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Airway hyperresponsiveness

MedGen UID:
11196
Concept ID:
C0035228
Pathologic Function
Synonyms: Airway Hyper Responsiveness; Airway Hyper-Responsiveness; Airway Hyperresponsiveness; Airway Hyperresponsivenesses; Hyper-Responsiveness, Airway; Hyperresponsiveness, Airway; Hypersensitivity, Respiratory; Respiratory Hypersensitivities; Respiratory Hypersensitivity
 
HPO: HP:0032933

Definition

An increased sensitivity of the airways to an inhaled constrictor agonist, a steeper slope of the dose-response curve, and a greater maximal response to the agonist. [from HPO]

Conditions with this feature

Inherited susceptibility to asthma
MedGen UID:
358271
Concept ID:
C1869116
Finding
Bronchial asthma is the most common chronic disease affecting children and young adults. It is a complex genetic disorder with a heterogeneous phenotype, largely attributed to the interactions among many genes and between these genes and the environment. Asthma-related traits include clinical symptoms of asthma, such as coughing, wheezing, and dyspnea; bronchial hyperresponsiveness (BHR) as assessed by methacholine challenge test; serum IgE levels; atopy; and atopic dermatitis (Laitinen et al., 2001; Illig and Wjst, 2002; Pillai et al., 2006). See 147050 for information on the asthma-associated phenotype atopy.

Professional guidelines

PubMed

Al-Sajee D, Yin X, Gauvreau GM
Expert Opin Pharmacother 2019 Apr;20(5):609-620. Epub 2019 Feb 5 doi: 10.1080/14656566.2019.1570132. PMID: 30722707
Siu KK, Leung SY, Kong SY, Ng DK
Indian J Pediatr 2018 Aug;85(8):658-666. Epub 2018 Jan 8 doi: 10.1007/s12098-017-2537-4. PMID: 29308548
McCracken JL, Veeranki SP, Ameredes BT, Calhoun WJ
JAMA 2017 Jul 18;318(3):279-290. doi: 10.1001/jama.2017.8372. PMID: 28719697

Recent clinical studies

Etiology

Tajiri T, Suzuki M, Nishiyama H, Ozawa Y, Kurokawa R, Takeda N, Ito K, Fukumitsu K, Kanemitsu Y, Mori Y, Fukuda S, Uemura T, Ohkubo H, Takemura M, Maeno K, Ito Y, Oguri T, Izuhara K, Niimi A
Allergol Int 2024 Jul;73(3):406-415. Epub 2024 Mar 12 doi: 10.1016/j.alit.2024.02.002. PMID: 38472036
Diver S, Khalfaoui L, Emson C, Wenzel SE, Menzies-Gow A, Wechsler ME, Johnston J, Molfino N, Parnes JR, Megally A, Colice G, Brightling CE; CASCADE study investigators
Lancet Respir Med 2021 Nov;9(11):1299-1312. Epub 2021 Jul 10 doi: 10.1016/S2213-2600(21)00226-5. PMID: 34256031
Côté A, Turmel J, Boulet LP
Semin Respir Crit Care Med 2018 Feb;39(1):19-28. Epub 2018 Feb 10 doi: 10.1055/s-0037-1606215. PMID: 29427982
Sears MR
J Allergy Clin Immunol 2015 Oct;136(4):829-36; quiz 837. doi: 10.1016/j.jaci.2015.04.048. PMID: 26449797
Haldar P, Brightling CE, Hargadon B, Gupta S, Monteiro W, Sousa A, Marshall RP, Bradding P, Green RH, Wardlaw AJ, Pavord ID
N Engl J Med 2009 Mar 5;360(10):973-84. doi: 10.1056/NEJMoa0808991. PMID: 19264686Free PMC Article

Diagnosis

Bradding P, Porsbjerg C, Côté A, Dahlén SE, Hallstrand TS, Brightling CE
J Allergy Clin Immunol 2024 May;153(5):1181-1193. Epub 2024 Feb 21 doi: 10.1016/j.jaci.2024.02.011. PMID: 38395082
Andreasson LM, Dyhre-Petersen N, Hvidtfeldt M, Jørgensen GØ, Von Bülow A, Klein DK, Uller L, Erjefält J, Porsbjerg C, Sverrild A
J Allergy Clin Immunol 2024 Apr;153(4):988-997.e11. Epub 2023 Dec 9 doi: 10.1016/j.jaci.2023.11.915. PMID: 38081546
Borak J, Lefkowitz RY
Occup Med (Lond) 2016 Mar;66(2):95-105. Epub 2015 Nov 20 doi: 10.1093/occmed/kqv158. PMID: 26590957
Pongdee T, Li JT
Ann Allergy Asthma Immunol 2013 May;110(5):311-5. Epub 2013 Mar 6 doi: 10.1016/j.anai.2013.02.002. PMID: 23621999
O'Byrne PM, Inman MD
Chest 2003 Mar;123(3 Suppl):411S-6S. doi: 10.1378/chest.123.3_suppl.411s. PMID: 12629006

Therapy

Diver S, Khalfaoui L, Emson C, Wenzel SE, Menzies-Gow A, Wechsler ME, Johnston J, Molfino N, Parnes JR, Megally A, Colice G, Brightling CE; CASCADE study investigators
Lancet Respir Med 2021 Nov;9(11):1299-1312. Epub 2021 Jul 10 doi: 10.1016/S2213-2600(21)00226-5. PMID: 34256031
Daley-Yates P, Brealey N, Thomas S, Austin D, Shabbir S, Harrison T, Singh D, Barnes N
Br J Clin Pharmacol 2021 Feb;87(2):483-493. Epub 2020 Jun 17 doi: 10.1111/bcp.14406. PMID: 32484940Free PMC Article
Borak J, Lefkowitz RY
Occup Med (Lond) 2016 Mar;66(2):95-105. Epub 2015 Nov 20 doi: 10.1093/occmed/kqv158. PMID: 26590957
Gauvreau GM, O'Byrne PM, Boulet LP, Wang Y, Cockcroft D, Bigler J, FitzGerald JM, Boedigheimer M, Davis BE, Dias C, Gorski KS, Smith L, Bautista E, Comeau MR, Leigh R, Parnes JR
N Engl J Med 2014 May 29;370(22):2102-10. Epub 2014 May 20 doi: 10.1056/NEJMoa1402895. PMID: 24846652
Haldar P, Brightling CE, Hargadon B, Gupta S, Monteiro W, Sousa A, Marshall RP, Bradding P, Green RH, Wardlaw AJ, Pavord ID
N Engl J Med 2009 Mar 5;360(10):973-84. doi: 10.1056/NEJMoa0808991. PMID: 19264686Free PMC Article

Prognosis

King GG, Bates J, Berger KI, Calverley P, de Melo PL, Dellacà RL, Farré R, Hall GL, Ioan I, Irvin CG, Kaczka DW, Kaminsky DA, Kurosawa H, Lombardi E, Maksym GN, Marchal F, Oppenheimer BW, Simpson SJ, Thamrin C, van den Berge M, Oostveen E
Eur Respir J 2020 Feb;55(2) Epub 2020 Feb 27 doi: 10.1183/13993003.00753-2019. PMID: 31772002
McCracken JL, Veeranki SP, Ameredes BT, Calhoun WJ
JAMA 2017 Jul 18;318(3):279-290. doi: 10.1001/jama.2017.8372. PMID: 28719697
Sears MR
J Allergy Clin Immunol 2015 Oct;136(4):829-36; quiz 837. doi: 10.1016/j.jaci.2015.04.048. PMID: 26449797
Gauvreau GM, El-Gammal AI, O'Byrne PM
Eur Respir J 2015 Sep;46(3):819-31. Epub 2015 Jul 23 doi: 10.1183/13993003.00536-2015. PMID: 26206871
Haldar P, Brightling CE, Hargadon B, Gupta S, Monteiro W, Sousa A, Marshall RP, Bradding P, Green RH, Wardlaw AJ, Pavord ID
N Engl J Med 2009 Mar 5;360(10):973-84. doi: 10.1056/NEJMoa0808991. PMID: 19264686Free PMC Article

Clinical prediction guides

Andreasson LM, Dyhre-Petersen N, Hvidtfeldt M, Jørgensen GØ, Von Bülow A, Klein DK, Uller L, Erjefält J, Porsbjerg C, Sverrild A
J Allergy Clin Immunol 2024 Apr;153(4):988-997.e11. Epub 2023 Dec 9 doi: 10.1016/j.jaci.2023.11.915. PMID: 38081546
Diver S, Khalfaoui L, Emson C, Wenzel SE, Menzies-Gow A, Wechsler ME, Johnston J, Molfino N, Parnes JR, Megally A, Colice G, Brightling CE; CASCADE study investigators
Lancet Respir Med 2021 Nov;9(11):1299-1312. Epub 2021 Jul 10 doi: 10.1016/S2213-2600(21)00226-5. PMID: 34256031
Camoretti-Mercado B, Lockey RF
J Allergy Clin Immunol 2021 Jun;147(6):1983-1995. doi: 10.1016/j.jaci.2021.03.035. PMID: 34092351
Banno A, Reddy AT, Lakshmi SP, Reddy RC
Clin Sci (Lond) 2020 May 15;134(9):1063-1079. doi: 10.1042/CS20191309. PMID: 32369100
Haldar P, Brightling CE, Hargadon B, Gupta S, Monteiro W, Sousa A, Marshall RP, Bradding P, Green RH, Wardlaw AJ, Pavord ID
N Engl J Med 2009 Mar 5;360(10):973-84. doi: 10.1056/NEJMoa0808991. PMID: 19264686Free PMC Article

Recent systematic reviews

Ohnishi H, Otani T, Kanemitsu Y, Nagano T, Hara J, Eitoku M
Allergol Int 2024 Jul;73(3):382-389. Epub 2024 Jan 30 doi: 10.1016/j.alit.2024.01.002. PMID: 38296770
Calzetta L, Chetta A, Aiello M, Pistocchini E, Rogliani P
Int J Mol Sci 2022 Dec 4;23(23) doi: 10.3390/ijms232315285. PMID: 36499612Free PMC Article
Luo J, Yang L, Yang J, Yang D, Liu BC, Liu D, Liang BM, Liu CT
Respirology 2018 May;23(5):467-477. Epub 2018 Mar 4 doi: 10.1111/resp.13276. PMID: 29502338
Borak J, Lefkowitz RY
Occup Med (Lond) 2016 Mar;66(2):95-105. Epub 2015 Nov 20 doi: 10.1093/occmed/kqv158. PMID: 26590957
Ioan I, Varechova S, Marchal F, Pleşca DA
Pneumologia 2015;64(2):8-12. PMID: 26506667

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