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SELECTED ARTICLES FROM THE RECENT LITERATURE 2008

10/06/2008

In vitro glucocorticoid response in asthma is reduced in obese patients

Summary
The investigators of this paper studied asthma in adult subjects for loss of lung function, body mass index, spirometric response to prednisone, dexamethasone induced mitogen-activated protein kinase phosphatase-1 (MKP-1) and baseline tumor necrosis factor-alpha (TNF-alpha) expression.

A total of 45 nonsmoking adults, 33 of whom had asthma, were evaluated. They also determined the relationship between BMI and MKP-1 and TNF-alpha expression.

They demonstrated an inverse relationship between body mass index and the ability of dexamethasone to induce MKP-1 expression. They concluded an elevated BMI is associated with a diminished in vitro response to dexamethasone in overweight and obese patients with asthma.

Reference
Sutherland ER, et al. Body mass and glucocorticoid response in asthma. American Journal of Respiratory and Critical Care Medicine 2008; 178:682-687.

 

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