Bronchial hyperresponsiveness in adolescents with long-term asthma remission

Importance of a family history of bronchial hyperresponsiveness

Young Yull Koh, Eun Kyeong Kang, Hee Kang, Young Yoo, Yang Park, Chang Keun Kim

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: The mechanisms responsible for bronchial hyperresponsiveness (BHR) in symptomatic asthma include genetic predisposition and airway inflammation, but the causes of BHR in adolescents with asthma remission are poorly understood. It has been shown that BHR in adolescents with asthma remission was not reduced by prolonged treatment with inhaled corticosteroids, in contrast to the BHR of symptomatic asthma. Objective: The aim of this study was to investigate whether family history of BHR may contribute to the persistence of BHR in asthma remission during adolescence. Methods: One hundred twenty-six adolescents with long-term asthma remission (neither symptoms nor any medication used during the previous 2 years) and their parents underwent a methacholine inhalation test. The provocative concentration of methacholine causing a 20% fall in FEV1 (PC20) and the bronchial responsiveness (BR) index were calculated for each individual. Results: Sixty-nine adolescents (54.8%) were found to have persisting BHR (PC 20 < 18 mg/mL). The frequency of BHR and the BR index were significantly higher in parents (n = 138) of the BHR-persisting group (28.3% and 1,150 ± 0.103, respectively [mean ± 1 SD]) than in parents (n = 114) of BHR-nonpersisting group (16.7% [p = 0.030] and 1.124 ± 0.088 [p = 0.029], respectively). Furthermore, adolescents (n = 56) with at least one BHR-positive parent were found to have a higher frequency of BHR (66.1% vs 45.7%, p = 0.023) and a higher BR index (1.244 ± 0.090 vs 1.204 ± 0.082, p = 0.011) than adolescents (n = 70) with non-BHR parents. Conclusion: Our results suggest that adolescents in asthma remission are more likely to have BHR when there is a family history of BHR. Further studies are needed to examine the possible involvement of genetic factors in the BHR of adolescents in asthma remission.

Original languageEnglish
Pages (from-to)819-825
Number of pages7
JournalChest
Volume124
Issue number3
DOIs
Publication statusPublished - 2003 Sep 1
Externally publishedYes

Fingerprint

Asthma
Parents
Methacholine Chloride
Genetic Predisposition to Disease
Inhalation
Adrenal Cortex Hormones
Inflammation

Keywords

  • Adolescent
  • Asthma
  • Bronchial hyperresponsiveness
  • Bronchial responsiveness index
  • Clinical remission
  • Family history

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Bronchial hyperresponsiveness in adolescents with long-term asthma remission : Importance of a family history of bronchial hyperresponsiveness. / Koh, Young Yull; Kang, Eun Kyeong; Kang, Hee; Yoo, Young; Park, Yang; Kim, Chang Keun.

In: Chest, Vol. 124, No. 3, 01.09.2003, p. 819-825.

Research output: Contribution to journalArticle

Koh, Young Yull ; Kang, Eun Kyeong ; Kang, Hee ; Yoo, Young ; Park, Yang ; Kim, Chang Keun. / Bronchial hyperresponsiveness in adolescents with long-term asthma remission : Importance of a family history of bronchial hyperresponsiveness. In: Chest. 2003 ; Vol. 124, No. 3. pp. 819-825.
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abstract = "Background: The mechanisms responsible for bronchial hyperresponsiveness (BHR) in symptomatic asthma include genetic predisposition and airway inflammation, but the causes of BHR in adolescents with asthma remission are poorly understood. It has been shown that BHR in adolescents with asthma remission was not reduced by prolonged treatment with inhaled corticosteroids, in contrast to the BHR of symptomatic asthma. Objective: The aim of this study was to investigate whether family history of BHR may contribute to the persistence of BHR in asthma remission during adolescence. Methods: One hundred twenty-six adolescents with long-term asthma remission (neither symptoms nor any medication used during the previous 2 years) and their parents underwent a methacholine inhalation test. The provocative concentration of methacholine causing a 20{\%} fall in FEV1 (PC20) and the bronchial responsiveness (BR) index were calculated for each individual. Results: Sixty-nine adolescents (54.8{\%}) were found to have persisting BHR (PC 20 < 18 mg/mL). The frequency of BHR and the BR index were significantly higher in parents (n = 138) of the BHR-persisting group (28.3{\%} and 1,150 ± 0.103, respectively [mean ± 1 SD]) than in parents (n = 114) of BHR-nonpersisting group (16.7{\%} [p = 0.030] and 1.124 ± 0.088 [p = 0.029], respectively). Furthermore, adolescents (n = 56) with at least one BHR-positive parent were found to have a higher frequency of BHR (66.1{\%} vs 45.7{\%}, p = 0.023) and a higher BR index (1.244 ± 0.090 vs 1.204 ± 0.082, p = 0.011) than adolescents (n = 70) with non-BHR parents. Conclusion: Our results suggest that adolescents in asthma remission are more likely to have BHR when there is a family history of BHR. Further studies are needed to examine the possible involvement of genetic factors in the BHR of adolescents in asthma remission.",
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AU - Yoo, Young

AU - Park, Yang

AU - Kim, Chang Keun

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N2 - Background: The mechanisms responsible for bronchial hyperresponsiveness (BHR) in symptomatic asthma include genetic predisposition and airway inflammation, but the causes of BHR in adolescents with asthma remission are poorly understood. It has been shown that BHR in adolescents with asthma remission was not reduced by prolonged treatment with inhaled corticosteroids, in contrast to the BHR of symptomatic asthma. Objective: The aim of this study was to investigate whether family history of BHR may contribute to the persistence of BHR in asthma remission during adolescence. Methods: One hundred twenty-six adolescents with long-term asthma remission (neither symptoms nor any medication used during the previous 2 years) and their parents underwent a methacholine inhalation test. The provocative concentration of methacholine causing a 20% fall in FEV1 (PC20) and the bronchial responsiveness (BR) index were calculated for each individual. Results: Sixty-nine adolescents (54.8%) were found to have persisting BHR (PC 20 < 18 mg/mL). The frequency of BHR and the BR index were significantly higher in parents (n = 138) of the BHR-persisting group (28.3% and 1,150 ± 0.103, respectively [mean ± 1 SD]) than in parents (n = 114) of BHR-nonpersisting group (16.7% [p = 0.030] and 1.124 ± 0.088 [p = 0.029], respectively). Furthermore, adolescents (n = 56) with at least one BHR-positive parent were found to have a higher frequency of BHR (66.1% vs 45.7%, p = 0.023) and a higher BR index (1.244 ± 0.090 vs 1.204 ± 0.082, p = 0.011) than adolescents (n = 70) with non-BHR parents. Conclusion: Our results suggest that adolescents in asthma remission are more likely to have BHR when there is a family history of BHR. Further studies are needed to examine the possible involvement of genetic factors in the BHR of adolescents in asthma remission.

AB - Background: The mechanisms responsible for bronchial hyperresponsiveness (BHR) in symptomatic asthma include genetic predisposition and airway inflammation, but the causes of BHR in adolescents with asthma remission are poorly understood. It has been shown that BHR in adolescents with asthma remission was not reduced by prolonged treatment with inhaled corticosteroids, in contrast to the BHR of symptomatic asthma. Objective: The aim of this study was to investigate whether family history of BHR may contribute to the persistence of BHR in asthma remission during adolescence. Methods: One hundred twenty-six adolescents with long-term asthma remission (neither symptoms nor any medication used during the previous 2 years) and their parents underwent a methacholine inhalation test. The provocative concentration of methacholine causing a 20% fall in FEV1 (PC20) and the bronchial responsiveness (BR) index were calculated for each individual. Results: Sixty-nine adolescents (54.8%) were found to have persisting BHR (PC 20 < 18 mg/mL). The frequency of BHR and the BR index were significantly higher in parents (n = 138) of the BHR-persisting group (28.3% and 1,150 ± 0.103, respectively [mean ± 1 SD]) than in parents (n = 114) of BHR-nonpersisting group (16.7% [p = 0.030] and 1.124 ± 0.088 [p = 0.029], respectively). Furthermore, adolescents (n = 56) with at least one BHR-positive parent were found to have a higher frequency of BHR (66.1% vs 45.7%, p = 0.023) and a higher BR index (1.244 ± 0.090 vs 1.204 ± 0.082, p = 0.011) than adolescents (n = 70) with non-BHR parents. Conclusion: Our results suggest that adolescents in asthma remission are more likely to have BHR when there is a family history of BHR. Further studies are needed to examine the possible involvement of genetic factors in the BHR of adolescents in asthma remission.

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