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Method for lung inflation determining in asthma patients with osmotic airway hyperresponsiveness

https://doi.org/10.36604/1998-5029-2022-86-62-67

Abstract

Aim. To develop a method for determining the lung inflation by the indexes of forced expiratory flow­volume spirometry.

Materials and methods. In 43 patients with mild persistent uncontrolled asthma in combination with osmotic airway hyperresponsiveness, the lung function indexes were assessed by spirometry using a bronchodilation test and bodyplethysmography.

Results. From the entire set of parameters, using regression analysis, two equations were con­structed, with the inclusion of the main spirometric indicators (FEV1 in % of the due value, AFEVt and AFEF75 after the bronchodilation test, in %). The equations obtained make it possible to calculate lung inflation indices in asthma patients with osmotic airway hyperresponsiveness to select patients for referral for bodyplethysmography and multispiral computed tomography of the lungs in order to diagnose the severity of hyperinflation.

Conclusion. The developed regression models provide an opportunity for a preliminary assessment of the presence and degree of lung hyperinflation in asthma patients with osmotic airway hyperresponsiveness, to determine personal approaches to basic anti-inflammatory therapy and, if necessary, to correct it in a timely manner.

About the Author

E. Yu. Afanas'eva
Far Eastern Scientific Center of Physiology and Pathology of Respiration; Amur State University
Russian Federation

Evgeniya Yu. Afanas'eva, PhD (Med.), Junior Staff Scientist of Labo­ratory of Molecular and Translational Research; Staff Scientist of La­boratory of Mathematical Modeling of Complex Physical and Biological Systems

22 Kalinina Str., Blagoveshchensk, 675000

21 Ignatievskoe Highway, Blagoveshchensk, 675027



References

1. Lui J.K., Lutchen K.R. The role of heterogeneity in asthma: a structure-to-function perspective. Clin. Transl. Med. 2017; 6(1):29. https://doi.org/10.1186/s40169-017-0159-0

2. Prikhodko A.G., Perelman J.M., Kolosov V.P. [Airway hyperresponsiveness]. Vladivostok: Dal'nauka; 2011 (in Russian). ISBN: 978-5-8044-1220-4

3. Perelman J.M., Naumov D.E., Prikhodko A.G., Kolosov V.P. [Mechanisms and manifestations of osmotic airway hyperresponsiveness]. Vladivostok: Dal'nauka; 2016 (in Russian). ISBN: 978-5-8044-1627-1

4. Donovan G.M. Inter-airway structural heterogeneity interacts with dynamic heterogeneity to determine lung function and flow patterns in both asthmatic and control simulated lungs. J. Theor. Biol. 2017; 435:98-105. https://doi.org/10.1016/j.jtbi.2017.08.024

5. Foy B.H., Kay D. A computational comparison of the multiple-breath washout and forced oscillation technique as markers of bronchoconstriction. Respir. Physiol. Neurobiol. 2017; 240:61-69. https://doi.org/10.1016/j.resp.2017.02.016

6. Afanas'eva E.Yu., Prikhodko A.G., Il'in A.V., Perelman J.M. [Changes in lung inflation in asthma in patients with osmotic airway hyperresponsiveness]. Pulmonologiya 2021; 31(6):749-758 (in Russian). https://doi.org/10.18093/0869-0189-2021-31-6-749-758

7. Il'in A.V., Perelman J.M., Lenshin A.V., Prikhodko A.G. [Application of computer-aided tomography with 3D volumetry in the diagnose of lung function disorders in patients with bronchial asthma]. Bulleten' fiziologii ipatologii dyhania = Bulletin Physiology and Pathology of Respiration 2014; (51):33-37 (in Russian).

8. Il'in A.V., Perel'man J.M., Prikhodko A.G., Lenshin A.V. [Interrelation of potency and reactivity of small bronchi with lung hyperinflation in patients with bronchial asthma and cold airway hyperresponsiveness]. Dal'nevostochnyy meditsinskiy zhurnal 2014; (3):18-22 (in Russian).

9. Il'in A.V., Perelman J.M., Prikhodko A.G., Lenshin A.V. [The changes in lungs inflation in asthmatics depending on the degree of asthma control]. Bulleten' fiziologii i patologii dyhania = Bulletin Physiology and Pathology of Respiration 2014; (52):34-40 (in Russian).

10. Dubsky S., Zosky G.R., Perks K., Samarage C.R., Henon Y., Hooper S.B., Fouras A. Assessment of airway response distribution and paradoxical airway dilation in mice during methacholine challenge. J. Appl. Physiol. 2017; 122 (3):503-510. https://doi.org/10.1152/japplphysiol.00476.2016

11. Plantier L., Pradel A., Delclaux C. Mechanisms of non-specific airway hyperresponsiveness: Methacholine-induced alterations in airway architecture. Rev. Mal. Respir. 2016; 33(8):735-743. https://doi.org/10.1016/j.rmr.2015.10.742

12. Global Initiative for Asthma (GINA). Global strategy for asthma management and prevention (Updated 2022). Available at: https://ginasthma.org.

13. Miller M.R., Hankinson J., Brusasco V., Burgos F., Casaburi R., Coates A., Crapo R., Enright P., van der Grinten C.P.M., Gustafsson P., Jensen R., Johnson D.C., MacIntyre N., McKay R., Navajas D., Pedersen O.F., Pellegrino R., Viegi G., Wanger J. Standardisation of spirometry. Eur. Respir. J. 2005; 26:319-338. https://doi.org/10.1183/09031936.05.00034805

14. Coates A.L., Wanger J., Cockcroft D.W., Culver B.H., Kai-Hakon Carlsen, Diamant Z., Gauvreau G., Hall G.L., Hallstrand T.S., Horvath I., de Jongh F.H.C., Joos G., Kaminsky D.A., Laube B.L., Leuppi J.D., Sterk P.J. ERS technical standard on bronchial challenge testing: general considerations and performance of methacholine challenge tests. Eur. Respir. J. 2017; 49:1601526. https://doi.org/10.1183/13993003.01526-2016

15. Wanger J., Clausen J.L., Coates A., Pedersen O.F., Brusasco V., Burgos F., Casaburi R., Crapo R., Enright P., van der Grinten C.P.M., Gustafsson P., Hankinson J., Jensen R., Johnson D., MacIntyre N., McKay R., Miller M.R., Navajas D., Pellegrino R., Viegi G. Standardisation of the measurement of lung volumes. Eur. Respir. J. 2005; 26(3):511-522. https://doi.org/10.1183/09031936.05.00035005

16. Hallstrand T.S., Leuppi J.D., Joos G., Hall G.L., Carlsen K.H., Kaminsky D.A., Coates A.L., Cockcroft D.W., Culver B.H., Diamant Z., Gauvreau G.M., Horvath I., de Jongh F.H.C., Laube B.L., Sterk P.J., Wanger J. ERS technical standard on bronchial challenge testing: pathophysiology and methodology of indirect airway challenge testing. Eur. Respir. J. 2018; 52(5):1801033. https://doi.org/10.1183/13993003.01033-2018


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For citations:


Afanas'eva E.Yu. Method for lung inflation determining in asthma patients with osmotic airway hyperresponsiveness. Bulletin Physiology and Pathology of Respiration. 2022;(86):62-67. (In Russ.) https://doi.org/10.36604/1998-5029-2022-86-62-67

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ISSN 1998-5029 (Print)