Benzydamine Oral Spray Inhibiting Parasympathetic Function of Tracheal Smooth Muscle
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Objectives. Benzydamine is a nonsteroidal anti-inflammatory agents agent with anti-inflammatory and local anesthesia properties that is available in the entire world as an oral spray for oral mucositis patients who are suffering from radiation effects. The effect of benzydamine on oral mucositis in vivo is well known; however, the effect of the drug on tracheal smooth muscle has rarely been explored. During administration of the benzydamine for oral symptoms, it might affect the trachea via oral intake or inhalation. Methods. We examined the effectiveness of benzydamine on isolated rat tracheal smooth muscle. The following assessments of benzydamine were performed: effect on tracheal smooth muscle resting tension; effect on contraction caused by 10-6M methacholine as a parasympathetic mimetic; and effect of the drug on electrically induced tracheal smooth muscle contractions. Results. Addition of methacholine to the incubation medium caused the trachea to contract in a dose-dependent manner. Addition of benzydamine at doses of 10-5M or above elicited a significant relaxation response to 10-6M methacholine-induced contraction. Benzydamine could inhibit electrical field stimulation-induced spike contraction. It alone had a minimal effect on the basal tension of trachea as the concentration increased. Conclusion. This study indicated that high concentrations of benzydamine might actually inhibit parasympathetic function of the trachea. Benzydamine might reduce asthma attacks in oral mucositis patients because it could inhibit parasympathetic function and reduce methacholine-induced contraction of tracheal smooth muscle.
Abstract
Objectives. Benzydamine is a nonsteroidal anti-inflammatory agents agent with anti-inflammatory and local anesthesia properties that is available in the entire world as an oral spray for oral mucositis patients who are suffering from radiation effects. The effect of benzydamine on oral mucositis in vivo is well known; however, the effect of the drug on tracheal smooth muscle has rarely been explored. During administration of the benzydamine for oral symptoms, it might affect the trachea via oral intake or inhalation. Methods. We examined the effectiveness of benzydamine on isolated rat tracheal smooth muscle. The following assessments of benzydamine were performed: effect on tracheal smooth muscle resting tension; effect on contraction caused by 10-6M methacholine as a parasympathetic mimetic; and effect of the drug on electrically induced tracheal smooth muscle contractions. Results. Addition of methacholine to the incubation medium caused the trachea to contract in a dose-dependent manner. Addition of benzydamine at doses of 10-5M or above elicited a significant relaxation response to 10-6M methacholine-induced contraction. Benzydamine could inhibit electrical field stimulation-induced spike contraction. It alone had a minimal effect on the basal tension of trachea as the concentration increased. Conclusion. This study indicated that high concentrations of benzydamine might actually inhibit parasympathetic function of the trachea. Benzydamine might reduce asthma attacks in oral mucositis patients because it could inhibit parasympathetic function and reduce methacholine-induced contraction of tracheal smooth muscle.
참고문헌 (12)
- Turnbull RS, "Benzydamine Hydrochloride (Tantum) in the management of oral inflammatory conditions", J Can Dent Assoc, 61(2), pp.127~134 (1995)
- Fanaki NH, "el-Nakeeb MA. Antimicrobial activity of benzydamine, a non-steroid anti-inflammatory agent", J Chemother, 4(6), pp.347~352 (1992)
- Alterio D, "Cancer treatment-induced oral mucositis", Anticancer Res, 27(2), pp.1105~1125 (2007)
- Karavana SY, "Benzydamine hydrochloride buccal bioadhesive gels designed for oral ulcers: preparation, rheological, textural, mucoadhesive and release properties", Pharm Dev Technol, 14(6), pp.623~631 (2009)
- Kazemian A, "Benzydamine for prophylaxis of radiation-induced oral mucositis in head and neck cancers: a double-blind placebo-controlled randomized clinical trial", Eur J Cancer Care (Engl), 18(2), pp.174~178 (2009)
- Wang HW, "A modified in vitro method for studyingtracheal smooth muscle response to drugs", J Med Sci, 27(5), pp.203~206 (2007)
- Kao CH, "Effects of lidocaine on rat’s isolated tracheal smooth muscle", Eur Arch Otorhinolaryngol, 267(5), pp.817~820 (2010)
- Bratton DL, "Effects of temperature on cholinergic contractility of rabbit airway muscle", J Appl Physiol, 63(5), pp.1933~1941 (1985)
- González O, "Effect of low temperature on tracheal smooth muscle contractile and relaxing responses evoked by electrical field stimulation", P R Health Sci J, 20(3), pp.237~244 (2001)
- Yau KI, "The nonadrenergic noncholinergic system can modulate the effect of prokinetic agents on contractile response of isolated guinea-pig trachea segments to electrical field stimulation", J Formos Med Assoc, 101(10), pp.695~699 (2002)
- Wang HW, "Do cholinergic neurons directly innervate nasal blood vessels?", Rhinology, 26(2), pp.139~146 (1988)
- Wang HW, "Effects of oxymetazoline on isolated rat’s tracheal smooth muscle", Eur Arch Otorhinolaryngol, 265(6), pp.695~698 (2008)
