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Mechanisms of bronchial asthma control disturbance in using 2-agonists

https://doi.org/10.20538/1682-0363-2006-1-67-72

Abstract

Despite exclusively high clinical efficacy of 2-agonists in bronchospasm, their regular using is associated with increased level of bronchial asthma control and the development of severe and life-threatening states which in turn is associated with increasing bronchial hyper-reactivity, development of partial tolerance, increased allergic load and masking of the disease aggravation. Deve- lopment of tolerance to 2-agonists and increasing sensibility of bronchi to bronchoconstrictive stimuli are based on specific mecha-nisms including desensitization of 2-adrenoreceptor, increasing expression of C phospholipase and mechanisms associated with gene AP variants which are not studied enough.

About the Authors

N. V. Vas'kovsky
Сибирский государственный медицинский университет
Russian Federation


Ye. S. Koulikov
Сибирский государственный медицинский университет, г. Томск
Russian Federation


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Review

For citations:


Vas'kovsky N.V., Koulikov Ye.S. Mechanisms of bronchial asthma control disturbance in using 2-agonists. Bulletin of Siberian Medicine. 2006;5(1):67-72. (In Russ.) https://doi.org/10.20538/1682-0363-2006-1-67-72

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ISSN 1682-0363 (Print)
ISSN 1819-3684 (Online)