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Inhaled corticosteroids in stable COPD patients: Do they have effects on cells and molecular mediators of airway inflammation?
by
BERTACCO, S
, DONNER, C. F
, PESCI, A
, MAJORI, M
, CONVERTINO, G
, BALBI, B
, CUOMO, A
in
Administration, Inhalation
/ Administration, Topical
/ Aged
/ Anti-Inflammatory Agents - administration & dosage
/ Anti-Inflammatory Agents - adverse effects
/ Asthma
/ Beclomethasone - administration & dosage
/ Beclomethasone - adverse effects
/ Biological and medical sciences
/ Bronchitis
/ Bronchoalveolar Lavage Fluid - immunology
/ Bronchoscopy
/ Chronic obstructive pulmonary disease
/ Cytokines
/ Female
/ Forced Expiratory Volume - drug effects
/ Glucocorticoids
/ Humans
/ Inflammation
/ Inflammation Mediators - metabolism
/ Lavage
/ Leukocyte Count - drug effects
/ Lung Diseases, Obstructive - drug therapy
/ Lung Diseases, Obstructive - immunology
/ Male
/ Medical sciences
/ Middle Aged
/ Neutrophils - drug effects
/ Patients
/ Pharmacology. Drug treatments
/ Prospective Studies
/ Respiratory system
/ Smoking
/ Steroids
2000
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Inhaled corticosteroids in stable COPD patients: Do they have effects on cells and molecular mediators of airway inflammation?
by
BERTACCO, S
, DONNER, C. F
, PESCI, A
, MAJORI, M
, CONVERTINO, G
, BALBI, B
, CUOMO, A
in
Administration, Inhalation
/ Administration, Topical
/ Aged
/ Anti-Inflammatory Agents - administration & dosage
/ Anti-Inflammatory Agents - adverse effects
/ Asthma
/ Beclomethasone - administration & dosage
/ Beclomethasone - adverse effects
/ Biological and medical sciences
/ Bronchitis
/ Bronchoalveolar Lavage Fluid - immunology
/ Bronchoscopy
/ Chronic obstructive pulmonary disease
/ Cytokines
/ Female
/ Forced Expiratory Volume - drug effects
/ Glucocorticoids
/ Humans
/ Inflammation
/ Inflammation Mediators - metabolism
/ Lavage
/ Leukocyte Count - drug effects
/ Lung Diseases, Obstructive - drug therapy
/ Lung Diseases, Obstructive - immunology
/ Male
/ Medical sciences
/ Middle Aged
/ Neutrophils - drug effects
/ Patients
/ Pharmacology. Drug treatments
/ Prospective Studies
/ Respiratory system
/ Smoking
/ Steroids
2000
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Inhaled corticosteroids in stable COPD patients: Do they have effects on cells and molecular mediators of airway inflammation?
by
BERTACCO, S
, DONNER, C. F
, PESCI, A
, MAJORI, M
, CONVERTINO, G
, BALBI, B
, CUOMO, A
in
Administration, Inhalation
/ Administration, Topical
/ Aged
/ Anti-Inflammatory Agents - administration & dosage
/ Anti-Inflammatory Agents - adverse effects
/ Asthma
/ Beclomethasone - administration & dosage
/ Beclomethasone - adverse effects
/ Biological and medical sciences
/ Bronchitis
/ Bronchoalveolar Lavage Fluid - immunology
/ Bronchoscopy
/ Chronic obstructive pulmonary disease
/ Cytokines
/ Female
/ Forced Expiratory Volume - drug effects
/ Glucocorticoids
/ Humans
/ Inflammation
/ Inflammation Mediators - metabolism
/ Lavage
/ Leukocyte Count - drug effects
/ Lung Diseases, Obstructive - drug therapy
/ Lung Diseases, Obstructive - immunology
/ Male
/ Medical sciences
/ Middle Aged
/ Neutrophils - drug effects
/ Patients
/ Pharmacology. Drug treatments
/ Prospective Studies
/ Respiratory system
/ Smoking
/ Steroids
2000
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Inhaled corticosteroids in stable COPD patients: Do they have effects on cells and molecular mediators of airway inflammation?
Journal Article
Inhaled corticosteroids in stable COPD patients: Do they have effects on cells and molecular mediators of airway inflammation?
2000
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Overview
To investigate possible changes in cells and molecular mediators of airway inflammation following inhaled steroid treatment of stable COPD patients.
Six-week open preliminary prospective study.
A university respiratory disease clinic.
: Stable COPD patients with mild disease.
Six-week treatment with inhaled beclomethasone (1.5 mg die).
The levels of interleukin (IL)-8, myeloperoxidase, eosinophilic cationic protein and tryptase, and cell numbers in bronchial lavage specimens were determined, and the symptom score, the endoscopic bronchitis index, and functional parameters were recorded.
After treatment there were significant reductions in the lavage levels of IL-8 ([mean +/- SEM] 1,603.4 +/- 331.2 vs 1,119.2 +/- 265.3 pg/mL, respectively; p = 0. 01) and myeloperoxidase (1,614.5 +/- 682.3 vs 511.2 +/- 144.2 microg/L, respectively; p = 0.05), in cell numbers (250.6 +/- 27.7 vs 186.3 +/- 11.5 cells x 10(3)/mL, respectively; p = 0.04), neutrophil proportion (59.7 +/- 14.3% vs 31.5 +/- 10.1%; p = 0.01), symptom score (4.5 +/- 0.6 vs 1.4 +/- 0.5; p = 0.01), and bronchitis index (8.5 +/- 0.8 vs 5.5 +/- 0.7; p = 0.007).
In stable patients with COPD, inhaled steroid treatment may induce changes on some cellular and molecular parameters of airway inflammation.
Publisher
American College of Chest Physicians
Subject
/ Aged
/ Anti-Inflammatory Agents - administration & dosage
/ Anti-Inflammatory Agents - adverse effects
/ Asthma
/ Beclomethasone - administration & dosage
/ Beclomethasone - adverse effects
/ Biological and medical sciences
/ Bronchoalveolar Lavage Fluid - immunology
/ Chronic obstructive pulmonary disease
/ Female
/ Forced Expiratory Volume - drug effects
/ Humans
/ Inflammation Mediators - metabolism
/ Lavage
/ Leukocyte Count - drug effects
/ Lung Diseases, Obstructive - drug therapy
/ Lung Diseases, Obstructive - immunology
/ Male
/ Patients
/ Pharmacology. Drug treatments
/ Smoking
/ Steroids
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