The role of flow-independent exhaled nitric oxide parameters in the assessment of airway diseases
File(s)AcceptedNOalv.doc (1.15 MB)
Accepted version
Author(s)
Paraskakis, E
Vergadi, E
Chatzimichael, A
Bush, A
Type
Journal Article
Abstract
Nitric oxide (NO), the first gas known to act as a biological messenger, is one of the most widely studied free radical/gas in medicine, both for its biological function and therapeutic applications. The measurement of endogenous NO in exhaled air is widely used in the evaluation of lung disorders. Partitioning of exhaled nitric oxide (eNO) is of increasing interest because of the additional information about lung pathology and distal lung inflammation that can be obtained. Specifically, measuring exhaled NO at multiple flow rates allows assessment of the flow-independent NO parameters: alveolar NO concentration (CalvNO), bronchial NO flux (JNO), bronchial wall NO concentration (CWNO), and bronchial diffusing capacity of NO (DNO). Several studies have reported that there were different patterns of those parameters in different airway diseases and/or in different severities of the same disease, mostly in asthma. Specifically, while JNO seems to provide the same information as FeNO50, alveolar NO concentration appears to be an independent parameter that is putatively associated with increased distal lung inflammation and more severe disease. However, despite much research interest in partitioning exhaled NO, clinical usefulness has yet to be established.
Date Issued
2016-01-31
Date Acceptance
2016-01-01
Citation
Current Topics in Medicinal Chemistry, 2016, 16 (14), pp.1631-1642
ISSN
1568-0266
Publisher
Bentham Science Publishers
Start Page
1631
End Page
1642
Journal / Book Title
Current Topics in Medicinal Chemistry
Volume
16
Issue
14
Copyright Statement
© 2016 Bentham Science Publisher
Subjects
Science & Technology
Life Sciences & Biomedicine
Chemistry, Medicinal
Pharmacology & Pharmacy
Alveolar NO concentration
Bronchial NO flux
Bronchial wall NO concentration
Bronchial diffusing capacity
Exhaled nitric oxide
Two-compartment model
EXERCISE-INDUCED BRONCHOCONSTRICTION
PRIMARY CILIARY DYSKINESIA
RESOLUTION COMPUTED-TOMOGRAPHY
BRONCHIAL EPITHELIAL-CELLS
ARTERIAL SMOOTH-MUSCLE
EXTENDED NO ANALYSIS
CYSTIC-FIBROSIS
EXCHANGE PARAMETERS
AXIAL DIFFUSION
SEVERE ASTHMA
Publication Status
Published
Date Publish Online
2016-01-31