Bass Cameron R, Meyerhoff Kevin P, Damon Andrew M, Bellizzi Andrew M, Salzar Robert S, Rafaels Karin A
Department of Biomedical Engineering, Duke University, Durham, North Carolina, USA.
J Trauma. 2010 Jul;69(1):179-84. doi: 10.1097/TA.0b013e3181c42649.
Primary blast injuries, specifically lung injuries, resulting from blast overpressure exposures are a major source of mortality for victims of blast events. However, existing pulmonary injury criteria are inappropriate for common exposure environments. This study uses Drosophila melanogaster larvae to develop a simple phenomenological model for human pulmonary injury from primary blast exposure.
Drosophila larvae were exposed to blast overpressures generated by a 5.1-cm internal diameter shock tube and their mortality was observed after the exposure. To establish mortality thresholds, a survival analysis was conducted using survival data and peak incident pressures. In addition, a histologic analysis was performed on the larvae to establish the mechanisms of blast injury.
The results of the survival analysis suggest that blast overpressure for 50% Drosophila survival is greater than human threshold lung injury and is similar to human 50% survival levels, in the range of overpressure durations tested (1-5 ms). A "parallel" analysis of the Bass et al. 50% human survival curves indicates that 50% Drosophila survival is equivalent to a human injury resulting in a 69% chance of survival. Histologic analysis of the blast-exposed larvae failed to demonstrate damage to the dorsal trunk of the tracheal system; however, the presence of flocculent material in the larvae body cavities and tracheas suggests tissue damage.
This study shows that D. melanogaster survival can be correlated with large animal injury models to approximate a human blast lung injury tolerance. Within the range of durations tested, Drosophila larvae may be used as a simple model for blast injury.
爆炸超压暴露导致的原发性爆炸伤,特别是肺部损伤,是爆炸事件受害者死亡的主要原因。然而,现有的肺损伤标准不适用于常见的暴露环境。本研究使用黑腹果蝇幼虫建立了一个简单的现象学模型,用于模拟原发性爆炸暴露导致的人类肺损伤。
将果蝇幼虫暴露于内径为5.1厘米的冲击管产生的爆炸超压下,暴露后观察其死亡率。为了确定死亡阈值,使用生存数据和峰值入射压力进行生存分析。此外,对幼虫进行组织学分析以确定爆炸损伤的机制。
生存分析结果表明,在测试的超压持续时间范围内(1 - 5毫秒),使50%果蝇存活的爆炸超压大于人类肺损伤阈值,且与人类50%存活水平相似。对巴斯等人的50%人类存活曲线进行的“平行”分析表明,50%果蝇存活相当于人类受伤后有69%的存活几率。对爆炸暴露幼虫的组织学分析未能证明气管系统背干有损伤;然而,幼虫体腔和气管中存在絮状物质表明存在组织损伤。
本研究表明,黑腹果蝇的存活情况可与大型动物损伤模型相关联,以近似人类爆炸肺损伤耐受性。在测试的持续时间范围内,果蝇幼虫可作为爆炸损伤的简单模型。