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

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Bertold Renner - , Institute of Clinical Pharmacology, Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Gabi Ahne - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Elke Grosan - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Birgit Kettenmann - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Gerd Kobal - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Adrian Shephard - , Reckitt Benckiser (Author)

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

Original languageEnglish
Pages (from-to)1045-1051
Number of pages7
JournalInflammation Research
Volume62
Issue number12
Publication statusPublished - Dec 2013
Peer-reviewedYes

External IDs

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

Keywords

ASJC Scopus subject areas

Keywords

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