© 2005 BMJ Publishing Group Ltd & British Thoracic Society
EDITORIAL
Remodelling of CF airways
Muscling into cystic fibrosis airways
Division of Respiratory Medicine, University of Nottingham, Nottingham, UK
Correspondence to:
Correspondence to:
Professor A J Knox
Division of Respiratory Medicine, Nottingham City Hospital, Hucknall Road, Nottingham NG5 1PB, UK; alan.knox@nottingham.ac.uk
Remodelling of the airway smooth muscle layer is not confined to patients with severe CF but occurs also in those with mild to moderate disease
Keywords: cystic fibrosis; airway smooth muscle
| The first 150 words of the full text of this article appear below. |
Most patients with cystic fibrosis (CF) develop progressive airflow obstruction. A subgroup of these patients also have airway hyperresponsiveness to inhaled bronchoconstricting agents1,2 and reversibility of airflow obstruction in response to bronchodilators.3 Parallels have been drawn between these observations and other airway diseases manifesting with airway obstruction and bronchial hyperresponsiveness such as asthma and chronic obstructive pulmonary disease (COPD). This led to speculation that remodelling of the airway smooth muscle (ASM) layer may contribute to bronchial hyperresponsiveness in CF.
Studies in the past have been restricted to patients with severe CF. Pathological studies of the lungs of these patients obtained either at necropsy or following transplantation or lobectomy showed an increase in smooth muscle area compared with healthy controls or patients with COPD.4,5 In this issue of Thorax Hays et al6 have, for the first time, studied the ASM layer in patients with mild to moderate
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