The Effect of Glucagon on Airway Resistance RICHARD WILLIAM

G

apparent to

a reduction

was

also shown

chiolar study

was

therefore

patients

in

to

parameters

both before ministration

from

evaluate

bronchospasm,

and after the randomized of glucagon, isoproterenol,

Since

ador

after also

Nine

Several nificant

investigators correlations

less

sistance

and

other

26

chronic

parameters. study

have between pulmonary

Stein

of

and

with

(FEy1), (2fEF),

1-second

associates,8

ing

vital

airway

flow

a lesser

extent,

obstruction,

correlation

of

rate rate peak

and cosufferfound

specific

the

conductance

forced

with FEy1, Mi1IEF, MEF, and expiratory vital capacity (PVC).

Payne

and

(RGaw)

associates5

significant

correlations

and

with

gas

MEF

volume

the (V)

were

able

to

of PEV, product and

of Raw

show

Medical 680

Center of

College, New

for Norwalk, Medicine,

York,

Respiratory Conn. Cornell

N.Y.

75

the

sex,

cent

and

ard, the

Waltham, testing

daily with

apart.

performed.

This

in

COLD

Research, 06856, and University

10021.

MEF

were

est

values

for

taken

as the

washout

study

followed

again

The

recorded. two

was

Journal

a was

by

maneuvers.

these

nebulizer

MEF

and minutes,

was

of the

subject began maneuvers

FEy1

baseline

Medication in-line

part

several

forced-expiration

and

three per-

respira-

The first established

After

MMEF,

patient on was

(Hewlett-Pack-

Mass.). procedure

thoracic

of

each

VR-6100

computer

nitrogen

more

for

per day testing

a Vertek

minutes

patients

characteristics

All

recorded.

the

clinical bronI shows the

baseline values. The two forced-expiration

several were

for

function

stable Table

physical

with

values selected

while

studied. procedure days.

function

drugs

obstructive

pulmonary

1#{189} hours

tory

were

the

were

performed

to

formed

tests

in ventila-

clinical

The

patients The entire

took up consecutive

washout

FEV1/FVC’%

per

steady-state

patients. From the Hinds Norwalk Hospital, the Department

with and

study.

age,

in-

Methods

subjects

were

pafrom

of

were in a relatively choconstrictive state.

capacity flow

flow (PEP). Mitchell in a study of 39 patients

from

best

to

a dis-

airway corre-

midexpiratory

and,

(2IIMEF),

expiratory workers,4

showed

expiratory

maximal

this

these

changes

administration be followed.

than

N.Y.

is correlated

bronchospasm

Nitrogen

disease

studies

in lung

inversely

forced

maximal

sigre-

function

obstructive

ease (COLD) patients, resistance (Rap0) to be lated

shown airway

in

and

York,

to collectively

so that

Materials

Sc.B.,

New

PEF,

and

followed

levels.

tion might

and

conductance

changes performed

MAGUIRE.

Conn.,

JIEF,

were

also

saline.

isotonic

airway

dicate

airway

WILLIAM

Norwalk,

FE V1.

control

This

designed

M.D..

M.D.

rameters

bron-

vitro.2

function

suffering

NAIR.

with It

pig

GOLDFEDDER.

an

canine

vivo, leading

guinea

muscle

pulmonary

have on

flow resistance.1

to relax

smooth

several of

air

in

ALAN

SREEDHAR

to

effect

muscle of

and

shown

relaxing smooth

Ph.D..

M.D..

been

has

LUCAGON

bronchial

IMBRUCE,

BRISCOE.

two FEy1

The

parameters

highwere

values. then

of

delivered

a PR-i of

Clinical

from

positive-presPharmacology

an

GLUCAGON

ON

AiRWAY

RESISTANCE

TABLE Age,

Sex,

I

Physical

and

Characteristics

Patient

Height

no.

Age

(yrs)

female male female female female male

respiratory

random days

protocol. of study,

saline,

each

unit

(Puritan-

On the

each patient

isoproterenol,

procedure.

or

values for The hospital

a coded

vial The

drugs were given patient. Glueagon

of

was

in vivo study glucagon.1 1/200,

order

isotonic After jects tions.

was

total

taken value. washout

30 cent

by

to 2.0 consisted

(Isuprelf)

II

days

for

values

cc. cc

rest

period,

as

the

the

forced the

expirahighest

10-minutes-after-

This was followed study, which in two

more

after over

sub-

forced

by a turn

expira-

medication.

The

baseline

values

Indianapolis,

md.

for

Eli Lilly & Company,

tWinthrop

October,

Laboratories, 1975

New

York,

N.Y.

patient.

All

Figures cent change

1 and from

2 show baseline

and

at

MEF

values

were

minutes

both

10

the

cent. the values and

mean per of FEV1

30

minutes.

mean

significantly

increased and

while

three

FEV1/FVC%

isoproterenol, (P

The effect of glucagon on airway resistance.

Nine subjects with obstructive airway disease took part in this double-blind study of the effect of glucagon in relieving bronchoconstriction compared...
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