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J Appl Physiol 74: 2771-2781, 1993;
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Journal of Applied Physiology, Vol 74, Issue 6 2771-2781, Copyright © 1993 by American Physiological Society


ARTICLES

Functional significance of increased airway smooth muscle in asthma and COPD

R. K. Lambert, B. R. Wiggs, K. Kuwano, J. C. Hogg and P. D. Pare
Department of Physics and Biophysics, Massey University, Palmerston North, New Zealand.

Using a computational model, we investigated the effect of the morphologically determined increased airway smooth muscle mass, adventitial mass, and submucosal mass observed in patients with asthma and chronic obstructive pulmonary disease (COPD) on the increase in airway resistance in response to a bronchoconstricting stimulus. The computational model of Wiggs et al. (J. Appl. Physiol. 69: 849-860, 1990) was modified in such a way that smooth muscle shortening was limited by the maximal stress that the muscle could develop at the constricted length. Increased adventitial thickness was found to increase constriction by reducing parenchymal interdependence. Increased submucosal thickness led to greater luminal occlusion for any degree of smooth muscle shortening. Increased muscle thickness allowed greater smooth muscle shortening against the elastic loads provided by parenchymal interdependence and airway wall stiffness. We found that for constant airway mechanics, as reflected by the passive area-pressure curves of the airways, the increased muscle mass is likely to be the most important abnormality responsible for the increased resistance observed in response to bronchoconstricting stimuli in asthma and COPD. For a given maximal muscle stress, greater muscle thickness allows the development of greater tension and thus more constriction of the lumen.


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M. Saetta and G. Turato
Airway pathology in asthma
Eur. Respir. J., July 2, 2001; 18(34_suppl): 18S - 23s.
[Abstract] [Full Text] [PDF]


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J. Appl. Physiol.Home page
U. Holzhauser and R. K. Lambert
Analysis of tracheal mechanics and applications
J Appl Physiol, July 1, 2001; 91(1): 290 - 297.
[Abstract] [Full Text] [PDF]


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J. Appl. Physiol.Home page
A. Jensen, H. Atileh, B. Suki, E. P. Ingenito, and K. R. Lutchen
Signal Transduction in Smooth Muscle: Selected Contribution: Airway caliber in healthy and asthmatic subjects: effects of bronchial challenge and deep inspirations
J Appl Physiol, July 1, 2001; 91(1): 506 - 515.
[Abstract] [Full Text] [PDF]


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J. Appl. Physiol.Home page
R. K. Lambert, P. D. Pare, and M. Okazawa
Stiffness of peripheral airway folding membrane in rabbits
J Appl Physiol, June 1, 2001; 90(6): 2041 - 2047.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
M. Van Den BERGE, R. J. MEIJER, H. A. M. KERSTJENS, D. M. de REUS, G. H. KOETER, H. F. KAUFFMAN, and D. S. POSTMA
PC20 Adenosine 5'-Monophosphate Is More Closely Associated with Airway Inflammation in Asthma Than PC20 Methacholine
Am. J. Respir. Crit. Care Med., June 1, 2001; 163(7): 1546 - 1550.
[Abstract] [Full Text] [PDF]


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J. Appl. Physiol.Home page
M. Okazawa, P. D. Pare, and R. K. Lambert
Compliance of peripheral airways deduced from morphometry
J Appl Physiol, December 1, 2000; 89(6): 2373 - 2381.
[Abstract] [Full Text] [PDF]


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J. Appl. Physiol.Home page
S. Uhlig, A. Wohlsen, F. Brasch, C. Y. Seow, and P. D. Pare
Can airways close completely?
J Appl Physiol, December 1, 2000; 89(6): 2521 - 2522.
[Full Text] [PDF]


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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
A. Trifilieff, A. El-Hashim, and C. Bertrand
Time course of inflammatory and remodeling events in a murine model of asthma: effect of steroid treatment
Am J Physiol Lung Cell Mol Physiol, December 1, 2000; 279(6): L1120 - L1128.
[Abstract] [Full Text] [PDF]


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J. Appl. Physiol.Home page
R. Ramchandani, X. Shen, C. L. Elmsley, W. T. Ambrosius, S. J. Gunst, and R. S. Tepper
Differences in airway structure in immature and mature rabbits
J Appl Physiol, October 1, 2000; 89(4): 1310 - 1316.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
T. R. BAI, J. COOPER, T. KOELMEYER, P. D. PARE, and T. D. WEIR
The Effect of Age and Duration of Disease on Airway Structure in Fatal Asthma
Am. J. Respir. Crit. Care Med., August 1, 2000; 162(2): 663 - 669.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
H. TIDDENS, M. SILVERMAN, and A. BUSH
The Role of Inflammation in Airway Disease . Remodeling
Am. J. Respir. Crit. Care Med., August 1, 2000; 162(2): S7 - 10.
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Am. J. Respir. Crit. Care Med.Home page
J. C. C. M.i.`t VEEN, A. J. BEEKMAN, E. H. BEL, and P. J. STERK
Recurrent Exacerbations in Severe Asthma Are Associated with Enhanced Airway Closure During Stable Episodes
Am. J. Respir. Crit. Care Med., June 1, 2000; 161(6): 1902 - 1906.
[Abstract] [Full Text]


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ChestHome page
C. Kuhn, R. J. Homer, Z. Zhu, N. Ward, and J. A. Elias
Morphometry Explains Variation in Airway Responsiveness in Transgenic Mice Overexpressing Interleukin-6 and Interleukin-11 in the Lung
Chest, May 1, 2000; 117 (2009): 260S - 262S.
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Am. J. Respir. Cell Mol. Bio.Home page
C. Kuhn III, R. J. Homer, Z. Zhu, N. Ward, R. A. Flavell, G. P. Geba, and J. A. Elias
Airway Hyperresponsiveness and Airway Obstruction in Transgenic Mice . Morphologic Correlates in Mice Overexpressing Interleukin (IL)-11 and IL-6 in the Lung
Am. J. Respir. Cell Mol. Biol., March 1, 2000; 22(3): 289 - 295.
[Abstract] [Full Text]


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Am. J. Respir. Crit. Care Med.Home page
M. SAETTA, G. TURATO, S. BARALDO, A. ZANIN, F. BRACCIONI, C. E. MAPP, P. MAESTRELLI, G. CAVALLESCO, A. PAPI, and L. M. FABBRI
Goblet Cell Hyperplasia and Epithelial Inflammation in Peripheral Airways of Smokers with Both Symptoms of Chronic Bronchitis and Chronic Airflow Limitation
Am. J. Respir. Crit. Care Med., March 1, 2000; 161(3): 1016 - 1021.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
J. J. FREDBERG
Airway Smooth Muscle in Asthma . Perturbed Equilibria of Myosin Binding
Am. J. Respir. Crit. Care Med., March 1, 2000; 161(3): S158 - 160.
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Am. J. Respir. Crit. Care Med.Home page
E. PALMANS, J. C. KIPS, and R. A. PAUWELS
Prolonged Allergen Exposure Induces Structural Airway Changes in Sensitized Rats
Am. J. Respir. Crit. Care Med., February 1, 2000; 161(2): 627 - 635.
[Abstract] [Full Text]


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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
M. E. Zacour and J. G. Martin
Protein kinase C is involved in enhanced airway smooth muscle cell growth in hyperresponsive rats
Am J Physiol Lung Cell Mol Physiol, January 1, 2000; 278(1): L59 - L67.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
E. T. NAURECKAS, I. MAURICE NDUKWU, A. J. HALAYKO, C. MAXWELL, M. B. HERSHENSON, and J. SOLWAY
Bronchoalveolar Lavage Fluid from Asthmatic Subjects Is Mitogenic for Human Airway Smooth Muscle
Am. J. Respir. Crit. Care Med., December 1, 1999; 160(6): 2062 - 2066.
[Abstract] [Full Text]


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Am. J. Respir. Crit. Care Med.Home page
H. A. W. M. TIDDENS, W. HOFHUIS, J. M. BOGAARD, W. C. J. HOP, H. de BRUIN, L. N. A. WILLEMS, and J. C. de JONGSTE
Compliance, Hysteresis, and Collapsibility of Human Small Airways
Am. J. Respir. Crit. Care Med., October 1, 1999; 160(4): 1110 - 1118.
[Abstract] [Full Text]


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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
M. J. Orsini, V. P. Krymskaya, A. J. Eszterhas, J. L. Benovic, R. A. Panettieri Jr., and R. B. Penn
MAPK superfamily activation in human airway smooth muscle: mitogenesis requires prolonged p42/p44 activation
Am J Physiol Lung Cell Mol Physiol, September 1, 1999; 277(3): L479 - L488.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Cell Mol. Bio.Home page
D. Fernandes, E. Guida, V. Koutsoubos, T. Harris, P. Vadiveloo, J. W. Wilson, and A. G. Stewart
Glucocorticoids Inhibit Proliferation, Cyclin D1 Expression, and Retinoblastoma Protein Phosphorylation, but Not Activity of the Extracellular-Regulated Kinases in Human Cultured Airway Smooth Muscle
Am. J. Respir. Cell Mol. Biol., July 1, 1999; 21(1): 77 - 88.
[Abstract] [Full Text]


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J. Appl. Physiol.Home page
H. L. Gillis and K. R. Lutchen
Airway remodeling in asthma amplifies heterogeneities in smooth muscle shortening causing hyperresponsiveness
J Appl Physiol, June 1, 1999; 86(6): 2001 - 2012.
[Abstract] [Full Text] [PDF]


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ThoraxHome page
J C HOGG
Vascularity in asthmatic airways: relation to inhaled steroid dose
Thorax, April 1, 1999; 54(4): 283 - 283.
[Full Text]


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Am. J. Respir. Crit. Care Med.Home page
A. M. VIGNOLA, L. RICCOBONO, A. MIRABELLA, M. PROFITA, P. CHANEZ, V. BELLIA, G. MAUTINO, P. D'ACCARDI, J. BOUSQUET, and G. BONSIGNORE
Sputum Metalloproteinase-9/Tissue Inhibitor of Metalloproteinase-1 Ratio Correlates with Airflow Obstruction in Asthma and Chronic Bronchitis
Am. J. Respir. Crit. Care Med., December 1, 1998; 158(6): 1945 - 1950.
[Abstract] [Full Text] [PDF]


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ThoraxHome page
V. Brusasco, E. Crimi, and R. Pellegrino
Airway hyperresponsiveness in asthma: not just a matter of airway inflammation
Thorax, November 1, 1998; 53(11): 992 - 998.
[Full Text]


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Am. J. Respir. Crit. Care Med.Home page
C. Y. SEOW, R. R. SCHELLENBERG, and P. D. PARE
Structural and Functional Changes in the Airway Smooth Muscle of Asthmatic Subjects
Am. J. Respir. Crit. Care Med., November 1, 1998; 158(2007): S179 - S186.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
S. J. HIRST and T. H. LEE
Airway Smooth Muscle as a Target of Glucocorticoid Action in the Treatment of Asthma
Am. J. Respir. Crit. Care Med., November 1, 1998; 158(2007): S201 - S206.
[Abstract] [Full Text] [PDF]




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