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Eur Respir J 2005; 25:873-878
Copyright ©ERS Journals Ltd 2005

Adenosine level in exhaled breath increases during exercise-induced bronchoconstriction

Z. Csoma1, É. Huszár2, É. Vizi1, G. Vass2, Z. Szabó1, I. Herjavecz1, M. Kollai2 and I. Horváth2

Depts of 1 Pulmonology, and 2 Pathophysiology, National Korányi Institute for Tuberculosis and Pulmonology, Budapest, Hungary

CORRESPONDENCE: I. Horváth, National Korányi Institute for Tuberculosis and Pulmonology, Dept of Pathophysiology, Budapest, Pihenö u.1. P.O. Box 1, H-1529, Hungary. Fax: 36 12007060. E-mail: hildiko@koranyi.hu

Keywords: Adenosine, airway inflammation, asthma, exercise-induced bronchoconstriction, exhaled breath condensate

Received: September 23, 2004
Accepted December 15, 2004

In asthmatic patients, airway obstruction provoked by exercise challenge is accompanied by an increase in plasma adenosine level. In this study, the current authors investigated if exercise-induced bronchoconstriction was associated with local changes of adenosine concentration in the airways.

Oral exhaled breath condensate (EBC) collection (5-min duration) and forced expiratory volume in one second (FEV1) measurements were performed at rest (baseline) and 4–8 times after treadmill exercise challenge in healthy and asthmatic subjects. Adenosine concentration in EBC was determined by HPLC.

Observations indicated that physical exercise results in bronchoconstriction together with a significant increase of adenosine level in EBC in asthmatic patients (mean±SD maximal fall in FEV1 27±13%; associated increase in adenosine 110±76% as compared to baseline), but not in healthy control subjects. Exercise-induced changes in adenosine concentration correlated significantly with the fall in FEV1 values in asthmatic patients.

In conclusion, the observed increase in adenosine concentration of oral exhaled breath condensate most probably reflects changes in the airways during exercise-induced bronchoconstriction. Due to its known bronchoconstrictor property in asthma, adenosine may contribute to the development of bronchospasm.




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