The precise role of airway smooth muscle in the pathogenesisof asthma remains uncertain. The contraction of airway smoothmuscle certainly causes acute narrowing of the airway and airflowobstruction in asthma, and smooth-muscle mass is increased inasthmatic airways. However, whether airway smooth muscle generatessufficient force in vivo to account for the excessive airwayobstruction that characterizes asthma is unknown. Abnormalitiesin the dynamics of contraction,1 in the capacity of smooth muscleto maintain shortening in the face of load fluctuations imposedby tidal breathing,2 or in the capacity to relax3 representother important mechanisms by which airway . . . [Full Text of this Article]
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From the Department of Medicine, University of Chicago, Chicago (J.S.); and the Vermont Lung Center, Department of Medicine, University of Vermont, Burlington (C.G.I.).
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Bronchial Thermoplasty
Macklem P. T., Medford A. R.L., Agrawal A., Cox G., Thomson N. C., Laviolette M.
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N Engl J Med 2007;
356:2744-2745, Jun 28, 2007.
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