ABSTRACT

The airway wall in chronic inflammatory states is known to be the subject of

tissue remodeling (1-3). Changes in the architecture of the bronchus result in

airway wall thickening (4), with luminal narrowing, airflow obstruction, and

hyperreactivity to inhaled stimuli. Studies using bronchial biopsies have

shown this thickening to be due to changes in specific components of the

airway wall, including epithelium (5), subepithelial collagen (6,7), submucosal

collagen (8), submucosal vascularity (9), cellular infiltrate (10), and smooth

muscle (11).