دورية أكاديمية
Effects of hydrofluoroalkane and dry powder-formulated corticosteroids on sputum inflammatory markers in asthmatic patients.
العنوان: | Effects of hydrofluoroalkane and dry powder-formulated corticosteroids on sputum inflammatory markers in asthmatic patients. |
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المؤلفون: | Hauber H; Meakins-Christie Laboratories, McGill University, Montreal, Canada., Taha R, Bergeron C, Migounov V, Hamid Q, Olivenstein R |
المصدر: | Canadian respiratory journal [Can Respir J] 2006 Mar; Vol. 13 (2), pp. 73-8. |
نوع المنشور: | Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
اللغة: | English |
بيانات الدورية: | Publisher: Hindawi Publishing Corporation Country of Publication: Egypt NLM ID: 9433332 Publication Model: Print Cited Medium: Print ISSN: 1198-2241 (Print) Linking ISSN: 11982241 NLM ISO Abbreviation: Can Respir J Subsets: MEDLINE |
أسماء مطبوعة: | Publication: <2015- > : Cairo : Hindawi Publishing Corporation Original Publication: Oakville, Ont. : Pulsus Group Inc., 1994- |
مواضيع طبية MeSH: | Adrenal Cortex Hormones/*therapeutic use , Aerosol Propellants/*therapeutic use , Anti-Asthmatic Agents/*therapeutic use , Asthma/*drug therapy , Beclomethasone/*therapeutic use , Budesonide/*therapeutic use , Hydrocarbons, Fluorinated/*therapeutic use, Administration, Inhalation ; Algorithms ; Biomarkers ; Cytokines/analysis ; Double-Blind Method ; Eosinophils/pathology ; Female ; Humans ; Lymphocytes ; Male ; Powders/therapeutic use ; Sputum/cytology |
مستخلص: | Background: Inhaled corticosteroids are powerful drugs that can suppress airway inflammation in asthmatic patients. Deposition of most of the inhaled corticosteroid occurs mainly in the central airways. However, a new hydrofluoroalkane formulation of beclomethasone dipropionate (HFA-BDP) is preferentially deposited in the distal airways. Inflammatory characteristics of induced sputum have been shown to differ in samples collected early after sputum induction compared with later. Objective: To compare the effects of HFA-BDP and budesonide in a dry powder inhaler (DPI-BUD) on inflammatory cells and inflammatory cytokine expression in early and late induced sputa compared with placebo. Methods: Seventeen patients with mild, intermittent bronchial asthma were randomly assigned to two treatment groups: eight patients received HFA-BDP and nine patients received DPI-BUD. Each patient was treated with one of the active treatments and placebo (for four weeks), with a two-week washout interval in between. Inflammatory cells and expression of interleukin (IL)-4 and IL-5 were measured in early and late induced sputa before and after active treatment, as well as before and after placebo treatment using immunocytochemistry and in situ hybridization. Results: Compared with placebo, eosinophils were significantly reduced in both early and late induced sputa after HFA-BDP treatment (P<0.05), whereas DPI-BUD had a significant effect only on early induced sputum. Both HFA-BDP and DPI-BUD decreased IL-4 expression in early and late induced sputa, but the effect was more prominent with HFA-BDP. IL-5 expression was reduced in both early and late induced sputa after HFA-BDP treatment. DPI-BUD significantly decreased IL-5 expression in early but not in late induced sputum. The number of lymphocytes was not altered by either treatment. Conclusions: HFA-BDP reduced eosinophilic inflammation and T helper 2-type cytokine expression in both early and late induced sputa, whereas the effect of DPI-BUD on inflammation was predominantly demonstrated in early induced sputum. |
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المشرفين على المادة: | 0 (Adrenal Cortex Hormones) 0 (Aerosol Propellants) 0 (Anti-Asthmatic Agents) 0 (Biomarkers) 0 (Cytokines) 0 (Hydrocarbons, Fluorinated) 0 (Powders) 51333-22-3 (Budesonide) KGZ1SLC28Z (Beclomethasone) R40P36GDK6 (apaflurane) |
تواريخ الأحداث: | Date Created: 20060322 Date Completed: 20060929 Latest Revision: 20181113 |
رمز التحديث: | 20221213 |
مُعرف محوري في PubMed: | PMC2539014 |
DOI: | 10.1155/2006/648392 |
PMID: | 16550263 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1198-2241 |
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DOI: | 10.1155/2006/648392 |