Rc. Levitt et Sl. Ewart, GENETIC SUSCEPTIBILITY TO ATRACURIUM-INDUCED BRONCHOCONSTRICTION, American journal of respiratory and critical care medicine, 151(5), 1995, pp. 1537-1542
Citations number
28
Categorie Soggetti
Emergency Medicine & Critical Care","Respiratory System
The goal of this study was to develop a murine model of atracurium-ind
uced bronchoconstriction in which to evaluate the mechanism of action
of this airway response. We evaluated nine inbred strains of mice for
the development of atracurium-induced bronchoconstriction. The maximal
difference in the magnitude of the airway response to atracurium note
d between the highly responsive DBA/2 mice and the minimally responsiv
e SJL mice was greater than 20-fold. This phenotype appears to reflect
an intrinsic difference in the lungs of these animals because the ext
ent of neuromuscular blockade was not significantly different in DBA/2
and SJL mice. Atracurium-induced airway hyperresponsiveness in DBA/2
mice was eliminated in a dose-dependent manner by pretreatment with at
ropine or pancuronium. These data are consistent with a postganglionic
vagal efferent mechanism which produces a differential pulmonary resp
onse to this neuromuscular blocker. A genetic predisposition to atracu
rium-induced bronchoconstriction appears to exist in certain inbred st
rains of mice. Thus, a mouse model may be useful for mapping the gene(
s) that control this trait and for suggesting responsible candidate ge
nes. Our results suggest that the inbred laboratory mouse will be usef
ul to study the mechanism by which atracurium produces bronchoconstric
tion.