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Am J Physiol Lung Cell Mol Physiol 285: L1270-L1276, 2003. First published August 1, 2003; doi:10.1152/ajplung.00145.2003
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Low-dose carbon monoxide reduces airway hyperresponsiveness in mice

Bill T. Ameredes,1,2 Leo E. Otterbein,2 Lauryn K. Kohut,1,2 Amber L. Gligonic,1,2 William J. Calhoun,1,2 and Augustine M. K. Choi2

1Asthma, Allergy and Airway Research Center, and 2Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213

Submitted 9 May 2003 ; accepted in final form 31 July 2003

Carbon monoxide (CO) in expired gas has been shown to be elevated with asthma; however, its function is not known, and there is some potential that it may serve a bronchoprotective role to decrease airway hyperresponsiveness (AHR). Thus the ability of CO to reverse methacholine (MCh)-induced bronchoconstriction was evaluated in C57BL/6 (C57) and A/J mice with and without airway inflammation produced by ovalbumin (OVA). Acutely administered CO (1% in air, 10 min) reduced MCh-driven increases in lung resistance in OVA-challenged C57 mice by an average of 50% (from 14.5 to 7.1 cmH2O·ml-1·s-1), whereas no effect was observed in naïve C57 mice or OVA-challenged C57 mice inhaling air alone. Acutely inhaled CO (500 ppm = 0.05%, for 10 min) reduced MCh-induced airway reactivity (AR) by 20-60% in airway hyperresponsive naïve A/J mice, whereas repeated 10-min administrations of 500 ppm CO over a 5-day period decreased AR by 50%. Repeated administration of low-dose CO [250 (0.025%) and (0.05%) 500 ppm, 1 h/day, 5 days] to A/J mice with airway inflammation likewise resulted in a drop of AR by 50%, compared with those not receiving CO. Inhibition of guanylyl cyclase/guanosine 3',5'-cyclic monophosphothioate (cGMP) using 1H-[1,2,4] oxydiazolo[4,3-a]quinoxalin-1-one or a competitive inhibitor, Rp diastereomers of 8-bromo-cGMP, resulted in inhibition of the effect of CO on AHR, suggesting that the effects of CO were mediated through this mechanism. These results indicate that low-dose CO can effectively reverse AHR in the presence and absence of airway inflammation in mice and suggest a potential role for CO in the modulation of AHR.

airway inflammation; airway resistance; airway smooth muscle; bronchoconstriction



Address for reprint requests and other correspondence: B. T. Ameredes, Asthma, Allergy, and Airway Research Center, Div. of Pulmonary, Allergy, and Critical Care Medicine, Univ. of Pittsburgh School of Medicine, 628NW Montefiore Univ. Hospital, 3459 Fifth Ave., Pittsburgh, PA 15213 (E-mail: ameredesbt{at}msx.upmc.edu).




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