U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Airway hyperresponsiveness

MedGen UID:
11196
Concept ID:
C0035228
Pathologic Function
Synonyms: Airway Hyper Responsiveness; Airway Hyper-Responsiveness; Airway Hyperresponsiveness; Airway Hyperresponsivenesses; Hyper-Responsiveness, Airway; Hyperresponsiveness, Airway; Hypersensitivity, Respiratory; Respiratory Hypersensitivities; Respiratory Hypersensitivity
 
HPO: HP:0032933

Definition

An increased sensitivity of the airways to an inhaled constrictor agonist, a steeper slope of the dose-response curve, and a greater maximal response to the agonist. [from HPO]

Conditions with this feature

Inherited susceptibility to asthma
MedGen UID:
358271
Concept ID:
C1869116
Finding
Bronchial asthma is the most common chronic disease affecting children and young adults. It is a complex genetic disorder with a heterogeneous phenotype, largely attributed to the interactions among many genes and between these genes and the environment. Asthma-related traits include clinical symptoms of asthma, such as coughing, wheezing, and dyspnea; bronchial hyperresponsiveness (BHR) as assessed by methacholine challenge test; serum IgE levels; atopy; and atopic dermatitis (Laitinen et al., 2001; Illig and Wjst, 2002; Pillai et al., 2006). See 147050 for information on the asthma-associated phenotype atopy.

Professional guidelines

PubMed

Esden J, Pesta-Walsh N
J Midwifery Womens Health 2019 Jan;64(1):18-27. Epub 2018 Nov 28 doi: 10.1111/jmwh.12907. PMID: 30484945
Bruno F, Spaziano G, Liparulo A, Roviezzo F, Nabavi SM, Sureda A, Filosa R, D'Agostino B
Eur J Med Chem 2018 Jun 10;153:65-72. Epub 2017 Oct 10 doi: 10.1016/j.ejmech.2017.10.020. PMID: 29133059
McCracken JL, Veeranki SP, Ameredes BT, Calhoun WJ
JAMA 2017 Jul 18;318(3):279-290. doi: 10.1001/jama.2017.8372. PMID: 28719697

Recent clinical studies

Etiology

Diver S, Khalfaoui L, Emson C, Wenzel SE, Menzies-Gow A, Wechsler ME, Johnston J, Molfino N, Parnes JR, Megally A, Colice G, Brightling CE; CASCADE study investigators
Lancet Respir Med 2021 Nov;9(11):1299-1312. Epub 2021 Jul 10 doi: 10.1016/S2213-2600(21)00226-5. PMID: 34256031
Strange C
Clin Chest Med 2020 Sep;41(3):339-345. doi: 10.1016/j.ccm.2020.05.003. PMID: 32800189
Brannan JD, Porsbjerg C
Immunol Allergy Clin North Am 2018 May;38(2):215-229. doi: 10.1016/j.iac.2018.01.010. PMID: 29631731
O'Toole J, Mikulic L, Kaminsky DA
Immunol Allergy Clin North Am 2016 Aug;36(3):425-38. Epub 2016 Jun 2 doi: 10.1016/j.iac.2016.03.001. PMID: 27401616
Sims JM
Dimens Crit Care Nurs 2006 Nov-Dec;25(6):264-8. doi: 10.1097/00003465-200611000-00004. PMID: 17122656

Diagnosis

Bradding P, Porsbjerg C, Côté A, Dahlén SE, Hallstrand TS, Brightling CE
J Allergy Clin Immunol 2024 May;153(5):1181-1193. Epub 2024 Feb 21 doi: 10.1016/j.jaci.2024.02.011. PMID: 38395082
Brannan JD, Porsbjerg C
Immunol Allergy Clin North Am 2018 May;38(2):215-229. doi: 10.1016/j.iac.2018.01.010. PMID: 29631731
Panettieri RA Jr
Immunol Allergy Clin North Am 2016 Aug;36(3):569-79. Epub 2016 Jun 2 doi: 10.1016/j.iac.2016.03.007. PMID: 27401627
Sims JM
Dimens Crit Care Nurs 2006 Nov-Dec;25(6):264-8. doi: 10.1097/00003465-200611000-00004. PMID: 17122656
Nadel JA
J Allergy Clin Immunol 1984 May;73(5 Pt 2):651-3. doi: 10.1016/0091-6749(84)90299-9. PMID: 6325524

Therapy

Diver S, Khalfaoui L, Emson C, Wenzel SE, Menzies-Gow A, Wechsler ME, Johnston J, Molfino N, Parnes JR, Megally A, Colice G, Brightling CE; CASCADE study investigators
Lancet Respir Med 2021 Nov;9(11):1299-1312. Epub 2021 Jul 10 doi: 10.1016/S2213-2600(21)00226-5. PMID: 34256031
Borak J, Lefkowitz RY
Occup Med (Lond) 2016 Mar;66(2):95-105. Epub 2015 Nov 20 doi: 10.1093/occmed/kqv158. PMID: 26590957
Gauvreau GM, O'Byrne PM, Boulet LP, Wang Y, Cockcroft D, Bigler J, FitzGerald JM, Boedigheimer M, Davis BE, Dias C, Gorski KS, Smith L, Bautista E, Comeau MR, Leigh R, Parnes JR
N Engl J Med 2014 May 29;370(22):2102-10. Epub 2014 May 20 doi: 10.1056/NEJMoa1402895. PMID: 24846652
Haldar P, Brightling CE, Hargadon B, Gupta S, Monteiro W, Sousa A, Marshall RP, Bradding P, Green RH, Wardlaw AJ, Pavord ID
N Engl J Med 2009 Mar 5;360(10):973-84. doi: 10.1056/NEJMoa0808991. PMID: 19264686Free PMC Article
O'Byrne PM
Chest 1986 Oct;90(4):575-7. doi: 10.1378/chest.90.4.575. PMID: 3019612

Prognosis

King GG, Bates J, Berger KI, Calverley P, de Melo PL, Dellacà RL, Farré R, Hall GL, Ioan I, Irvin CG, Kaczka DW, Kaminsky DA, Kurosawa H, Lombardi E, Maksym GN, Marchal F, Oppenheimer BW, Simpson SJ, Thamrin C, van den Berge M, Oostveen E
Eur Respir J 2020 Feb;55(2) Epub 2020 Feb 27 doi: 10.1183/13993003.00753-2019. PMID: 31772002
McCracken JL, Veeranki SP, Ameredes BT, Calhoun WJ
JAMA 2017 Jul 18;318(3):279-290. doi: 10.1001/jama.2017.8372. PMID: 28719697
O'Toole J, Mikulic L, Kaminsky DA
Immunol Allergy Clin North Am 2016 Aug;36(3):425-38. Epub 2016 Jun 2 doi: 10.1016/j.iac.2016.03.001. PMID: 27401616
Haldar P, Brightling CE, Hargadon B, Gupta S, Monteiro W, Sousa A, Marshall RP, Bradding P, Green RH, Wardlaw AJ, Pavord ID
N Engl J Med 2009 Mar 5;360(10):973-84. doi: 10.1056/NEJMoa0808991. PMID: 19264686Free PMC Article
Vestbo J, Hansen EF
Thorax 2001 Sep;56 Suppl 2(Suppl 2):ii11-4. PMID: 11514701Free PMC Article

Clinical prediction guides

Diver S, Khalfaoui L, Emson C, Wenzel SE, Menzies-Gow A, Wechsler ME, Johnston J, Molfino N, Parnes JR, Megally A, Colice G, Brightling CE; CASCADE study investigators
Lancet Respir Med 2021 Nov;9(11):1299-1312. Epub 2021 Jul 10 doi: 10.1016/S2213-2600(21)00226-5. PMID: 34256031
Camoretti-Mercado B, Lockey RF
J Allergy Clin Immunol 2021 Jun;147(6):1983-1995. doi: 10.1016/j.jaci.2021.03.035. PMID: 34092351
Banno A, Reddy AT, Lakshmi SP, Reddy RC
Clin Sci (Lond) 2020 May 15;134(9):1063-1079. doi: 10.1042/CS20191309. PMID: 32369100
Côté A, Turmel J, Boulet LP
Semin Respir Crit Care Med 2018 Feb;39(1):19-28. Epub 2018 Feb 10 doi: 10.1055/s-0037-1606215. PMID: 29427982
Nasser SM, Pulimood TB
Curr Allergy Asthma Rep 2009 Sep;9(5):384-90. doi: 10.1007/s11882-009-0056-8. PMID: 19671382

Recent systematic reviews

Ohnishi H, Otani T, Kanemitsu Y, Nagano T, Hara J, Eitoku M
Allergol Int 2024 Jul;73(3):382-389. Epub 2024 Jan 30 doi: 10.1016/j.alit.2024.01.002. PMID: 38296770
Calzetta L, Chetta A, Aiello M, Pistocchini E, Rogliani P
Int J Mol Sci 2022 Dec 4;23(23) doi: 10.3390/ijms232315285. PMID: 36499612Free PMC Article
Luo J, Yang L, Yang J, Yang D, Liu BC, Liu D, Liang BM, Liu CT
Respirology 2018 May;23(5):467-477. Epub 2018 Mar 4 doi: 10.1111/resp.13276. PMID: 29502338
Borak J, Lefkowitz RY
Occup Med (Lond) 2016 Mar;66(2):95-105. Epub 2015 Nov 20 doi: 10.1093/occmed/kqv158. PMID: 26590957
Ioan I, Varechova S, Marchal F, Pleşca DA
Pneumologia 2015;64(2):8-12. PMID: 26506667

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...