钾通道激活剂Lemakalim对哮喘患者气道高反应性的影响

来源 :第一军医大学学报 | 被引量 : 0次 | 上传用户:lixiner
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To investigate the functional state of potassium channel in airway smooth muscle inbronchial hyperresponsiveness (BHR) and review the significance of potassium channel activators in treat-ment of asthma. Methods: Randomised, single blind, placebo controlled, crossover method was used tomeasure airway reactivity to methycholine(Mch) in 12 asthmatics and 10 healthy people. Results: The ex-periment showed that the initial airway resistance(Rrs) and sensitivity (expressed as a minimum amountof cumulative o8se, Dmin)to Mch were significantly higher in asthmatics than that in healthy people (0. 72±0. 05) vs (0. 41±0. 01)kPa. L-1. s-1 in Rrs (P<0. 01), and (0. 34±0. 12) vs (1. 92±0. 03)mg in Dmin(P < 0. 01 ), respectively. lnhaling single dose of Lemakalim (37. 5 pg) reduced Rrs and increased Dminmarkedly in asthmatics (0. 72 ±0. 05) vs(0. 55±0.02)kPa. L-1. s-1 (P<0. 05) l and (0. 34±0 . 12) vs(3. 16 ± 0. 81 )mg (P<0. 01 ),respectively. Copnclusion: (1 ) There may be blockade in potassium channel inairway smooth muscle in asthmatics, which plays a role in BHR in some extent; (2) p0tassium channel ac-tivators, such as Lemakalim, might be useful in prophylaxis and treatment of asthma. To investigate the functional state of potassium channel in airway smooth muscle in BRonchial hyperresponsiveness (BHR) and review the significance of potassium channel activators in treat-ment of asthma. Methods: Randomized, single blind, placebo controlled, crossover method was used to measure airway reactivity to methycholine (Mch) in 12 asthmatics and 10 healthy people. Results: The ex-periment showed that the initial airway resistance (Rrs) and sensitivity (expressed as a minimum amount of cumulative o8se, Dmin) to Mch were significantly higher in asthmatics than that in (P <0.01), and (0.34 ± 0.12) healthy people (0.72 ± 0.05) vs (0.41 ± 0.01) kPa. L-1. vs (1.92 ± 0.03) mg in Dmin (P <0.01), respectively. lnhaling single dose of Lemakalim (37. 5 pg) reduced Rrs and increased Dminmarkedly in asthmatics (0.72 ± 0.05) vs (0.55 ± 0.02) kPa. L-1. s-1 (P <0.05) l and (0.34 ± 0.12) vs (3.16 ± 0.81) mg . 01), respectively. Copnclusion: (1) There may be blockade in potas sium channel inairway smooth muscle in asthmatics, which plays a role in BHR in some extent; (2) p0tassium channel ac-tivators, such as Lemakalim, might be useful in prophylaxis and treatment of asthma.
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