Turner Debra J, Noble Peter B, Lucas Matthew P, Mitchell Howard W
Department of Physiology, University of Western Australia, Perth, Western Australia 6009, Australia.
J Appl Physiol (1985). 2002 Oct;93(4):1296-300. doi: 10.1152/japplphysiol.00150.2002.
Increased smooth muscle contractility or reduced smooth muscle mechanical loads could account for the excessive airway narrowing and hyperresponsiveness seen in asthma. These mechanisms were investigated by using an allergen-induced porcine model of airway hyperresponsiveness. Airway narrowing to electric field stimulation was measured in isolated bronchial segments, over a range of transmural pressures (0-20 cmH(2)O). Contractile responses to ACh were measured in bronchial segments and in isolated tracheal smooth muscle strips isolated from control and test (ovalbumin sensitized and challenged) pigs. Test airways narrowed less than controls (P < 0.0001). Test pigs showed reduced contractility to ACh, both in isolated bronchi (P < 0.01) and smooth muscle strips (P < 0.01). Thus isolated airways from pigs exhibiting airway hyperresponsiveness in vivo are hyporesponsive in vitro. The decreased narrowing in bronchi from hyperresponsive pigs may be related to decreased smooth muscle contractility. These data suggest that mechanisms external to the airway wall may be important to the hyperresponsive nature of sensitized lungs.
平滑肌收缩性增加或平滑肌机械负荷降低可能是哮喘中出现气道过度狭窄和高反应性的原因。通过使用变应原诱导的猪气道高反应性模型对这些机制进行了研究。在一系列跨壁压力(0 - 20 cmH₂O)范围内,测量离体支气管节段对电场刺激的气道狭窄情况。在从对照猪和试验猪(卵清蛋白致敏和激发)分离的支气管节段以及离体气管平滑肌条中测量对乙酰胆碱的收缩反应。试验气道的狭窄程度小于对照气道(P < 0.0001)。试验猪对乙酰胆碱的收缩性降低,在离体支气管(P < 0.01)和平滑肌条中均如此(P < 0.01)。因此,在体内表现出气道高反应性的猪的离体气道在体外反应性降低。高反应性猪支气管中狭窄程度降低可能与平滑肌收缩性降低有关。这些数据表明,气道壁外的机制可能对致敏肺的高反应性本质很重要。