Use of exercise challenge to investigate possible tolerance to beta-adrenoceptor stimulation in asthma

Br J Dis Chest. 1978 Jul;72(3):199-206. doi: 10.1016/0007-0971(78)90042-6.

Abstract

The effect of prolonged salbutamol administration on beta-adrenoceptor function in asthma has been examined. Six adult patients received salbutamol tablets (16 mg daily) for between 4 and 20 weeks and six adolescents received salbutamol aerosol (800 microgram daily) for 2--5 weeks. Before and after the treatment period the acute bronchodilator response to inhaled salbutamol and the ability of inhaled salbutamol to protect against exercise-induced asthma were examined. Lymphocyte beta-adrenoceptor function was also measured in the patients on tablet therapy. Inhaled salbutamol was less effective in protecting against exercise-induced asthma at the end of the treatment period in the patients who had received tablet therapy, but otherwise there was no significant change in beta-receptor function of either airways or lymphocytes. This apparent loss of efficacy of inhaled salbutamol in the prevention of exercise-induced asthma in some subjects, even when its acute bronchodilator effect is preserved, might reflect differences in the susceptibility of different beta-adrenoceptors to desensitization after prolonged stimulation: its clinical importance remains uncertain.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aerosols
  • Albuterol / administration & dosage
  • Albuterol / pharmacology
  • Albuterol / therapeutic use*
  • Asthma / drug therapy*
  • Asthma, Exercise-Induced / drug therapy*
  • Asthma, Exercise-Induced / physiopathology
  • Female
  • Humans
  • Lymphocytes / drug effects
  • Male
  • Peak Expiratory Flow Rate
  • Receptors, Adrenergic / physiology*
  • Receptors, Adrenergic, beta / drug effects
  • Receptors, Adrenergic, beta / physiology*
  • Tablets
  • Tachyphylaxis

Substances

  • Aerosols
  • Receptors, Adrenergic
  • Receptors, Adrenergic, beta
  • Tablets
  • Albuterol