Antonova Nadia, Todorov Roumen, Exerowa Dotchi
Institute of Mechanics and Biomechanics, Bl.4, Sofia, Bulgaria.
Biorheology. 2003;40(5):531-43.
The proposed in vitro model for studying the alveolar surface layer of the lungs enables one to investigate the surface intermolecular forces which influence the stability of the alveolus. The general role for the stability of the alveolus belongs to the phospholipids in the alveolar surfactant and predominantly to their main component dipalmitoylphosphatidylcholine (DPPC). The aim of the study was to investigate the rheological behavior of DPPC and exogenous surfactant preparations used in neonatal clinical practice. Data for the rheological behavior of the solutions of the commercially available surfactants, Infasurf, Exosurf and Survanta, as well as of DPPC (their main phospholipid component) at shear rates from 0.024 to 94.5 s(-1) under steady and transient flow conditions at 23 degrees C were obtained. Infasurf and Exosurf showed Newtonian rheological behavior, while Survanta revealed the shear-thinning behavior of a non-Newtonian pseudoplastic fluid. The rheological properties of aqueous solutions of DPPC containing 0.14 M NaCl at concentrations from 100 and 630 microg/ml of phospholipid (chosen from the dependence of the probability for bilayer film formation) were studied. Differences observed in the rheological properties of the exogenous surfactants were interpreted on the basis of their composition, the presence of other phospholipid components, certain additives and surfactant proteins, as well as the bulk structures formed from them. The relevance of the results for the delivery of exogenous surfactants and their spreading in replacement therapy is discussed.
所提出的用于研究肺肺泡表面层的体外模型,使人们能够研究影响肺泡稳定性的表面分子间力。肺泡稳定性的一般作用归因于肺泡表面活性剂中的磷脂,主要归因于其主要成分二棕榈酰磷脂酰胆碱(DPPC)。本研究的目的是研究DPPC和新生儿临床实践中使用的外源性表面活性剂制剂的流变行为。获得了市售表面活性剂Infasurf、Exosurf和Survanta以及DPPC(它们的主要磷脂成分)在23℃下稳定和瞬态流动条件下剪切速率为0.024至94.5 s(-1)时溶液的流变行为数据。Infasurf和Exosurf表现出牛顿流变行为,而Survanta则表现出非牛顿假塑性流体的剪切变稀行为。研究了含0.14 M NaCl的DPPC水溶液在磷脂浓度为100和630 μg/ml时的流变性质(根据双层膜形成概率的依赖性选择)。根据外源性表面活性剂的组成、其他磷脂成分的存在、某些添加剂和表面活性剂蛋白以及由它们形成的整体结构,解释了观察到的外源性表面活性剂流变性质的差异。讨论了这些结果对外源性表面活性剂给药及其在替代疗法中扩散的相关性。