DC/ Asthma/Bronchial Physiology 101 again! 
Author Message
 DC/ Asthma/Bronchial Physiology 101 again!

Dr. Nye,

So do you dispute the beta-2 receptors in the bronchi which DILATE
the bronchi?
These are supplied by t1-t5, specifically the intermediolateral
nucleus which run to the inferior cervical and thoracic sympathetic
ganglia.  (the sympathetic system)

I quote Clinical Neuroanatomy for Medical Students (text used
at chiropractic college), RS Snell, MD, PhD 1980 Page 421
"the sympathetic post ganglionic fibers arise from the second to
the fifth thoracic ganglia of the sympathetic trunk.....produce
BRONCODILATION......"

I quote for GROLIER'S (not the best reference, but...)
 "In an emergency situation ......, the
sympathetic division of the autonomic nervous system is stimulated, relaxing
the bronchial muscle.  The resulting dilation of the bronchial tubes enables
more oxygen to reach the alveoli, so that the person can better cope with the
emergency"

Here is my previous post.  So what do you disagree with specifically?
Don't delete stuff, note what you disagree with, and give a reference
(not a review article).
{I promise I'll look it up (this is for the other 'person' who tried
to call me an idiot)}.

<<<Guyton is a medical reference that uses authority as evidence.
Sorry I don't have a basic science reference, but this is
basic.

"Sympathetic stimulation can dilate the bronchi and mildly
constrict the {*filter*} vessels.  On the contrary,
parasympathetic stimulation can cause mild constriction of
 the bronchi and can perhaps mildly
dilate the vessels"  

Guyton, Textbook of Medical Physiology 6th ed. page 716

Both the parasympathetic and autonomic systems are part of
the autonomic.  The sympathetic tracts do travel within the
spinal cord.>>>>>


Prevention and Wellness Clinic
291 Aurora Ave., St. Paul, MN 55103  (612) 222 3171
Chiropractic, Nutrition and Herbology.......Services and Products.



Thu, 13 Feb 1997 14:50:10 GMT
 DC/ Asthma/Bronchial Physiology 101 again!

The role of the autonomic system in airways disease is very interesting.  
My recollection is that the sympathetic nervous system (as in sympathetic
nerves ending on pulmonary tissue not beta 2 receptors) plays a minor
role compared to parasymp nerves.  In any event, we can do 2 things to
pursue this interesting topic:

1:  Is Josh Backon around?  Any comments on the role of sympathetic
nerves (again not b2 receptors) in maintaining airway tone?

2:  We can all read (you too Grant):

    Control of airway caliber by autonomic nerves in asthma and in chronic
     obstructive pulmonary disease.
   American Review of Respiratory Disease, 1991 Jun, 143(6):1421-6.

     Autonomic nervous system abnormalities and asthma.
   American Review of Respiratory Disease, 1990 Mar, 141(3 Pt 2):S157-61.

Finally, once we sort out whether sympathetic nerves arising from spinal
ganglia play a role in airway tone, we still have no clue as to whether
chiropractic can affect this, right? We'd still have to do Nye's
experiment.

Cooooool.  Real science in the chiro thread!



Fri, 14 Feb 1997 01:16:56 GMT
 DC/ Asthma/Bronchial Physiology 101 again!

Quote:

> The role of the autonomic system in airways disease is very interesting.
> My recollection is that the sympathetic nervous system (as in sympathetic
> nerves ending on pulmonary tissue not beta 2 receptors) plays a minor
> role compared to parasymp nerves.  In any event, we can do 2 things to
> pursue this interesting topic:

> 1:  Is Josh Backon around?  Any comments on the role of sympathetic
> nerves (again not b2 receptors) in maintaining airway tone?

Not beta2  receptors ???  Good question. There has been work on
non-adrenergic, non-cholinergic receptors on airway hyperresponsiveness
but apart from the work by a Japanese group (Am Rev Resp Dis 1992;145:685)
on SNS stimulation on lung vascular permeability, I'm not aware of too
much work in this area. In a paper on sudden cardiac death, Samuels
implicated increased SNS activity in neurogenic lung disease (Neurologic
Clinics 1993;11:273). The converse has been investigated: MSNA increases
after positive-pressure breathing.

About 2 years ago I remember reading a paper in a pediatric journal on an
inverse relationship between asthma and epilepsy (the increased vagal tone
in asthma being protective).

Now for speculation: the lungs can regulate cardiovascular function through
neural mediators and mechanical forces (Am J Med Sci 1987;294:451-461). The
cardiac cycle can become entrained to the respiratory cycle. In respiratory
sinus arrhythmia, deep inspiration stimulates sympathetic fibers and inhibits
vagal inhibitory fibers, and this affects heart rate variability, an index
of autonomic activity. So by implication there MUST be some kind of feedback
loop for physiological regulation.

The nasal cycle is an index of autonomic tone and there is a high correlation
between forced unlateral nostril breathing and lateralization of plasma
catecholamines (Life Sciences 1986;38:1203-14). What's interesting is that
nasal stimulation may affect the pulmonary vascular bed and result in
ventilation-perfusion imbalances (Otolaryngology Head Neck Surgery
1986;95:298-302). Nasal occlusion affects respiratory function and arterial
oxygenation (Lancet 1988;1:73-75). Research in the ENT literature
has shown that even unilateral nasal obstruction can affect respiratory
function but the SIDE of the obstruction was unspecified. In unpublished
work, I and a nuclear medicine specialist volunteered ourselves in a
replication of a 1939 study done on rabbits  and the ventilation-perfusion
differences between left vs. right sided obstruction were remarkable.

Last but not least: there may be a relationship between leukotriene levels
and SNS activity.

In summary: the sympathetic nervous system does seem to affect airway function.
Whether the receptor is or isn't the beta2 receptor is another question.

Josh

Quote:

> 2:  We can all read (you too Grant):

>     Control of airway caliber by autonomic nerves in asthma and in chronic
>      obstructive pulmonary disease.
>    American Review of Respiratory Disease, 1991 Jun, 143(6):1421-6.

>      Autonomic nervous system abnormalities and asthma.
>    American Review of Respiratory Disease, 1990 Mar, 141(3 Pt 2):S157-61.

> Finally, once we sort out whether sympathetic nerves arising from spinal
> ganglia play a role in airway tone, we still have no clue as to whether
> chiropractic can affect this, right? We'd still have to do Nye's
> experiment.



Fri, 14 Feb 1997 07:54:02 GMT
 DC/ Asthma/Bronchial Physiology 101 again!

Quote:

>The role of the autonomic system in airways disease is very interesting.  
>My recollection is that the sympathetic nervous system (as in sympathetic
>nerves ending on pulmonary tissue not beta 2 receptors) plays a minor
>role compared to parasymp nerves.  In any event, we can do 2 things to
>pursue this interesting topic:

OK, before we get too deep into this....  I try to speak precisely.....
(No flames please: Those that read more into my posts than is there
are subject being corrected. GDR, I'm not saying you have done this
in your current posting, but it has happened so often in sci.med)

This thread started when I simply made
a statement that there is a component of the nervous system that passes through
the spinal c{*filter*}that ennervates components of the respiratory system.

I attempted to correct that physiology student (or whatever he is? since he didn't
identified what he does) who was wrong to blast the DC, for claiming that there was
 such a connection (since there is such a connection whether it be large or small
in importance clinically)

This was also, indirectly,  to allow for the possibility that asthma MIGHT be affected
by chiropractic care.

BTW, I received a lovely post from a happy chiropractic patient receiving both DC and
MD care for asthma.  Thanks again.

Quote:

>1:  Is Josh Backon around?  Any comments on the role of sympathetic
>nerves (again not b2 receptors) in maintaining airway tone?

>2:  We can all read (you too Grant):

I'll find the articles......

Quote:

>    Control of airway caliber by autonomic nerves in asthma and in chronic
>     obstructive pulmonary disease.
>   American Review of Respiratory Disease, 1991 Jun, 143(6):1421-6.

>     Autonomic nervous system abnormalities and asthma.
>   American Review of Respiratory Disease, 1990 Mar, 141(3 Pt 2):S157-61.

>Finally, once we sort out whether sympathetic nerves arising from spinal
>ganglia play a role in airway tone, we still have no clue as to whether
>chiropractic can affect this, right?

I have an idea/clue that DCs can help asthmatics, based on our collective clinical
 experience of
100 years.  I haven't done a literature search in the chiropractic literature
(much of which is NOT in MEDLINE!) since I was arguing physiology only.
I know that my chiropractic college was looking at studing this (funding please NIH).

I do agree that simply knowing the physiology does not prove the adjustments
would cure this "medically incurable" disease.  I am also under the impression
it is increasing in incedence, prevalence, and mortality!
Yes I know medicine has some potent management {*filter*}
and that there is such a thing as spontaneous remission.

Quote:
> We'd still have to do Nye's
>experiment.

What experiment are you refering to?  Has he suggested a methodology
to test DC care of asthma?

Quote:

>Cooooool.  Real science in the chiro thread!

Yes.  Thank you for a courteous posting (excluding
what I have enterpreted as a minor insult on reading. )
I have attempted not to insult you in any way in this posting.
Nimnod, as a courtesy
could you please post your full name, your degrees and specializations so.
I can better understand your questions and so I can better craft my answers to you.


Prevention and Wellness Clinic
291 Aurora Ave., St. Paul, MN 55103  (612) 222 3171
Chiropractic, Nutrition and Herbology.......Services and Products.


Prevention and Wellness Clinic
291 Aurora Ave., St. Paul, MN 55103  (612) 222 3171
Chiropractic, Nutrition and Herbology.......Services and Products.



Fri, 14 Feb 1997 13:05:23 GMT
 DC/ Asthma/Bronchial Physiology 101 again!
We are investigating the biologic plausability that mmanipulation of the
spinal cord can affect airway tone (asthma).  Dr. Rostig cited Guyton's
physiology text and reported that post-ganglionic sympathetic fibers
emerge from the thoracic levels to innervate (and modulate) airway tone.  
To further investigate this hypothesis, I invoked a net-expert (Josh
Backon) and posted 2 references.

From "Control of Airway Caliber by Autonomic Nerves in Asthma [. . .]"
American Review of Respiratory Disease 143:1421:

"The sympathetic innervation of the human lung is sparse [. . .] Airway
smooth muscle receives few sympathetic nerves, but it has many relaxing
beta2 receptors."

"Furthermore, local release of norepinephrine from sympathetic nerve is
probably not important because airway smooth muscle virtually lacks
sympathetic innervation"

"Sympathetic nerve activity probably does not directly control airway
muscle, but it may have an effect via presynaptic modulation of
cholinergic neurotransmission"

So, despite the gross anatomic observation that sympathetic fibers emerge
from thoracic ganglia and go to the lungs, it seems an untenable
hypothesis that chiropractic manipulation of sympathetic traffic can
significantly alter airway smooth muscle tone since there is a paucity of
sympahetic nerves actually going to the airways.

Is is POSSIBLE?  Why, yes, it is.  Alas, many things are possible, this
just seems like one of the less probable of the possible.  In fact, I can
think of no disease where it is not POSSIBLE that chiropractic is
effective.

This assessment is no doubt due to my open and inquisitive mind.

I will point out that this was a "review" article on the subject.  If any
critics feel it is a biased representation of the experimental data,
their comments are most welcome.

(BTW, in an effort to improve communication and allow rebuttal I will
snail mail the ARRD article to Dr. Rostig and await his comments with
interest.)



Sat, 15 Feb 1997 04:54:30 GMT
 
 [ 5 post ] 

 Relevant Pages 

1. Re(2): Chiropractic and Asthma, physiology 101

2. Re(2): Chiropractic and Asthma, physiology 101

3. DC/ Asthma/Bronchial

4. DC/ Asthma/Bronchial

5. asthma : Recent News. symptoms of asthma,bronchial asthma,asthma is caused by,asthma medication,causes of asthma

6. bronchial asthma

7. Bronchial Asthma

8. BHARATIYA SCIENTISTS CLAIM CURE FOR BRONCHIAL ASTHMA

9. Iodine / bronchial asthma

10. Is The filariasis a trigger for bronchial asthma?

11. Frying bronchial muscle cures asthma for a year

12. bronchial asthma


 
Powered by phpBB® Forum Software