Mechanisms and Biomarkers of Exercise-Induced Bronchoconstriction.

Immunol Allergy Clin North Am

Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Center for Lung Biology, University of Washington, Box 358052, 850 Republican Street, Seattle, WA 98109-4714, USA.

Published: May 2018

AI Article Synopsis

  • Exercise can trigger bronchoconstriction, which is when the airways narrow, making it hard to breathe during physical activity.
  • Recent studies suggest that the airway epithelium plays a crucial role in the inflammatory response that leads to this condition, involving an imbalance of inflammatory and protective substances.
  • The involvement of sensory nerves and neuropeptides in exercise-induced bronchoconstriction is also being explored, but more research is needed to fully understand their role.

Article Abstract

Exercise is a common trigger of bronchoconstriction. In recent years, there has been increased understanding of the pathophysiology of exercise-induced bronchoconstriction. Although evaporative water loss and thermal changes have been recognized stimuli for exercise-induced bronchoconstriction, accumulating evidence points toward a pivotal role for the airway epithelium in orchestrating the inflammatory response linked to exercise-induced bronchoconstriction. Overproduction of inflammatory mediators, underproduction of protective lipid mediators, and infiltration of the airways with eosinophils and mast cells are all established contributors to exercise-induced bronchoconstriction. Sensory nerve activation and release of neuropeptides maybe important in exercise-induced bronchoconstriction, but further research is warranted.

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Source
http://dx.doi.org/10.1016/j.iac.2018.01.008DOI Listing

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