Mitchell H W, McFawn P K, Sparrow M P
Dept of Physiology, University of Western Australia, Nedlands.
Eur Respir J. 1992 Feb;5(2):207-12.
Bronchial narrowing was investigated to determine whether changes in smooth muscle force, described previously in different aged pigs, are associated with differences in airway narrowing. The sensitivity of bronchial segments from suckling and young pigs was compared by perfusion through the lumen with a Krebs solution at a pressure of 5 cmH2O, measuring the reduction in flow in response to carbachol and histamine. Segments of the same internal diameter (i.d. approx. 2.5 mm) from each age were used by selecting proximal segments from suckling and distal segments from young pigs. The sensitivity to carbachol or histamine was the same in smooth muscle strips from proximal and distal bronchi in each age. Furthermore, segments from either age had a similar pressure-volume relationship between -10 and 30 cmH2O. However, concentration-flow curves showed that the airways from sucklings were five times more sensitive than airways from young animals to carbachol (p less than 0.01) and, less consistently, to histamine (p greater than 0.05), when flow was reduced by 50% of maximum. Flow was abolished by maximum concentrations of carbachol at both ages whereas histamine stopped flow in the young segments and reduced it by 80% in the suckling age group. Data indicate a greater sensitivity of bronchial narrowing to carbachol in the intact airway--this is consistent with a greater force production in suckling pig airway smooth muscle. These findings support a postnatal development of airway function, as suggested from clinical observations and provocation studies in humans.
研究支气管狭窄以确定先前在不同年龄猪中描述的平滑肌力量变化是否与气道狭窄差异相关。通过在5 cmH₂O压力下用 Krebs 溶液经管腔灌注,测量对卡巴胆碱和组胺反应时的流量减少,比较了哺乳仔猪和幼猪支气管段的敏感性。通过选择哺乳仔猪的近端段和幼猪的远端段,使用每个年龄段内径相同(约2.5 mm)的段。每个年龄段近端和远端支气管平滑肌条对卡巴胆碱或组胺的敏感性相同。此外,两个年龄段的段在 -10至30 cmH₂O之间具有相似的压力-容积关系。然而,浓度-流量曲线显示,当流量减少50%时,哺乳仔猪的气道对卡巴胆碱的敏感性比幼龄动物的气道高五倍(p<0.01),对组胺的敏感性则不太一致(p>0.05)。两个年龄段的最大浓度卡巴胆碱均可使流量消失,而组胺使幼龄段的流量停止,在哺乳仔猪组中使流量减少80%。数据表明完整气道中支气管狭窄对卡巴胆碱的敏感性更高——这与哺乳仔猪气道平滑肌产生更大的力量一致。这些发现支持了气道功能的出生后发育,正如人类临床观察和激发研究所表明的那样。