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成熟过程中气道平滑肌舒张的机制。

Mechanisms of airway smooth muscle relaxation during maturation.

作者信息

Chitano Pasquale, Wang Lu, Murphy Thomas M

机构信息

Department of Pediatrics, Duke University Medical Center, Durham, NC 27710, USA.

出版信息

Can J Physiol Pharmacol. 2005 Oct;83(10):833-40. doi: 10.1139/y05-056.

Abstract

Greater airway responsiveness in healthy juveniles is considered a factor in the higher asthma prevalence at a young age compared with adults. We have developed a guinea pig maturational model that utilizes tracheal strips from 1-week-, 3-week-, and 3-month-old guinea pigs to study the role of airway smooth muscle (ASM) in juvenile airway hyperresponsiveness. Because a reduced ability of ASM to spontaneously relax may contribute to airway hyperresponsiveness by maintaining bronchospasm and thus high airway resistance, we have employed this model to study ASM spontaneous relaxation during electrical field stimulation (EFS). Since relaxation during EFS had been neither described nor quantified during maturation, we developed new indices that allowed an appropriate comparison of the relaxing response from strips of different age animals. Using these indices we found that, whereas strips from adult animals relax to a level of tension similar to that found in the absence of stimulation, this ability to spontaneously relax is essentially absent in trachealis from infant animals. These results confirmed that maturation of ASM relaxation may play a role in juvenile airway hyperresponsiveness and that our maturational model is suitable to study the mechanisms regulating spontaneous relaxation in physiological conditions. We investigated the role of prostanoids in ASM relaxation and showed that cyclooxygenase inhibition increases relaxation in infant ASM to levels similar to adults. These results suggest that prostanoids regulate the ability of ASM to spontaneously relax, i.e., they reduce relaxation. We have produced preliminary data suggesting a maturational change in the level of prostanoids. Moreover, the possible action of acetylcholinesterase on maturation of ASM relaxation is discussed here on the basis of a preliminary study. We suggest that impairment of ASM relaxation likely contributes to increased airway responsiveness.

摘要

与成年人相比,健康青少年气道反应性更高被认为是其哮喘患病率在年轻时更高的一个因素。我们建立了一种豚鼠成熟模型,利用1周龄、3周龄和3月龄豚鼠的气管条来研究气道平滑肌(ASM)在青少年气道高反应性中的作用。由于ASM自发舒张能力降低可能通过维持支气管痉挛从而导致高气道阻力,进而促成气道高反应性,我们采用该模型来研究电场刺激(EFS)期间ASM的自发舒张。由于在成熟过程中EFS期间的舒张既未被描述也未被量化,我们开发了新的指标,以便能够对不同年龄动物气管条的舒张反应进行适当比较。使用这些指标我们发现,成年动物的气管条会舒张到与无刺激时相似的张力水平,而幼年动物气管的这种自发舒张能力基本不存在。这些结果证实,ASM舒张的成熟可能在青少年气道高反应性中起作用,并且我们的成熟模型适用于研究生理条件下调节自发舒张的机制。我们研究了前列腺素在ASM舒张中的作用,并表明抑制环氧化酶可使幼年ASM的舒张增加到与成年动物相似的水平。这些结果表明,前列腺素调节ASM自发舒张的能力,即它们会降低舒张。我们已经获得了初步数据,表明前列腺素水平存在成熟变化。此外,基于一项初步研究,本文讨论了乙酰胆碱酯酶对ASM舒张成熟的可能作用。我们认为ASM舒张受损可能导致气道反应性增加。

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