Skip to main content

Clinical Cough III: Measuring the Cough Response in the Laboratory

  • Chapter

Part of the book series: Handbook of Experimental Pharmacology ((HEP,volume 187))

Abstract

As interest in clinical cough research grows, measurement of cough reflex sensitivity will assume an increasingly important role. With proper equipment and meticulous attention to methodological details, cough reflex sensitivity can be safely, accurately, and reproducibly determined. Such precise measurement allows the evaluation of the effect of pharmacological or nonpharmacological interventions on the sensitivity of the cough reflex, or the comparison of cough reflex sensitivity between different subject populations. In addition to the method, other vital components of optimal cough challenge testing include proper interpretation of data and appropriate selection of study populations.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   389.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   499.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   499.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Barber CM, Curran AD, Bradshaw LM, Morice AH, Rawbone R, Fishwick D (2005) Repro-ducibility and validity of a Yan-style portable citric acid cough challenge. Pulm Pharmacol Ther 18:177–180

    Article  PubMed  CAS  Google Scholar 

  • Barros MJ, Zammattio SL, Rees PJ (1990) Importance of inspiratory flow rate in the cough response to citric acid inhalation in normal subjects. Clin Sci (London) 78:521–525

    CAS  Google Scholar 

  • Barros MJ, Zammattio SL, Rees PJ (1991) Effect of changes in inspiratory flow rate on cough responses to inhaled capsaicin. Clin Sci (London) 81:539–542

    CAS  Google Scholar 

  • Bickerman HA, Barach AL, Itkin SE, Drimmler F (1954) The experimental production of cough in human subjects induced by citric acid aerosols. Preliminary studies on the evaluation of antitussive agents. Am J Med Sci 228:156–163

    Article  PubMed  CAS  Google Scholar 

  • Bickerman HA, German E, Cohen BM (1957) The cough response of healthy human subjects stimulated by citric acid aerosol. Am J Med Sci 234:191–205

    Article  PubMed  CAS  Google Scholar 

  • Chang AB, Phelan PD, Roberts RGD, Robertson F (1996) Capsaicin cough receptor sensitivity in children. Eur Respir J 9:2220–2223

    Article  PubMed  CAS  Google Scholar 

  • Chang AB, Phelan PD, Sawyer SM, Robertson CF (1997a) Airway hyperresponsiveness and cough receptor sensitivity in children with recurrent cough. Am J Respir Crit Care Med 155: 1935–1939

    CAS  Google Scholar 

  • Chang AB, Phelan PD, Robertson CF (1997b) Cough receptor sensitivity in children with acute and non-acute asthma. Thorax 52:770–774

    Article  CAS  Google Scholar 

  • Cheney FW, Butler J (1968) The effects of ultrasonically produced aerosols on airway resistance in man. Anesthesiology 29:1099–1106

    Article  PubMed  Google Scholar 

  • Collier JG, Fuller RW (1984) Capsaicin inhalation in man and the effects of sodium cromoglycate. Br J Pharmacol 81:113–117

    PubMed  CAS  Google Scholar 

  • Dicpinigaitis PV (2003a) Short- and long-term reproducibility of capsaicin cough challenge testing. Pulm Pharmacol Ther 16:61–65

    Article  CAS  Google Scholar 

  • Dicpinigaitis PV (2003b) Cough reflex sensitivity in cigarette smokers. Chest 123:685–688

    Article  Google Scholar 

  • Dicpinigaitis PV (2005) Capsaicin inhalation cough challenge. In: Redington AE, Morice AH (eds) Acute and chronic cough. Taylor & Francis, Boca Raton, USA, pp 161–175

    Google Scholar 

  • Dicpinigaitis PV, Alva RV (2005) Safety of capsaicin cough challenge testing. Chest 128:196–202

    Article  PubMed  Google Scholar 

  • Dicpinigaitis PV, Gayle YE (2003) Effect of guaifenesin on cough reflex sensitivity. Chest 124:2178–2181

    Article  PubMed  CAS  Google Scholar 

  • Dicpinigaitis PV, Rauf K (1998) The influence of gender on cough reflex sensitivity. Chest 113:1319–1321

    Article  PubMed  CAS  Google Scholar 

  • Dicpinigaitis PV, Dobkin JB, Rauf K (1997) Comparison of the antitussive effects of codeine and the GABA-agonist baclofen. Clin Drug Invest 14:326–329

    CAS  Google Scholar 

  • Dicpinigaitis PV, Allusson VRC, Baldanti A, Nalamati JR (2001) Ethnic and gender differences in cough reflex sensitivity. Respiration 68:480–482

    Article  PubMed  CAS  Google Scholar 

  • Dicpinigaitis PV, Dobkin JB, Reichel J (2002) Antitussive effect of the leukotriene receptor antagonist zafirlukast in subjects with cough-variant asthma. J Asthma 39:291–297

    Article  PubMed  CAS  Google Scholar 

  • Dicpinigaitis PV, Sitkauskiene B, Stravinskaite K, Appel DW, Negassa A, Sakalauskas R (2006) Effect of smoking cessation on cough reflex sensitivity. Eur Respir J 28:786–790

    Article  PubMed  CAS  Google Scholar 

  • Eccles R (2002) The powerful placebo in cough studies? Pulm Pharmacol Ther 15:303–308

    Article  PubMed  CAS  Google Scholar 

  • Eschenbacher WL, Boushey HA, Sheppard D (1984) Alteration in osmolarity of inhaled aerosols causes bronchoconstriction and cough, but absence of a permeant anion causes cough alone. Am Rev Respir Dis 129:211–215

    PubMed  CAS  Google Scholar 

  • Fontana GA, Pantaleo T, Lavorini F, Boddi V, Panuccio P (1997) A noninvasive electromyographic study on threshold and cough intensity in humans. Eur Respir J 10:983–989

    Article  PubMed  CAS  Google Scholar 

  • Fontana GA, Pantaleo T, Lavorini F, Maluccio NM, Mutolo D, Pistolesi M (1999) Repeatability of cough-related variables during fog challenges at threshold and suprathreshold stimulus intensity in humans. Eur Respir J 13:1447–1450

    PubMed  CAS  Google Scholar 

  • Fontana GA, Lavorini F, Pistolesi M (2005) water aerosols and cough. In: Redington AE, Morice AH (eds) Acute and chronic cough. Taylor & Francis, Boca Raton, USA, pp 195–214

    Google Scholar 

  • Freestone C, Eccles R (1997) Assessment of the antitussive efficacy of codeine in cough associated with the common cold. J Pharm Pharmacol 49:1045–1049

    PubMed  CAS  Google Scholar 

  • Fujimura M, Sakamoto S, Kamio Y, Matsuda T (1992) Effects of methacholine-induced bron-choconstriction and procaterol-induced bronchodilation on cough receptor sensitivity to inhaled capsaicin and tartaric acid. Thorax 47:441–445

    PubMed  CAS  Google Scholar 

  • Fujimura M, Kasahara K, Kamio Y, Naruse M, Hashimoto T, Matsuda T (1996) Female gender as a determinant of cough threshold to inhaled capsaicin. Eur Respir J 9:1624–1626

    Article  PubMed  CAS  Google Scholar 

  • Fujimura M, Kamio Y, Myou S, Hashimoto T (2000) Effect of oral mexiletine on the cough response to capsaicin and tartaric acid. Thorax 55:126–128

    Article  PubMed  CAS  Google Scholar 

  • Fuller RW, Karlsson J-A, Choudry NB, Pride NB (1988) Effect of inhaled and systemic opiates on responses to inhaled capsaicin in humans. J Appl Physiol 65:1125–1130

    PubMed  CAS  Google Scholar 

  • Geppetti P, Materazzi S, Nicoletti P (2006) The transient receptor potential vanilloid 1: Role in airway inflammation and disease. Eur J Pharmacol 533:207–214

    Article  PubMed  CAS  Google Scholar 

  • Grattan TJ, Marshall AE, Higgins KS, Morice AH (1995) The effect of inhaled and oral dex-tromethorphan on citric acid induced cough in man. Br J Clin Pharmacol 39:261–263

    PubMed  CAS  Google Scholar 

  • Kastelik JA (2005) Acid inhalation cough challenge. In: Redington AE, Morice AH (eds) Acute and chronic cough. Taylor & Francis, Boca Raton, USA, pp 177–194

    Google Scholar 

  • Kastelik JA, Thompson RH, Aziz I, Ojoo JC, Redington AE, Morice AH (2002) Sex-related differences in cough reflex sensitivity in patients with chronic cough. Am J Respir Crit Care Med 166:961–964

    Article  PubMed  Google Scholar 

  • Kollarik M, Ru F, Undem BJ (2007) Acid-sensitive vagal sensory pathways and cough. Pulm Pharmacol Ther 20:402–411

    Article  PubMed  CAS  Google Scholar 

  • Kopec SE, DeBellis RJ, Irwin RS (2002) Chemical analysis of freshly prepared and stored cap-saicin solutions: Implications for tussigenic challenges. Pulm Pharmacol Ther 15:529–534

    Article  PubMed  CAS  Google Scholar 

  • Laude EA, Higgins KS, Morice AH (1993) A comparative study of the effects of citric acid, cap-saicin and resiniferatoxin on the cough challenge in guinea-pig and man. Pulm Pharmacol 6:171–175

    Article  PubMed  CAS  Google Scholar 

  • Mercer TT (1981) Production of therapeutic aerosols. Principles and techniques. Chest 80 (suppl. 6):813–818

    PubMed  CAS  Google Scholar 

  • Midgren B, Hansson L, Karlsson J-A, Simonsson BG, Persson CG (1992) Capsaicin-induced cough in humans. Am Rev Respir Dis 146:347–351

    PubMed  CAS  Google Scholar 

  • Mochizuki H, Shimizu T, Maeda S, Tokuyama K, Morikawa A, Kuruome T (1995) Relationship between ultrasonically nebulized distilled water-induced bronchoconstriction and acetic acid-induced cough in asthmatic children. J Allergy Clin Immunol 96:193–199

    Article  PubMed  CAS  Google Scholar 

  • Morice AH, Higgins KS, Yeo WW (1992) Adaptation of the cough reflex with different types of stimulation. Eur Respir J 5:841–847

    PubMed  CAS  Google Scholar 

  • Morice AH, Marshall AE, Higgins KS, Grattan TJ (1994) Effect of inhaled menthol on citric acid induced cough in normal subjects. Thorax 49:1024–1026

    Article  PubMed  CAS  Google Scholar 

  • Morice AH, Kastelik JA, Thompson R (2001) Cough challenge in the assessment of cough reflex. Br J Clin Pharmacol 52:365–375

    Article  PubMed  CAS  Google Scholar 

  • Morice AH, Fontana GA, Belvisi MG, Birring SS, Chung KF, Dicpinigaitis PV, Kastelik JA, McGarvey LP, Smith JA, Tatar M, Widdicombe JG (2007) ERS guidelines on the assessment of cough. Eur Respir J 29:1256–1276

    Article  PubMed  CAS  Google Scholar 

  • Nejla S, Fujimura M, Kamio Y (2000) Comparison between tidal breathing and dosimeter methods in assessing cough receptor sensitivity to capsaicin. Respirology 5:337–342

    Article  PubMed  CAS  Google Scholar 

  • Nieto L, DeDiego A, Perpina M, Compte L, Garrigues V, Martinez E, Ponce J (2003) Cough reflex testing with inhaled capsaicin in the study of chronic cough. Respir Med 97:393–400

    Article  PubMed  CAS  Google Scholar 

  • O'Connell F, Thomas VE, Pride NB (1992) Adaptation of the cough reflex with different types of stimulation(letter). Eur Respir J 5:1296–1297

    PubMed  Google Scholar 

  • O'Connell F, Thomas VE, Studham JM, Pride NB, Fuller RW (1996) Capsaicin cough sensitivity increases during upper respiratory tract infection. Respir Med 90:279–286

    Article  PubMed  Google Scholar 

  • Prudon B, Vara DD, Pavord ID, Birring SS (2005) Analysis of cough reflex sensitivity data. Thorax 60(suppl 2):ii107

    Google Scholar 

  • Rostami-Hodjegan A, Abdul-Manap R, Wright CE, Tucker GT, Morice AH (2001) The placebo response to citric acid-induced cough: Pharmacodynamics and gender differences. Pulm Pharmacol Ther 14:315–319

    Article  PubMed  CAS  Google Scholar 

  • Schmidt D, Jorres RA, Magnussen H (1997) Citric acid-induced cough thresholds in normal subjects, patients with bronchial asthma, and smokers. Eur J Med Res 2:384–388

    PubMed  CAS  Google Scholar 

  • Sitkauskiene B, Stravinskaite K, Sakalauskas R, Dicpinigaitis PV (2007) Changes in cough reflex sensitivity after cessation and resumption of cigarette smoking. Pulm Pharmacol Ther 20: 240–243

    Article  PubMed  CAS  Google Scholar 

  • Wright CE, Jackson J, Thompson RH, Morice AH (2007) Validation of the citric acid cough challenge using the KoKo DigiDoser system in healthy adult volunteers (abstract). Am J Respir Crit Care Med 175:A344

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Dicpinigaitis, P.V. (2009). Clinical Cough III: Measuring the Cough Response in the Laboratory. In: Chung, K.F., Widdicombe, J. (eds) Pharmacology and Therapeutics of Cough. Handbook of Experimental Pharmacology, vol 187. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-79842-2_15

Download citation

Publish with us

Policies and ethics