [DOI] [PubMed] [Google Scholar]
  14. Sweatman W. J., Collier H. O. Effects of prostaglandins on human bronchial muscle. Nature. 1968 Jan 6;217(5123):69–69. doi: 10.1038/217069a0. [DOI] [PubMed] [Google Scholar]
  15. TIFFENEAU R. Hypersensibilité cholinergo-histaminique pulmonaire de l'asthmatique; relation avec l'hypersensibilité allergénique pulmonaire. Acta Allergol Suppl (Copenh) 1958;5:187–221. [PubMed] [Google Scholar]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES