Abstract
Airway hyperreactivity is a common feature in patients with asthma and chronic airflow obstruction. Although the intensity of airway reactivity and the degree of airflow obstruction are generally related to eachother, airway hyperreactivity is not an epiphenomenon of airflow obstruction. Apparently, bronchodilator therapy is also important in patients with irreversible airflow obstruction since it may prevent sudden bronchoconstriction after contacts with nonspecific irritants.
As airway hyperreactivity does not discriminate between asthma and chronic airflow obstruction, this may suggest that they are two aspects of the same basic process with airway hyperreactivity as one common denominator. Other factors, however, should not be disregarded.
Similar content being viewed by others
References
Hargreave, F. E., Ryan, G., Thomson, N. C., O’Byrne, P. M., Latimer, K., Juniper, E. F., and Dolovich, J. (1981),J. Allergy Clin. Immunol. 68, 347–355.
Boushey, H. A., Holtzman, M. J., Sheller, J. R., and Nadel, J. A. (1980),Am. Rev. Respir. Dis. 121, 389–413.
Curry, J. J. (1947),J. Clin. Invest. 26, 430–438.
Cockcroft, D. W., Ruffin, R. E., Frith, P. A., Cartier, A., Juniper, E. F., Dolovich, J., and Hargreave, F. E. (1979),Am. Rev. Respir. Dis. 120, 1053–1058.
O’Byrne, P. M., Ryan, G., Morris, M., McCormack, D., Jones, N. L., Morse, J. L. C., and Hargreave, F. E. (1982),Am. Rev. Respir. Dis. 125, 281–285.
Juniper, E. F., Frith, P. A., and Hargreave, F. E. (1982),Thorax 37, 288–291.
de Vries, K., Booij-Noord, H., and Goei, J. T. (1964), Hyperreactivity of the Bronchial Tree to Drugs, Chemical, and Physical Agents (Orie, N. G. M. and Sluiter, H. J., eds.),Bronchitis Vol.2, Van Gorcum, Assen, pp. 167–180.
Cockcroft, D. W. (1985),Ann. Allergy 55, 527–534.
Eiser, N. M., Kerrebijn, D. F., and Quanjer, P. H. (1983),Bull. Eur. Physiopathol. Respir. 19, 495–514.
Bahous, J., Cartier, A., Ouimet, G., Pineau, L., and Malo, J. L. (1984),Am. Rev. Respir. Dis. 129, 216–220.
Klein, R. C. and Salvaggio, J. E. (1966),J. Allergy 37, 158–168.
Yan, K., Salome, C. M., and Woolcock, A. J. (1985),Am. Rev. Respir. Dis. 132, 25–29.
Fanta, C. H. and Ingram, R. H. (1951),Med. Clin. North. Am. 65, 473–487.
Higgenbottam, T., Feyerband, C., and Clark, T. J. M. (1980),Thorax 35, 246–254.
Ramsdell, J. W., Nachtwey, F. J., and Moser, K. M. (1982),Am. Rev. Respir. Med. 126, 829–832.
Skoogh, B. E. (1973),Scand. J. Respir. Dis. 54, 379–387.
Du Toit, J. L., Woolcock, A. J., Salome, C. M., Sundrum, R., and Black, J. L. (1986),Am. Rev. Respir. Dis. 134, 498–501.
Pride, N. (1986),Clin. Allergy 16, 3–6.
Orie, N. G. M., Sluiter, H. J., de Vries, K., Tammeling, G. J., and Witkop, J. (1960), The Host Factor in Bronchitis,Bronchitis, Int. Symposium Groningen, Van Gorcum, Assen. pp. 43–59.
Van der Lende, R., De Kroon, J. P. M., Van der Meulen, G. G., Tammeling, G. J., Visser, B. F., de Vries K., Orie, N. G. M. (1970), Possible Indicators of Endogenous Factors in the Development of CNSLD (Orie, N. G. M. and Van der Lende, R., eds.),Bronchitis Vol. 3, Int. Symposium Groningen, Van Gorcum, Assen pp. 52–70.
Gökemeyer, J. D. M. (1970), Hyperreactiviteit van de Luchtwegen, Thesis, Wolters-Noordhoff, Groningen.
de Vries, K., Gökemeyer, J. D. M., Koe’tër, G. H., de Monchy, J. G. R., van Bork, L. E., Kauffman, H. F., and Meurs, H. (1982), Cholinergic and Adrenergic Mechanisms in Bronchial Hyperreactivity (Morley, J., ed.),Perspectives in Asthma, Vol. 1.Bronchial Hyperreactivity, Academic, New York, NY, pp. 107–121.
Postma, D. S., de Vries, K., and Sluiter, H. J. (1986),Neth. J. Med. 29, 334–341.
Ramsdale, E. H., Roberts, R. S., Morris, M. M., and Hargrave, F. E. (1985),Thorax 40, 422–426.
Juniper, E. F., Frith, P. A., and Hargreave, F. E. (1981),Thorax 36, 575–579.
Cockcroft, D. W., Dillian, D. N., Mellon, J. J. A., and Hargreave, F. E. (1977),Clin. Allergy 7, 235–243.
Townley, R. G., Ryo, U. Y., Kolotkin, B. M., and Kang, B. (1975),J. Allergy Clin. Immunol. 56, 429–442.
Ryan, G., Latimer, K. M., Dolovich, J., and Hargreave, F. E. (1982),Thorax 37, 423–429.
Makino, S. (1966),J. Allergy 38, 127–142.
Dales, R. E., Ernst, P., Hanley, J. A., Battista, R. N., and Becklake, M. R. (1987),Am. Rev Respir. Dis. 135, 817–821.
Rubinfeld, A. R. and Pain, M. C. F. (1977),Am. Rev. Respir. Dis. 115, 381–387.
Burdon, J. G. W., Juniper, E. F., Eillian, K. J., Hargreave, F. E., and Campbell, E. J. M. (1982),Am. Rev. Respir. Dis. 115, 381–387.
Spector, S. L. and Farr, R S. (1975),J. Allergy Clin. Immunol. 56, 308–316.
Booij-Noord, H., de Vries, K., Sluiter, H. J., and Orie, N. G. M. (1972),Clin. Allergy 2, 43–61.
Eillian, D., Cockcroft, D. W., Hargreave, F. E., and Dolovich, J. (1976),Clin. Allergy 6, 219–225.
Bryant, D. H. and Burns, M. W. (1976),Clin. Allergy 6, 523–532.
de Monchy, J. G. R. (1986),The Late Allergic Reaction in Bronchial Asthma, Thesis, Krips Repro. Meppel, the Netherlands.
Neijens, H. J. and Kerrebijn, K. F. (1983),Eur. J. Respir. Dis. 64, 591–597.
Empey, D. W., Laitinen, L. A., Jacobs, L., Gold, W. M., and Nadel, J. A. (1976),Am. Rev. Respir. Dis. 113, 131–139.
Cockcroft, D. W., Ruffin, R. E., Dolovich, J., and Hargreave, F. E. (1977),Clin. Allergy 7, 503–513.
Löwhagen, O. and Rak, S. (1985),J. Allergy Clin. Immunol. 75, 460–467.
Sotomayer, H., Badier, M., Vervloet, D., and Orehek, J. (1984),Am. Rev. Respir. Dis. 130, 56–58.
Thorpe, J. E., Steinberg, P., Bernstein, J. L., and Murlas, C. G. (1987),Chest 91, 21–25.
Cartier, A., Thomson, N. C., Frith, P. A., Roberts, R., and Hargreave, F. E. (1982),J. Allergy Clin. Immunol. 70, 170–177.
Durham, S. R., Graneek, B. J., Hawkins, R., and Newman Taylor, A. J. (1987),J. Allergy Clin. Immunol. 79, 398–406.
Cockcroft, D. W., Cotton, D. J., and Mink, J. T. (1979),Am. Rev. Respir. Dis. 119, 505–510.
Chan-Yeung, M. (1977),Am. Rev. Respir. Dis. 116, 1023–1031.
Koëter, G. H., Meurs, H., Kauffman, H. F., and de Vries, K. (1982),Eur. J. Respir. Dis. 63, 72–78.
Durham, S. R. and Kay, A. B. (1985),Clin. Allergy 15, 411–418.
de Monchy, J. G. R., Kauffman, H. F., Venge, P., Koëter, G. H., Jansen, H. M., Sluiter, H. J., and de Vries, K. (1985),Am. Rev. Respir. Dis. 131, 373–377.
Bruijnzeel, P. L. B., de Monchy, J. G. R., Verhagen, J., and Kauffman, H. F. (1986),Bull. Eur. Physiopathol. Resp. 22, 54–61.
Kraan, J., Koëter, G. H., Van der Mark, Th. W., Sluiter, H. J., and de Vries, K. (1985),J. Allergy Clin. Immunol. 76, 628–639.
Holtzman, M. J., Cunningham, J. H., Sheller, J. H., Irsigler, G. B., Nadel, J. A., and Boushey, H. A. (1979),Am. Rev. Respir. Dis. 120, 1059–1067.
Golden, J. A., Nadel, J. A., and Boushey, H. A. (1978),Am. Rev. Respir. Dis. 118, 287–294.
O’Byrne, R. M. Walters, E. H., and Gold, B. D. (1984),Am. Rev. Respir. Dis. 130, 214–219.
O’Byrne, R. M., Walters, E. H., Aizawa, H., Fabbri, L. M., Holtzman, M. J., and Nadel, J. A. (1984),Am. Rev. Respir. Dis. 130, 220–224.
Postma, D. S., Renkema, T. E. J., Noordhoek, J. A., Faber, H., Sluiter, H. J., and Kauffman, H. (1988),Am. Rev. Respir. Dis. 137, 57–62.
Neijens, H. J., Raatgreep, R. E., Degenhart, H. J., Duiverman, E. J., and Kerrebijn, K. F. (1984),Am. Rev. Respir. Dis. 130, 744–747.
Ahmed, T. and Machette, B. (1985),Am. Rev. Respir. Dis. 132, 839–844.
de Vries, K., Goei, J. T., Booij-Noord, H., and Orie, N. G. M. (1962),Int. Arch. Allergy 20, 93–101.
Tammeling, C. J., de Vries, K., and Kruyt, E. N. (1977), The Circadian Pattern of the Bronchial Reactivity to Histamine in Healthy Subjects and in Patients with Obstructive LungDisease, (McGovern, J. P., ed.),Chronobiology in Allergy and Immunology, C C Thomas, Springfield, IL, pp. 139–149.
Platts-Mills, T. A. E., Mitchell, E. B., Nock, P., Tovey, E. R., Moszoro, H., and Wilkins, S. R. (1982),Lancet 2, 675–677.
Sluiter, H. J., Orie, N. G. M., Vegter, J. J. M., and Tammeling, C. J. (1961), Emphysema and Cor Pulmonale (Orie, N. G. M. and Sluiter, H. J., eds.),Bronchitis, Van Gorcum, Assen.
Van Aalderen, W. M. C., Postma, D. S., Koëter, G. H., and Knol, K. (1987),Proc. Int. Congress on Chronobiology, Leiden, the Netherlands.
Welty, C., Weiss, S. T., Tager, I. B., Munoz, A., Becker, C., Speizer, F. E., and Ingram, R. H., Jr. (1984),Am. Rev. Respir. Dis. 130, 198–203.
Gerrard, J. W., Cockcroft, D. W., Mink, J. T., Cotton, D. J., Poomawala, R. P., and Dosman, J. A. (1980),Am. Rev. Respir. Dis. 122, 577–581.
Taylor, R. G., Joyce, H., Gross, E., Holland, F., and Pride, N. B. (1985),Thorax 40, 9–16.
Buczko, G. B., Day, A., Vanderdoelen, J. L., Boucher, R., and Zamel, N. (1984),Am. Rev. Respir. Dis. 129, 12–14.
Bosse, R., Sparrow, D., Rose, C. L., and Weiss, S. T. (1981),Am. Rev. Respir. Dis. 123, 378–381.
Barter, C. E. and Campbell, A. H. (1976),Am. Rev. Respir. Dis. 113, 305–314.
Postma, D. S., de Vries, K., Koëser, G. H., and Sluiter, H. J. (1986),Am. Rev. Respir. Dis. 134, 276–280.
Request for Proposal CEP-NHLBI-84-1 (1983),Early Intervention for Chronic Obstructive Pulmonary Disease, National Institutes of Health, National Heart, Lung, and Blood Institute, Bethesda, MD.
Peat, J. K. Woolcock, A. J., and Culen, K. (1987),Eur. J. Respir. Dis. 70, 171–179.
Gerritsen, J., Koëter, G. H., Van Aalderen, W. M. C., and Knol, K. (1987),Am. Rev. Respir. Dis. 135, A311.
Bleecker, E. R. (1985),J. Allergy Clin. Immunol. 75, 21–24.
University Hospitals Groningen and Rotterdam, Multicentre Study,Long-term Intervention in Asthma and Chronic Airflow Obstruction, unpublished data.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Postma, D.S., Koëter, G.H. & Vries, K.d. Clinical expression of airway hyperreactivity in adults. Clinical Reviews in Allergy 7, 321–343 (1989). https://doi.org/10.1007/BF02914481
Issue Date:
DOI: https://doi.org/10.1007/BF02914481