Tonic stimulation of the pharyngeal mucosa causes pain and a reversible increase of inflammatory mediators

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Bertold Renner - , Institut für Klinische Pharmakologie, Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Gabi Ahne - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Elke Grosan - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Birgit Kettenmann - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Gerd Kobal - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Adrian Shephard - , Reckitt Benckiser (Autor:in)

Abstract

Objective and design: To develop a model of the inflammatory component of non-infectious sore throat using tonic stimulation and quantification of inflammatory mediators in pharyngeal lavage fluid. Material or subjects: Forty-five healthy volunteers. Treatment: Cold dry air. Method: Tonic stimulation of the pharynx was achieved using a constant stream of cold dry air to the back of the throat. Following optimization of stimulation conditions (phase 1), pharyngeal pain, irritation, and swallowing discomfort were assessed using visual analog scales, and the concentration of inflammatory markers were measured in pharyngeal lavage fluid (phase 2). Results: Optimum conditions for tonic pharyngeal stimulation were cold dry air at 12 C, relative humidity 20 %, at a flow rate of 12 L/min for 15 min. Analysis of pharyngeal lavage fluid collected 5 min after stimulation showed significant increases in prostaglandin E2 (P = 0.018), thromboxane B2 (P < 0.001), and substance P (P < 0.001), but no increase in peptidoleukotriene. When the stimulus was removed, the level of inflammatory markers in pharyngeal lavage fluid returned to baseline by 30 min post-stimulation. These objective measures mirrored subjective pain ratings. Conclusions: Tonic stimulation of the pharyngeal mucosa with cold dry air causes pain and an increase of inflammatory mediators which are reversible.

Details

OriginalspracheEnglisch
Seiten (von - bis)1045-1051
Seitenumfang7
FachzeitschriftInflammation Research
Jahrgang62
Ausgabenummer12
PublikationsstatusVeröffentlicht - Dez. 2013
Peer-Review-StatusJa

Externe IDs

PubMed 24037371
ORCID /0000-0003-0845-6793/work/139025233

Schlagworte

ASJC Scopus Sachgebiete

Schlagwörter

  • Cold dry air, Experimental model, Inflammation, Pharyngitis, Sore throat