Molecular mechanisms of combination therapy with inhaled corticosteroids and long-acting beta-agonists.

Abstract:

:The treatment of asthma relies on the use of the following two major drug classes: beta(2)-agonists, both short acting and long acting; and corticosteroids (CSs). Although the properties of each drug class are well described, their use in combination delivered either separately or through one device has provided some clear and important clinical advantages. The mechanisms underlying these interactions have emerged as novel and provocative. beta(2)-Agonists can stimulate the glucocorticoid receptor (GR) and promote its translocation to the nucleus, resulting in increased CS-mediated gene transcription. In structural airway cells, such as fibroblasts and smooth muscle, this gene transcription is associated with the formation of a complex between the GR and another transcription factor, CCAAT enhancer-binding protein (C/EBP)-alpha. Airway smooth muscle cells from persons with asthma are deficient in C/EBP-alpha, which may explain the finding that CSs do not inhibit the proliferation of these cells in vitro. Whether this deficiency can explain the increased bulk of muscle in the asthmatic airway remains to be established. beta(2)-Agonists can inhibit mast cell mediator release, but this response is susceptible to desensitization, a process that CSs can inhibit. CSs also can increase the transcription of the beta(2)-receptor gene in the lung and the nasal mucosa. These effects of CSs mitigate against the reduced transcription of beta(2)-receptors, which occurs as a consequence of long-term beta(2)-agonist administration. Delineation of the exact mechanisms underlying these effects will ensure rational, direct therapy.

journal_name

Chest

journal_title

Chest

authors

Black JL,Oliver BGG,Roth M

doi

10.1378/chest.09-0354

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

1095-1100

issue

4

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(09)60609-7

journal_volume

136

pub_type

杂志文章,评审

相关文献

CHEST文献大全
  • High-Flow Nasal Cannula in the Immediate Postoperative Period: A Systematic Review and Meta-analysis.

    abstract:BACKGROUND:Studies have demonstrated that high-flow nasal cannula (HFNC) prevents intubation in acute hypoxic respiratory failure when compared with conventional oxygen therapy (COT). However, the data examining routine HFNC use in the immediate postoperative period are less clear. RESEARCH QUESTION:Is routine HFNC us...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2020.06.038

    authors: Chaudhuri D,Granton D,Wang DX,Burns KEA,Helviz Y,Einav S,Trivedi V,Mauri T,Ricard JD,Mancebo J,Frat JP,Jog S,Hernandez G,Maggiore SM,Mbuagbaw L,Hodgson CL,Jaber S,Goligher EC,Brochard L,Rochwerg B

    更新日期:2020-11-01 00:00:00

  • Respiratory muscle performance in normal elderly subjects and patients with COPD.

    abstract::We studied the reproducibility of tests of RM performance in normal elderly subjects and compared their performance with that of patients with COPD. The RM strength was measured as MIP and MEP. The RM endurance was measured using a two-minute incremental threshold loading test. The max load, the average Ppk as %MIP at...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.95.1.90

    authors: Morrison NJ,Richardson J,Dunn L,Pardy RL

    更新日期:1989-01-01 00:00:00

  • Transition from epoprostenol and treprostinil to the oral endothelin receptor antagonist bosentan in patients with pulmonary hypertension.

    abstract:STUDY OBJECTIVES:Prior to the availability of the oral endothelin antagonist bosentan, most patients with pulmonary arterial hypertension (PAH) were treated with continuously infused prostacyclins. Many patients receiving prostacyclins would have received bosentan if it had been available at the time of their diagnosis...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.126.3.808

    authors: Suleman N,Frost AE

    更新日期:2004-09-01 00:00:00

  • Long-Term Disabilities of Survivors of Out-of-Hospital Cardiac Arrest: The Hanox Study.

    abstract:BACKGROUND:Long-term outcomes of awakened survivors of out-of-hospital cardiac arrest (OHCA) are poorly known. RESEARCH QUESTION:What are the month (M) 18 outcomes of survivors of out-of-hospital cardiac arrest (OHCA) who awakened during the first 2 weeks' post-OHCA and their poor-outcome risk factors? STUDY DESIGN A...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2020.07.022

    authors: Peskine A,Cariou A,Hajage D,Deye N,Guérot E,Dres M,Sonneville R,Lafourcade A,Navarro V,Robert H,Azouvi P,Sharshar T,Bayen E,Luyt CE,Hanox Study Group.

    更新日期:2020-07-20 00:00:00

  • Snoring, family history, and genetic markers in men. The Copenhagen Male Study.

    abstract:BACKGROUND:No studies have attempted to examine the genetic influence on the habit of snoring. The aim of the present study was to examine whether an association existed between self-reported snoring and family history of snoring and a number of genetic markers. MATERIAL AND METHODS:The data were derived from a primar...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.107.5.1289

    authors: Jennum P,Hein HO,Suadicani P,Sørensen H,Gyntelberg F

    更新日期:1995-05-01 00:00:00

  • Commonly Used Patient-Reported Outcomes Do Not Improve Prediction of COPD Exacerbations: A Multicenter 4½ Year Prospective Cohort Study.

    abstract:BACKGROUND:Several cross-sectional and short-term studies suggest that patient-reported outcomes (PROs) may be useful to help predict COPD exacerbations, but evidence from long-term prospective cohort studies is lacking. Our aim was to assess if PROs add to the prediction of exacerbations. METHODS:Four hundred eight p...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.chest.2017.09.003

    authors: Strassmann A,Frei A,Haile SR,Ter Riet G,Puhan MA

    更新日期:2017-12-01 00:00:00

  • Magnetic resonance imaging evaluation of pulmonary vascular malformations.

    abstract:OBJECTIVE:The purpose of our study was to establish magnetic resonance imaging (MRI) criteria for the diagnosis of pulmonary vascular malformations (PVMs). MATERIALS AND METHODS:Since 1987, 11 patients have been referred for chest MRI at our institution because of findings suggestive of a PVM. They were evaluated with...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.106.5.1333

    authors: Silverman JM,Julien PJ,Herfkens RJ,Pelc NJ

    更新日期:1994-11-01 00:00:00

  • The prevalence of exercise-induced bronchospasm among US Army recruits and its effects on physical performance.

    abstract:STUDY OBJECTIVES:To measure the prevalence of exercise-induced bronchospasm (EIB) and to determine its effect on the physical performance response to training in otherwise healthy young adults. DESIGN:Observational, retrospective study. SETTING:Fort Jackson, SC, May to July 1998. PARTICIPANTS:One hundred thirty-seve...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.119.6.1676

    authors: Sonna LA,Angel KC,Sharp MA,Knapik JJ,Patton JF,Lilly CM

    更新日期:2001-06-01 00:00:00

  • Video-assisted thoracoscopic surgery is a promising treatment for solitary fibrous tumor of the pleura.

    abstract:STUDY OBJECTIVES:Solitary fibrous tumors of the pleura (SFTPs) are slow-growing neoplasms. Approximately 800 cases have been reported in the literature to date. The aim of this study was to address our experience with the management of SFTPs and to evaluate the advantage of video-assisted thoracoscopic surgery (VATS) i...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.125.3.1144

    authors: Takahama M,Kushibe K,Kawaguchi T,Kimura M,Taniguchi S

    更新日期:2004-03-01 00:00:00

  • The physiologic evaluation of patients with lung cancer being considered for resectional surgery.

    abstract::The preoperative physiologic assessment of a patient being considered for surgical resection of lung cancer must consider the immediate perioperative risks from comorbid cardiopulmonary disease, the long-term risks of pulmonary disability, and the threat to survival due to inadequately treated lung cancer. As with any...

    journal_title:Chest

    pub_type: 指南,杂志文章,实务指引

    doi:10.1378/chest.123.1_suppl.105s

    authors: Beckles MA,Spiro SG,Colice GL,Rudd RM,American College of Chest Physicians.

    更新日期:2003-01-01 00:00:00

  • Longitudinal changes in handgrip strength, hyperinflation, and 6-minute walk distance in patients with COPD and a control group.

    abstract:BACKGROUND:In COPD, a decreased inspiratory capacity to total lung capacity ratio (IC/TLC) is associated with dynamic hyperinflation and poor exercise capacity. The association with upper-extremity force measured by handgrip strength (HGS) and 6-min walk distance (6MWD) has not been previously described. We hypothesize...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.14-2878

    authors: Felipe C,Bartolome C,Miguel D,Victor PP

    更新日期:2015-10-01 00:00:00

  • Repetitive ventricular fibrillation preceded by both ST segment depression and elevation during acute myocardial ischemia.

    abstract::A patient had repetitive ventricular fibrillation preceded by alternating ST segment depression and elevation. The ECG changes were confined to the precordial leads only, reflecting subendocardial and transmural ischemia, respectively. It is speculated that the patient exhibited consecutive episodes of subtotal and to...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.6.1296

    authors: Rechavia E,Sagie A,Kusniec J,Mager A,Sclarovsky S

    更新日期:1988-06-01 00:00:00

  • Indications for spirometry in outpatients with respiratory disease.

    abstract::It has been suggested that spirometry should be incorporated into the routine examination of every patient, analogous to obtaining vital signs. To determine the impact of spirometry on the management of outpatients with respiratory disease, spirometry was performed on 150 consecutive patients (123 men and 27 women, me...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.99.3.730

    authors: Owens MW,Anderson WM,George RB

    更新日期:1991-03-01 00:00:00

  • Ultrasound accurately reflects the jugular venous examination but underestimates central venous pressure.

    abstract:BACKGROUND:Bedside ultrasound examination could be used to assess jugular venous pressure (JVP), and thus central venous pressure (CVP), more reliably than clinical examination. METHODS:The study was a prospective, blinded evaluation comparing physical examination of external jugular venous pressure (JVPEXT), internal...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1378/chest.10-1301

    authors: Deol GR,Collett N,Ashby A,Schmidt GA

    更新日期:2011-01-01 00:00:00

  • Environmental tobacco smoke may induce early lung damage in healthy male adolescents.

    abstract:STUDY OBJECTIVE:Childhood exposure to environmental tobacco smoke (ETS) adversely affects dynamic spirometric indexes as a result of combined early life (including in utero) and current exposure to parental smoking. The aim of our study was to investigate the effect of ETS on lung function and to identify the most sens...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.125.4.1387

    authors: Rizzi M,Sergi M,Andreoli A,Pecis M,Bruschi C,Fanfulla F

    更新日期:2004-04-01 00:00:00

  • Effects of prostaglandin E1 on oxygen delivery and consumption in patients with the adult respiratory distress syndrome. Results from the prostaglandin E1 multicenter trial. The Prostaglandin E1 Study Group.

    abstract::We wanted to determine the long-term effects of a continuous infusion of PGE1 on DO2 and VO2 in patients with ARDS. Data were obtained from a randomized double-blind multicenter trial, which evaluated the effects of PGE1 on survival in patients with ARDS. Patients were stratified according to treatment and outcome: pl...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1378/chest.98.2.405

    authors: Silverman HJ,Slotman G,Bone RC,Maunder R,Hyers TM,Kerstein MD,Ursprung JJ

    更新日期:1990-08-01 00:00:00

  • Transforming growth factor-beta signal transduction in angiogenesis and vascular disorders.

    abstract::Transforming growth factor (TGF)-beta is a multifunctional protein that initiates its diverse cellular responses by binding to and activating specific type I and type II serine/threonine kinase receptors. TGF-beta can act as a regulator of proliferation, migration, survival, differentiation, and extracellular matrix s...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.128.6_suppl.585S

    authors: Bertolino P,Deckers M,Lebrin F,ten Dijke P

    更新日期:2005-12-01 00:00:00

  • Childhood parapneumonic effusions: biochemical and inflammatory markers.

    abstract:STUDY OBJECTIVES:Biochemical and inflammatory markers in pleural inflammation were evaluated in pediatric cases of parapneumonic effusions, and interleukin (IL)-8 and tumor necrosis factor (TNF)-alpha concentrations were tested for possible differentiation of the complicated nature of effusions. PATIENTS:Twenty-eight ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.3.1436

    authors: Utine GE,Ozcelik U,Yalcin E,Dogru D,Kiper N,Aslan A,Kanra G

    更新日期:2005-09-01 00:00:00

  • Bilateral diaphragm paralysis treated with cuirass ventilation.

    abstract::The therapeutic effects of cuirass ventilation were studied in two patients with bilateral diaphragm paralysis. Negative inspiratory and positive expiratory pressure applied to the cuirass shell was transmitted to the abdominal and thoracic cavities. Diaphragm excursion was enhanced. Nocturnal cuirass ventilation appe...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.92.4.683

    authors: Driver AG,Blackburn BB,Marcuard SP,Austin EH Jr

    更新日期:1987-10-01 00:00:00

  • Treatment of the adult respiratory distress syndrome with continuous positive airway pressure.

    abstract::Fifteen patients in the early stages of the adult respiratory distress syndrome with severe hypoxemia who were capable of maintaining adequate spontaneous ventilation were treated with continuous positive airway pressure (CPAP). The optimal level of CPAP was adjusted for each patient to achieve the highest oxygenation...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.76.3.257

    authors: Venus B,Jacobs HK,Lim L

    更新日期:1979-09-01 00:00:00

  • Bitolterol mesylate (WIN 32784) aerosol. A new long-acting bronchodilator with reduced chronotropic effects.

    abstract::Bitolterol mesylate (WIN 37284) is alpha-[tert-butylaminomethyl]-3,4-dihydroxybenzyl alcohol 3,4-di(p-toluate) methanesulfonate, a diester sympathomimetic amine bronchodilator. Bitolterol mesylate represents a new concept in sympathomimetic amine therapy. It is "prodrug" which is inactive until altered in the body. Th...

    journal_title:Chest

    pub_type: 临床试验,杂志文章

    doi:10.1378/chest.78.2.283

    authors: Kass I,Mingo TS

    更新日期:1980-08-01 00:00:00

  • International trends in asthma mortality rates in the 5- to 34-year age group: a call for closer surveillance.

    abstract:BACKGROUND:International time trends in asthma mortality have played an important sentinel role in the identification of two epidemics of asthma mortality in some countries in the 1960s and the 1970s and 1980s. Since then, little attention has been paid to the ongoing international time trends. METHODS:Country-specifi...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-2082

    authors: Wijesinghe M,Weatherall M,Perrin K,Crane J,Beasley R

    更新日期:2009-04-01 00:00:00

  • Spinal cord ischemia resulting in paraplegia following extrapleural pneumonectomy.

    abstract::A patient undergoing radical extrapleural pneumonectomy for epithelioid malignant mesothelioma developed acute paraplegia postoperatively related to long-segment spinal cord ischemia. The usual area of concern for this complication is the T9 to T12 area where the artery of Adamkiewicz is most likely to originate. In t...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.13-3062

    authors: Ural K,Jakob K,Lato S,Gilly G,Landreneau R

    更新日期:2014-08-01 00:00:00

  • Plug closure of patent ductus arteriosus by transfemoral catheter method. A comparative study with surgery and a new technical modification.

    abstract::Plug closure of patent ductus arteriosus without thoracotomy is reliable and can be a good alternative to surgical closure for selected patients. We report our experiences with plug closure in 87 consecutive patients (age range, 3 to 38 years). Closure was successful in 83 patients (95 percent). There has been no mort...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.70.5.631

    authors: Kitamura S,Sato K,Naito Y,Shimizu Y,Fujino M

    更新日期:1976-11-01 00:00:00

  • Combination antihypertensive therapy among patients with COPD.

    abstract:BACKGROUND:COPD and hypertension both increase the risk of congestive heart failure (CHF). Current clinical trials do not inform the selection of combination antihypertensive therapy among patients with COPD. We performed a comparative effectiveness study to investigate whether choice of dual agent antihypertensive the...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.12-1770

    authors: Herrin MA,Feemster LC,Crothers K,Uman JE,Bryson CL,Au DH

    更新日期:2013-05-01 00:00:00

  • Reduced sodium transport with nasal administration of the prostasin inhibitor camostat in subjects with cystic fibrosis.

    abstract:BACKGROUND:Prostasin, a trypsin-like serine protease, is a channel-activating protease and major regulator of epithelial sodium channel-mediated sodium absorption. Its direct inhibition by camostat represents a potential approach to inhibiting sodium transport in cystic fibrosis (CF). METHODS:To determine whether a to...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1378/chest.12-2431

    authors: Rowe SM,Reeves G,Hathorne H,Solomon GM,Abbi S,Renard D,Lock R,Zhou P,Danahay H,Clancy JP,Waltz DA

    更新日期:2013-07-01 00:00:00

  • Pleural effusion in patients with systemic cholesterol embolization.

    abstract::We evaluated two patients with systemic cholesterol embolization (SCE) associated with the development of pleural effusions. These two patients had evidence of atherosclerosis and presented with livedo reticularis, renal insufficiency, and gangrenous cutaneous changes as manifestations of their SCE. In both cases, clo...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.103.3.792

    authors: Kollef MH,McCormack MT,Kristo DA,Reddy VV

    更新日期:1993-03-01 00:00:00

  • Poor prognosis in patients with rheumatoid arthritis hospitalized for interstitial lung fibrosis.

    abstract::Fifty-seven patients with rheumatoid arthritis (RA) were treated in hospital for diffuse interstitial lung fibrosis. Although interstitial fibrosis (either on the basis of lung function tests or chest roentgenograms or both) is fairly common among patients with RA, according to this study interstitial fibrosis of suff...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.1.114

    authors: Hakala M

    更新日期:1988-01-01 00:00:00

  • Clinical features of Pseudomonas cepacia pneumonia in an epidemic among immunocompromised patients.

    abstract::Between January 1990 and August 1991, there were 37 patients admitted to our Department of Internal Medicine with hematologic malignancies or solid tumors who showed colonization of the respiratory tract with Pseudomonas cepacia. Extensive surveillance cultures of the environmental surfaces and respiratory equipment o...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.6.1706

    authors: Yamagishi Y,Fujita J,Takigawa K,Negayama K,Nakazawa T,Takahara J

    更新日期:1993-06-01 00:00:00

  • Comparison of noninvasive positive pressure ventilation with standard medical therapy in hypercapnic acute respiratory failure.

    abstract:STUDY OBJECTIVE:To compare the efficacy of standard medical therapy (ST) and noninvasive mechanical ventilation additional to standard medical therapy in hypercapnic acute respiratory failure (HARF). DESIGN:Single center, prospective, randomized, controlled study. SETTING:Pulmonary medicine directed critical care uni...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.114.6.1636

    authors: Celikel T,Sungur M,Ceyhan B,Karakurt S

    更新日期:1998-12-01 00:00:00