“…The increased propranolol blockade in tracheal chains of AECS and AECS + sensitized guinea pigs, as well as the increased chlorpheniramine, atropine, and propranolol blockade in our previous in vivo studies in asthmatic patients 15,42 , 44 and enhanced atropine, chlorpheniramine and propranolol blockade in tracheal chains of sensitized animal studies, 16,27 , 28 could be due to higher concentration of antagonists at the receptor sites achieved by an increased epithelial and tissue permeability leading to an increase in [I]. Destruction of lung parenchyma has been documented in AECS 21 and thus, increased tissue permeability and better accessibility of ligands to the receptor sites is possible.…”