2010
DOI: 10.1016/j.jaci.2009.09.011
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Effects of budesonide and formoterol on allergen-induced airway responses, inflammation, and airway remodeling in asthma

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Cited by 109 publications
(121 citation statements)
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“…Our observation that a β 2 -adrenergic receptor agonist inhibits ASMC migration to a variety 14 of stimuli raises the possibility that the use of β 2 -adrenergic receptor agonists may help to attenuate some aspects of remodeling in asthma. This would be consistent with a recent study showing that combination therapy with an inhaled corticosteroid and long-acting β 2 -adrenergic receptor agonist, but not an inhaled corticosteroid alone, inhibited antigen induced alterations in airway smooth muscle and myofibroblast numbers in asthmatic subjects (32).…”
Section: Hrv-induced Asmc Migration Is Mediated At Least In Part VIsupporting
confidence: 92%
“…Our observation that a β 2 -adrenergic receptor agonist inhibits ASMC migration to a variety 14 of stimuli raises the possibility that the use of β 2 -adrenergic receptor agonists may help to attenuate some aspects of remodeling in asthma. This would be consistent with a recent study showing that combination therapy with an inhaled corticosteroid and long-acting β 2 -adrenergic receptor agonist, but not an inhaled corticosteroid alone, inhibited antigen induced alterations in airway smooth muscle and myofibroblast numbers in asthmatic subjects (32).…”
Section: Hrv-induced Asmc Migration Is Mediated At Least In Part VIsupporting
confidence: 92%
“…However, in humans, loss of bronchoprotection from regularly administered b 2 -agonists seems to reverse only with acute high doses of ICS [27,28] and it is not clear that this happens with chronic use of ICS at low or medium doses [29][30][31]. Recent findings suggest that the mechanism by which ICS plus LABA therapy exerts its synergistic beneficial effects is through an increased antiinflammatory activity and an attenuation of airway remodelling [32]. Additionally, despite a post hoc finding and high number of missing values in this variable, an increased risk of BHR among carriers of the Arg allele and no interaction with ICS use suggest that BHR may occur through persistent activation of b 2 -AR by LABAs.…”
Section: Discussionmentioning
confidence: 99%
“…Thus increase in ASM mass occurs unimpeded in asthmatic subjects irrespective of how effectively asthma symptoms are managed. In addition to their lack of effect in vivo, both corticosteroids and ␤-agonists have limited efficacy in inhibiting ASM proliferation by relevant mitogens in cell-based assays (5,6,10,18,21,28,30,47,55). Our previous studies have demonstrated that protein kinase A (PKA) plays a central role in mediating the functional effects of ␤-agonists on ASM (37, 39, 55).…”
mentioning
confidence: 99%