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Chest, Vol 88, 194-200, Copyright © 1985 by American College of Chest Physicians


ARTICLES

Aerosol penetration and mucociliary transport in the healthy human lung. Effect of low serum theophylline levels

E Cotromanes, TR Gerrity, CS Garrard, RD Harshbarger, DB Yeates, DL Kendzierski and RV Lourenco

The effect of theophylline on the penetration of an inhaled radioaerosol in the lung, bronchial clearance, and tracheal mucociliary transport rate (TMTR) was investigated in 13 healthy volunteers. Following a randomized, double-blind, crossover protocol, subjects ingested 4 mg/kg twice daily of theophylline or placebo for three days which resulted in stable, low therapeutic serum levels. Aerosol penetration, assessed by the skew of the initial distribution of lung radioactivity, was more peripheral (p less than 0.025) with theophylline, indicating bronchodilation that was not detectable by standard pulmonary function tests. The TMTR increased in ten of 13 subjects after theophylline, but not to a significant level. Bronchial clearance was not significantly different with theophylline despite the longer clearance pathway created by the increased peripheral aerosol deposition. This finding suggests that mucus transport rates in the intrapulmonary airways were increased by theophylline.


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R. S. Ream, L. L. Loftis, G. M. Albers, B. A. Becker, R. E. Lynch, and R. B. Mink
Efficacy of IV Theophylline in Children With Severe Status Asthmaticus
Chest, May 1, 2001; 119(5): 1480 - 1488.
[Abstract] [Full Text] [PDF]


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M. Weinberger and L. Hendeles
Theophylline in Asthma
N. Engl. J. Med., May 23, 1996; 334(21): 1380 - 1388.
[Full Text] [PDF]




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