Airway Sensitivity of Asthmatics To Sulfur Dioxide

Abstract

The purpose of this study was to describe for asthmatic subjects the distribution of individual bronchial sensitivity to sulfur dioxide (SO2). Subjects were nonsmoking male asthmatics (n = 27) who were sensitive to inhaled methacholine. None of the subjects used corticosteroids or cromolyn sodium. Oral medications were with held for 48 hr, inhaled medications for 12 hr prior to all testing. Each subject participated in four separate randomly ordered 10 min exposures to 0.00, 0.25, 0.50 and 1.00 ppm SO₂ at 26° C, 70% relative humidity. During exposures, subjects breathed naturally and performed moderate exercise (V_E, normalized for body surface area = 21 l/m² x min). Before and 3 min after exposure, specific airway resistance (SRaw) was measured by body plethysmography. Those subjects whose SRaw was not doubled by exposure to 1.00 ppm were also exposed to 2.00 ppm S02. Dose response curves (relative change in SRaw, corrected for change in clean air vs S02 concentration) were constructed for each subject. Bronchial sensi tivity to SO₂ [PC(SO2)], defined as the concentration of S02 which provoked an increase in SRaw 100% greater than the response to clean air, was determined. Substantial variability in sensitivity was observed: for 23 subjects, PC(SO2) ranged between 0.28 and 1.90 ppm, while for the remaining 4 subjects, it was greater than 2.00- ppm S02. The median PC(SO2) was 0.75 ppm SO₂, and 6 subjects had a PC(SO₂) of less than 0.50 ppm. PC(SO₂) was not related (r = 0.31) to airway sensitivity to methacholine.