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Cited by 649

The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.

Endogenous Airway Acidification: Implications for Asthma Pathophysiology

HUNT, JOHN F., FANG, KEZHONG, MALIK, RAJESH, SNYDER, ASHLEY, MALHOTRA, NEIL, PLATTS-MILLS, THOMAS A. E., GASTON, BENJAMIN·2000·American Journal of Respiratory and Critical Care Medicine

Abstract

Airway concentrations of many reactive nitrogen and oxygen species are high in asthma. The stability and bioactivities of these species are pH-dependent; however, the pH of the airway during acute asthma has not previously been studied. As with gastric and urinary acidification, asthmatic airway acidification could be expected dramatically to alter the concentrations and bioactivities/cytotoxicities of endogenous nitrogen oxides. Here, we demonstrate that the pH of deaerated exhaled airway vapor condensate is over two log orders lower in patients with acute asthma (5.23 +/- 0.21, n = 22) than in control subjects (7.65 +/- 0.20, n = 19, p < 0. 001) and normalizes with corticosteroid therapy. Values are highly reproducible, unaffected by salivary or therapeutic artifact, and identical to samples taken directly from the lower airway. Further, at these low pH values, the endogenous airway compound, nitrite, is converted to nitric oxide (NO) in quantities sufficient largely to account for the concentrations of NO in asthmatic expired air, and eosinophils undergo accelerated necrosis. We speculate that airway pH may be an important determinant of expired NO concentration and airway inflammation, and suggest that regulation of airway pH has a previously unsuspected role in asthma pathophysiology.

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Metadata

Authors
HUNT, J. F., FANG, K., MALIK, R., SNYDER, A., MALHOTRA, N., PLATTS-MILLS, T. A. E., & GASTON, B.
Venue
American Journal of Respiratory and Critical Care Medicine
Published
2000-03-01
Volume
161
Issue
3
Pages
694-699
ISSN
  • 1073-449X (ISSN-L)
  • 1535-4970
OpenAlex
W1899229346
Cited by
649
References
32
FWCI
20.03
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Endogenous Airway Acidification: Implications for Asthma Pathophysiology. https://app.cochat.ai/papers/10.1164/ajrccm.161.3.9911005
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HUNT, J. F., FANG, K., MALIK, R., SNYDER, A., MALHOTRA, N., PLATTS-MILLS, T. A. E., & GASTON, B. (2000). Endogenous Airway Acidification: Implications for Asthma Pathophysiology. American Journal of Respiratory and Critical Care Medicine. https://doi.org/10.1164/ajrccm.161.3.9911005

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.