Lundblad Lennart K A, Thompson-Figueroa John, Allen Gilman B, Rinaldi Lisa, Norton Ryan J, Irvin Charles G, Bates Jason H T
Vermont Lung Center, The University of Vermont College of Medicine, HSRF 230, 149 Beaumont Avenue, Burlington, VT 05405-0075, USA.
Am J Respir Crit Care Med. 2007 Apr 15;175(8):768-74. doi: 10.1164/rccm.200610-1410OC. Epub 2007 Jan 25.
Allergically inflamed mice exhibit airway hyperresponsiveness to inhaled methacholine, which computer simulations of lung impedance suggest is due to enhanced lung derecruitment and which we sought to verify in the present study.
BALB/c mice were sensitized and challenged with ovalbumin to induce allergic inflammation; the control mice were sensitized but received no challenge. The mice were then challenged with inhaled methacholine and respiratory system impedance tracked for the following 10 minutes. Respiratory elastance (H) was estimated from each impedance measurement. One group of mice was ventilated with 100% O(2) during this procedure and another group was ventilated with air. After the procedure, the mice were killed and ventilated with pure N(2), after which the trachea was tied off and the lungs were imaged with micro-computed tomography (micro-CT).
H was significantly higher in allergic mice than in control animals after methacholine challenge. The ratio of H at the end of the measurement period between allergic and nonallergic mice ventilated with O(2) was 1.36, indicating substantial derecruitment in the allergic animals. The ratio between lung volumes determined by micro-CT in the control and the allergic mice was also 1.36, indicative of a corresponding volume loss due to absorption atelectasis. Micro-CT images and histograms of Hounsfield units from the lungs also showed increased volume loss in the allergic mice compared with control animals after methacholine challenge.
These results support the conclusion that airway closure is a major component of hyperresponsiveness in allergically inflamed mice.
过敏炎症小鼠对吸入的乙酰甲胆碱表现出气道高反应性,肺阻抗的计算机模拟表明这是由于肺再募集增强所致,我们试图在本研究中对此进行验证。
用卵清蛋白对BALB/c小鼠进行致敏和激发以诱导过敏性炎症;对照小鼠进行致敏但未接受激发。然后用吸入的乙酰甲胆碱对小鼠进行激发,并在接下来的10分钟内跟踪呼吸系统阻抗。从每次阻抗测量中估计呼吸弹性(H)。在此过程中,一组小鼠用100% O₂通气,另一组用空气通气。实验结束后,处死小鼠并用纯N₂通气,然后结扎气管,用微型计算机断层扫描(micro-CT)对肺进行成像。
乙酰甲胆碱激发后,过敏小鼠的H显著高于对照动物。用O₂通气的过敏小鼠与非过敏小鼠在测量期结束时的H比值为1.36,表明过敏动物存在大量的肺再募集不足。对照小鼠和过敏小鼠通过micro-CT测定的肺体积之比也为1.36,表明由于吸收性肺不张导致相应的体积损失。乙酰甲胆碱激发后,与对照动物相比,过敏小鼠的肺的micro-CT图像和Hounsfield单位直方图也显示出体积损失增加。
这些结果支持以下结论,即气道关闭是过敏炎症小鼠高反应性的主要组成部分。