Pathogenic basis for application of fenspirid (erespal) in bronchial asthma children
Abstract
We observed 31 children received fenspirid (Erespal) including 15 bronchial asthma children (the study group) and 16 children with chronic non-specific inflammatory bronchopulmonary diseases (the comparative group).
The bronchial asthmatic children showed increased H1-receptors sensitivity for histamine accompanied by exceeded intracellular calcium ion concentration as a response to the histamine stimulation. They also showed an increase of ɑ1-adrenoreceptors number. Meantime the intracellular calcium ion concentration arise less than it was in the children with chronic non-specific inflammatory bronchopulmonary diseases under the noradrenaline stimulation.
Against the background of treatment with fenspirid (Erespal) the H1-histamine receptors sensitivity as well as calcium ions response to histamine and noradrenalin stimulations decreased in the bronchial asthma children and the similar events appeared in less degree after the histamine stimulation in children with chronic inflammatory bronchopulmonary diseases. Simultaneously clinical bronchial obstruction signs solved and lung function improved.
About the Authors
S. V. LukjanovRussian Federation
A. S. Dukhanin
Russian Federation
E. V. Sereda
Russian Federation
O. F. Lukina
Russian Federation
Yu. B. Belousov
Russian Federation
References
1. Авдонин Т.В., Ткачук В.А. Рецепторы и внутриклеточный кальций. М.; 1984.
2. Балясинская Г.Л., Попов Д.В. Терапия эреспалом заболеваний верхних дыхательных путей у детей. Дет. доктор 2000; 3: 27—30.
3. Чучалин А.Г. (ред.). Бронхиальная астма. М.; 1997; т.1.
4. Овчаренко С.И. Противовоспалительная терапия хронического бронхита. Рус. мед. журн. 2001; 9 (5): 201—204.
5. Орлов C.H., Лабас Ю.А. Концентрация свободного кальция в цитоплазме: Методы регистрации, достижения и артефакты. Биол. мембраны 1989; 9: 901—938.
6. Сергеев П.В., Шимановский Н.Л., Петров В.И. Рецепторы. М.; 1999.
7. Баранов A.A., Каганов B.C. (ред.) Фенспирид (эреспал) в терапии бронхитов у детей. М.; 2001.
8. Advenier С. Fenspiride et relaxation de la musculature tracheobronchique — mécanisme d’action. Rhinology 1988; suppl. 4: 67—75.
9. Evard Y., Kato G., Bodinier M.C., Chapelain B. Fenspiride and inflammation in experimental pharmacology. Eur. Respir. Rev. 1991; 1 (Rev. 2): 93—100.
10. Kips J.C., Joos G.F., Pawells R.A. The effect of fenspiride on the allergen induced airwayresponse in sensitized rats. Eur. Respir. J. 1993; suppl.17: 254.
11. Pipy B., Evrard Y. Inflammation expérimentale et effects du fenspiride sur les cytokines, les metabolites de l’acide arachidonique et la migration cellulaire. Lettre Pharmacol. 1992; 6 (suppl.7): 13—19.
12. Quartulli F., Pinelli E. et al. Le fenspiride inhibe les repinses induites par l’histamin dans cellulaire epitheliale pulmonaire. Eur. J. Pharmacol. 1998; 348: 297—304.
Review
For citations:
Lukjanov S.V., Dukhanin A.S., Sereda E.V., Lukina O.F., Belousov Yu.B. Pathogenic basis for application of fenspirid (erespal) in bronchial asthma children. PULMONOLOGIYA. 2001;(4):59-64. (In Russ.)