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J Appl Physiol (May 3, 2002). doi:10.1152/japplphysiol.00013.2002
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Articles in PresS, published online ahead of print May 3, 2002
J Appl Physiol, 10.1152/jap.00013.2002
Submitted on January 10, 2002
Accepted on April 23, 2002

Pulmonary responses to tracheal or esophageal acidification in guinea pigs with airway inflammation

Fernanda D.T.Q.S. Lopes1, Glauco S Alvarenga1, Raquel Quiles1, Mayra B Dorna1, Joaquim E Vieira1, Marisa Dolhnikoff1, and Milton A Martins1*

1 Departments of Medicine and Pathology, School of Medicine of the University of Sao Paulo, Sao Paulo, SP, Brazil

* To whom correspondence should be addressed. E-mail: mmartins{at}usp.br.

The association between asthma and gastroesophageal reflux has been attributed to microaspiration of gastric contents and/or vagally-mediated reflex bronchoconstriction. In previous experimental studies concerning the pulmonary effects of tracheal or esophageal acid infusion only animals without airway inflammation have been studied. We assessed the effects of esophageal and tracheal administration of hydrochloric acid (HCl) on normal guinea pigs (GP) and GP with airway inflammation induced by repeated ovoalbumin exposures. These GP were anesthetized (pentobarbital sodium) and received a) 20 µl of either 0.2 N HCl or saline into the trachea; or b) 1 ml of either 1N HCl or saline into the esophagus. Intratracheal HCl resulted in a significant increase in both respiratory system elastance and resistance (p<0.001). There were no significant changes in respiratory mechanics when HCl was infused into the esophagus. In conclusion, we observed that infusion of large volumes of HCl into the esophagus did not change pulmonary mechanics significantly, even in guinea pigs with chronic allergen-induced airway inflammation. In contrast, intratracheal administration of small amounts of acid had substantial effects in normal GP and GP with airway inflammation.




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