Greiff L, Wollmer P, Pipkorn U, Persson C G
Department of Otorhinolaryngology, University Hospital of Lund, Sweden.
Thorax. 1991 Sep;46(9):630-2. doi: 10.1136/thx.46.9.630.
Whether histamine, a mediator that causes exudation, affects the airway absorption of luminal solutes has been examined in a study of eight healthy volunteers. Fluid containing the absorption tracer chromium-51 labelled EDTA was instilled into one nasal cavity for 15 minutes, with a nasal pool-device (total volume 14 ml). The airway absorption of 51Cr EDTA determined by urinary recovery of radioactivity corresponded to 0.095 (SE 0.023) ml of the instillate in the absence of histamine. When histamine was added to the nasal instillate at a concentration of 2.0 mg/ml, which is known to produce substantial exudation of plasma into the airway lumen, the absorption of 51Cr EDTA was unchanged (0.093 (0.025) ml of the instillate). Separate experiments excluded the possibility that any swallowed portion of 51Cr EDTA could have contributed significantly to the amount absorbed. The present data agree with previous observations in guinea pig tracheobronchial airways, where histamine and other exudative agents did not increase the mucosal absorption of solutes from the airway lumen. These data suggest that the potent protein systems of blood plasma can transverse the endothelial-epithelial linings and operate on the surface of the airway mucosa without compromising its integrity as a barrier to luminal material.
在一项针对8名健康志愿者的研究中,已对组胺(一种引起渗出的介质)是否影响腔内溶质的气道吸收进行了研究。用鼻腔积液装置(总体积14毫升)将含有吸收示踪剂铬-51标记的乙二胺四乙酸(EDTA)的液体滴入一侧鼻腔15分钟。在不存在组胺的情况下,通过尿液放射性回收测定的51Cr EDTA的气道吸收量相当于0.095(标准误0.023)毫升滴入液。当向鼻腔滴入液中加入浓度为2.0毫克/毫升的组胺时,已知该浓度会使大量血浆渗入气道腔,此时51Cr EDTA的吸收量未发生变化(0.093(0.025)毫升滴入液)。单独的实验排除了51Cr EDTA的任何吞咽部分可能对吸收量有显著贡献的可能性。目前的数据与先前在豚鼠气管支气管气道中的观察结果一致,在那里组胺和其他渗出剂并未增加气道腔内溶质的黏膜吸收。这些数据表明,血浆中的有效蛋白质系统可以穿过内皮-上皮衬里,并在气道黏膜表面发挥作用,而不会损害其作为腔内物质屏障的完整性。