{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:40:12Z","timestamp":1790728812003,"version":"4.1.0"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T00:00:00Z","timestamp":1722988800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T00:00:00Z","timestamp":1722988800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Respir Res"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Increasing functional residual capacity (FRC) or tidal volume (V<jats:sub>T<\/jats:sub>) reduces airway resistance and attenuates the response to bronchoconstrictor stimuli in animals and humans. What is unknown is which one of the above mechanisms is more effective in modulating airway caliber and whether their combination yields additive or synergistic effects. To address this question, we investigated the effects of increased FRC and increased V<jats:sub>T<\/jats:sub> in attenuating the bronchoconstriction induced by inhaled methacholine (MCh) in healthy humans.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Nineteen healthy volunteers were challenged with a single-dose of MCh and forced oscillation was used to measure inspiratory resistance at 5 and 19 Hz (R<jats:sub>5<\/jats:sub> and R<jats:sub>19<\/jats:sub>), their difference (R<jats:sub>5-19<\/jats:sub>), and reactance at 5 Hz (X<jats:sub>5<\/jats:sub>) during spontaneous breathing and during imposed breathing patterns with increased FRC, or V<jats:sub>T<\/jats:sub>, or both. Importantly, in our experimental design we held the product of V<jats:sub>T<\/jats:sub> and breathing frequency (BF), <jats:italic>i.e<\/jats:italic>, minute ventilation (V<jats:sub>E<\/jats:sub>) fixed so as to better isolate the effects of changes in V<jats:sub>T<\/jats:sub> alone.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Tripling V<jats:sub>T<\/jats:sub> from baseline FRC significantly attenuated the effects of MCh on R<jats:sub>5<\/jats:sub>, R<jats:sub>19<\/jats:sub>, R<jats:sub>5-19<\/jats:sub> and X<jats:sub>5<\/jats:sub>. Doubling V<jats:sub>T<\/jats:sub> while halving BF had insignificant effects. Increasing FRC by either one or two V<jats:sub>T<\/jats:sub> significantly attenuated the effects of MCh on R<jats:sub>5,<\/jats:sub> R<jats:sub>19<\/jats:sub>, R<jats:sub>5-19<\/jats:sub> and X<jats:sub>5<\/jats:sub>. Increasing both V<jats:sub>T<\/jats:sub> and FRC had additive effects on R<jats:sub>5<\/jats:sub>, R<jats:sub>19<\/jats:sub>, R<jats:sub>5-19<\/jats:sub> and X<jats:sub>5<\/jats:sub>, but the effect of increasing FRC was more consistent than increasing V<jats:sub>T<\/jats:sub> thus suggesting larger bronchodilation. When compared at iso-volume, there were no differences among breathing patterns with the exception of when V<jats:sub>T<\/jats:sub> was three times larger than during spontaneous breathing.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>These data show that increasing FRC and V<jats:sub>T<\/jats:sub> can attenuate induced bronchoconstriction in healthy humans by additive effects that are mainly related to an increase of mean operational lung volume. We suggest that static stretching as with increasing FRC is more effective than tidal stretching at constant V<jats:sub>E<\/jats:sub>, possibly through a combination of effects on airway geometry and airway smooth muscle dynamics.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12931-024-02909-9","type":"journal-article","created":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T11:04:10Z","timestamp":1723028650000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Effects of increasing tidal volume and end-expiratory lung volume on induced bronchoconstriction in healthy humans"],"prefix":"10.1186","volume":"25","author":[{"given":"Alessandro","family":"Gobbi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Antonelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaele","family":"Dellaca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia M.","family":"Pellegrino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Pellegrino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey J.","family":"Fredberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Solway","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vito","family":"Brusasco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,8,7]]},"reference":[{"key":"2909_CR1","doi-asserted-by":"publisher","first-page":"1279","DOI":"10.1172\/JCI103715","volume":"37","author":"WA Briscoe","year":"1958","unstructured":"Briscoe WA. 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Croce and Carle Hospital Ethics Committee, approval no. 40\/13 of 19<sup>th<\/sup> April 2013. The study was conducted in accordance with the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"A.G. and R.D. are co-founders and serve as board members of RESTECH Srl, a company that designs, manufactures and sells devices for lung function testing based on Forced Oscillation Technique (FOT). R.D. also reports grants and other from RESTECH, personal fees from Philips Healthcare, outside the submitted work; In addition, R.D. has a patent on the detection of EFL by FOT with royalties paid to Philips Respironics and RESTECH Srl, a patent on monitoring lung volume recruitment by FOT with royalties paid to Vyaire, and a patent on early detection of exacerbations by home monitoring of FOT with royalties paid to RESTECH Srl. A.A., R.P., G.M. P., J.J.F., J.S, and VB have no conflict of interest related to the content of this manuscript.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"298"}}