Allergen Induced Increase in Nonallergic Airway Responsiveness: A Citation Classic Revisited

BACKGROUND:The present paper revisits the 1977 paper by DW Cockcroft, RE Ruffin, the late J Dolovich and FE Hargreave entitled "Allergen-induced increase in nonallergic bronchial reactivity" (Clin Allergy 1977;7:503-13) that became a citation classic. Although clinical types of asthma were...

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Main Author: Donald W Cockcroft
Format: Article
Language:English
Published: Wiley 2000-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2000/846798
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author Donald W Cockcroft
author_facet Donald W Cockcroft
author_sort Donald W Cockcroft
collection DOAJ
description BACKGROUND:The present paper revisits the 1977 paper by DW Cockcroft, RE Ruffin, the late J Dolovich and FE Hargreave entitled "Allergen-induced increase in nonallergic bronchial reactivity" (Clin Allergy 1977;7:503-13) that became a citation classic. Although clinical types of asthma were recognized at the time, there was a poor understanding regarding the role of allergic reactions in causing increases in airway hyperresponsiveness. The objective was to study formally Dr Altounyan's observation that patients with asthma showed increases in airway responsiveness at the times of natural allergen exposure during pollen season. Thirteen atopic patients with asthma were studied over two days, following inhalation of diluent (control) and following doubling amounts of an allergen solution at 10-min intervals until forced expiration volume in 1 s fell by 20%. Methacholine and histamine challenges were performed before, at 8 h, at 32 h and seven days following the inhalations. A significant reduction (reduction of at least one doubling concentration) in the provocative concentration that causes a 20% fall in forced expiration volume in 1 s occurred in seven of 13 patients, and more often in subjects with a late bronchoconstrictor response to allergen challenge.
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spelling doaj-art-c3a10538a22a411fa38363b5864f9c5c2025-02-03T01:26:51ZengWileyCanadian Respiratory Journal1198-22412000-01-017218218710.1155/2000/846798Allergen Induced Increase in Nonallergic Airway Responsiveness: A Citation Classic RevisitedDonald W CockcroftBACKGROUND:The present paper revisits the 1977 paper by DW Cockcroft, RE Ruffin, the late J Dolovich and FE Hargreave entitled "Allergen-induced increase in nonallergic bronchial reactivity" (Clin Allergy 1977;7:503-13) that became a citation classic. Although clinical types of asthma were recognized at the time, there was a poor understanding regarding the role of allergic reactions in causing increases in airway hyperresponsiveness. The objective was to study formally Dr Altounyan's observation that patients with asthma showed increases in airway responsiveness at the times of natural allergen exposure during pollen season. Thirteen atopic patients with asthma were studied over two days, following inhalation of diluent (control) and following doubling amounts of an allergen solution at 10-min intervals until forced expiration volume in 1 s fell by 20%. Methacholine and histamine challenges were performed before, at 8 h, at 32 h and seven days following the inhalations. A significant reduction (reduction of at least one doubling concentration) in the provocative concentration that causes a 20% fall in forced expiration volume in 1 s occurred in seven of 13 patients, and more often in subjects with a late bronchoconstrictor response to allergen challenge.http://dx.doi.org/10.1155/2000/846798
spellingShingle Donald W Cockcroft
Allergen Induced Increase in Nonallergic Airway Responsiveness: A Citation Classic Revisited
Canadian Respiratory Journal
title Allergen Induced Increase in Nonallergic Airway Responsiveness: A Citation Classic Revisited
title_full Allergen Induced Increase in Nonallergic Airway Responsiveness: A Citation Classic Revisited
title_fullStr Allergen Induced Increase in Nonallergic Airway Responsiveness: A Citation Classic Revisited
title_full_unstemmed Allergen Induced Increase in Nonallergic Airway Responsiveness: A Citation Classic Revisited
title_short Allergen Induced Increase in Nonallergic Airway Responsiveness: A Citation Classic Revisited
title_sort allergen induced increase in nonallergic airway responsiveness a citation classic revisited
url http://dx.doi.org/10.1155/2000/846798
work_keys_str_mv AT donaldwcockcroft allergeninducedincreaseinnonallergicairwayresponsivenessacitationclassicrevisited