Neural Mechanisms in Asthma
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Purpose
Asthma is a chronic disease that affects nearly 13% of adults in the U.S., causing substantial impairment that is reflected in the tens of millions of missed days of work, and doctors' and emergency room visits it leads to annually. Those who have asthma are twice as likely to develop depression and anxiety, which are associated with more frequent and severe asthma symptoms, especially in those under chronic stress. The project proposed here seeks to understand the role of the brain in these associations and to evaluate the neural mechanisms through which a safe, low-cost intervention, that influences the function of body via the mind, may diminish the expression of asthma symptoms.
| Condition |
|---|
|
Asthma |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Cross-Sectional |
| Official Title: | Neural Mechanisms by Which Chronic Stress Regulates Inflammation in Asthma |
- Neural activity in response to stress [ Time Frame: duration of stress (30 minutes) ] [ Designated as safety issue: No ]positron emission tomography
- inflammation [ Time Frame: 24 hours ] [ Designated as safety issue: No ]infiltration of eosinophils into lung sputum, percentage of blood eosinophils, exhaled nitric oxide, glucocorticoid sensitivity of peripheral blood leukocytes
- lung function [ Time Frame: 24 hours ] [ Designated as safety issue: No ]peak expiratory volume in 1 sec effort
- peripheral acute stress reactivity [ Time Frame: 60 minutes ] [ Designated as safety issue: No ]salivary cortisol and alpha amylase in response to acute stressor
| Estimated Enrollment: | 72 |
| Study Start Date: | February 2011 |
| Groups/Cohorts |
|---|
| Asthmatic, chronic stress |
| Asthmatic, non-stress |
| Healthy control, chronic stress |
| Healthy control, no stress |
Eligibility| Ages Eligible for Study: | 18 Years to 45 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Community sample
Inclusion Criteria:
Asthmatics:
- Physician diagnosed asthma with previous use of asthma medication
Controls:
- negative skin-prick test to cat dander or house dust mite and have no history of asthma
Chronic Stress:
- score 3 or above on any subscale of the UCLA chronic stress interview
No chronic stress:
score 1.5 or below on all subscales of the UCLA chronic stress interview
Exclusion Criteria:
- Individuals with severe asthma, or those whom currently require the use of corticosteroids
- Individuals with significant medical problems
- Individuals who smoke cigarettes
- Individuals a previous adverse reaction to corticosteroids, a recent (< 1 month) viral illness, a history of severe asthma or anaphylaxis.
- Breastfeeding women or women who are, suspect they might be or are trying to become pregnant
Contacts and Locations| Contact: Melissa Rosenkranz, PhD | 608-262-5050 | marosenk@wisc.edu |
| United States, Wisconsin | |
| University of Wisconsin-Madison | Not yet recruiting |
| Madison, Wisconsin, United States, 53715 | |
| Principal Investigator: Melissa Rosenkranz, PhD | |
More Information
No publications provided
| Responsible Party: | Melissa Rosenkranz, University of Wisconsin |
| ClinicalTrials.gov Identifier: | NCT01155843 History of Changes |
| Other Study ID Numbers: | K01AT006202 |
| Study First Received: | June 30, 2010 |
| Last Updated: | July 1, 2010 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Asthma Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive Lung Diseases |
Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases |
ClinicalTrials.gov processed this record on May 23, 2013