Karlinsky J B, Snider G L, Franzblau C, Stone P J, Hoppin F G
Am Rev Respir Dis. 1976 Jun;113(6):769-77. doi: 10.1164/arrd.1976.113.6.769.
A previous study of hamsters, 21 days after intratracheal treatment with pancreatic elastase, showed development of emphysema, shift of the volume-pressure curve up an to the left, with both air and saline filling, and increase in quasistatic lung compliance. There was also a striking increase in vital capacity and lung volume at transpulmonary pressure of 25 cm H2O (TLC25); however, 21 days after collagenase treatment, there was only a slight increase in TLC25. The lung volume changes were not consistent with the theory that the collagen fiber network is responsible for limiting distension of the lung. This report considers saline-filled volume-pressure curves studied in excised hamster lungs after incubation with endotracheally instilled pancreatic elastase or clostridial collagenase solutions. Fluid retained in the lungs after the first infusion-withdrawal cycle was significantly greater in lungs treated with elastase than in lungs treated with collagenase or in control lungs. Total fluid volume at full inflation was similar in the 3 groups. Chord compliance of lungs treated with collagenase was greater at high volume range than that in lungs treated with elastase or control lungs; chord compliance of elastase-treated lungs was higher at mid-volume range than that of collagenase-treated or control lungs. The results of these in vitro studies are consistent with the theory of independently functioning elastic and collagen fiber networks, with the latter limiting lung distensibility at high volumes, and the former providing great extensibility at low volumes. Events that are part of the repair process after elastase injury may result in a change in the orientation of collagen in alveolar tissue and appear to account for the differing effects of in vivo and in vitro elastase treatment on the static mechanical properties of the lungs.
先前一项对仓鼠的研究表明,气管内注射胰弹性蛋白酶21天后,出现了肺气肿,充气和充生理盐水时容积 - 压力曲线向上向左移位,准静态肺顺应性增加。在跨肺压为25 cm H₂O(TLC25)时,肺活量和肺容积也显著增加;然而,胶原酶处理21天后,TLC25仅略有增加。肺容积变化与胶原纤维网络负责限制肺扩张的理论不一致。本报告考虑了在气管内注入胰弹性蛋白酶或梭菌胶原酶溶液孵育后,对切除的仓鼠肺进行研究的充生理盐水容积 - 压力曲线。在第一次输注 - 回抽循环后,弹性蛋白酶处理的肺中保留在肺内的液体明显多于胶原酶处理的肺或对照肺。三组在完全充气时的总液体量相似。在高容积范围内,胶原酶处理的肺的弦顺应性大于弹性蛋白酶处理的肺或对照肺;在中容积范围内,弹性蛋白酶处理的肺的弦顺应性高于胶原酶处理的肺或对照肺。这些体外研究结果与弹性纤维网络和胶原纤维网络独立发挥作用的理论一致——后者在高容积时限制肺扩张性,前者在低容积时提供很大的伸展性。弹性蛋白酶损伤后修复过程中的一些事件可能导致肺泡组织中胶原取向的改变,这似乎可以解释体内和体外弹性蛋白酶处理对肺静态力学特性的不同影响。