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      The cough receptor TRPV1 agonists 15(S)-HETE and LTB4 in the cough response to hypertonicity.

      Inflammation & Allergy Drug Targets
      Adult, Asthma, physiopathology, Bronchial Provocation Tests, Cough, chemically induced, metabolism, Female, Humans, Hydroxyeicosatetraenoic Acids, analysis, Leukotriene B4, Male, Middle Aged, Saline Solution, Hypertonic, TRPV Cation Channels, agonists

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          Abstract

          Asthmatic patients are hypersensitive to the cough-provoking effect of hypertonic aerosols. 15- hydroxyeicosatetraenoic acid (15(S)-HETE) and leukotriene (LT) B4 are asthma-related mediators which can be released upon hypertonic stimuli, and both are potent agonists of the transient receptor potential vanilloid subfamily member 1 (TRPV1), a major cough receptor. Therefore, they are potential mediators for hypertonicity-provoked cough. Twenty-six asthmatic and ten healthy subjects underwent a hypertonic saline cough provocation test. Exhaled breath condensate was collected before and after the test, and the concentrations of 15(S)-HETE and LTB4 were analysed. Neither the baseline concentrations of these mediators nor the saline test-induced changes in them were associated with cough responsiveness to hypertonicity. High baseline 15(S)-HETE was associated with aspirin hypersensitivity and high LTB4 with male sex and large variability in ambulatory peak flow measurements. The TRPV1 agonists 15(S)-HETE and LTB4 seem not to be involved in the cough response to hypertonicity in asthmatic patients.

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