Ballard S T, Gatzy J T
Curriculum in Toxicology, School of Medicine, University of North Carolina, Chapel Hill 27514.
J Appl Physiol (1985). 1991 Apr;70(4):1665-76. doi: 10.1152/jappl.1991.70.4.1665.
We separated the solute and water flow across the alveolar epithelium from flow across airway epithelia of the adult rat. Small volumes (0.5-1.0 ml) of Krebs-Ringer bicarbonate (KRB) were trapped in the distal air space of the isolated vascular-perfused left lung lobes while the airways were blocked by immiscible O2-carrying fluorocarbon. Lobe weight was lost or gained in response to colloid gradients and was raised by metabolic inhibitors but did not change with only fluorocarbon in the air space or in response to modifiers of epithelial ion transport. When serum was added to the KRB-colloid perfusion, weight loss occurred in the absence of a colloid gradient (3.4 ml/min) and was Na+ dependent (inhibited by luminal Na(+)-free KRB). The change in the concentration of blue dextran in liquid sampled by micropuncture from subpleural alveoli was smaller than expected from lobe weight under basal conditions or with a colloid gradient, even though the volume marker accurately detected edema formation (weight gain) induced by metabolic inhibitors. We conclude that 1) weight changes represent volume absorption from the air spaces, 2) serum stimulates a Na+ absorptive process, and 3) by exclusion, small airways and/or other subpopulations of alveoli are the site of this absorption.
我们将成年大鼠肺泡上皮与气道上皮溶质和水流分隔开来。在分离的、血管灌注的左肺叶远端气腔中截留少量(0.5 - 1.0毫升)的碳酸氢盐林格氏液(KRB),同时气道被不混溶的携氧氟碳化合物阻塞。肺叶重量会因胶体梯度而增减,并因代谢抑制剂而增加,但在气腔中仅存在氟碳化合物时或对上皮离子转运调节剂无反应。当向KRB - 胶体灌注液中添加血清时,在无胶体梯度(3.4毫升/分钟)的情况下会发生重量减轻,且依赖于Na⁺(被管腔无Na⁺的KRB抑制)。在基础条件下或存在胶体梯度时,通过微穿刺从胸膜下肺泡采集的液体中蓝色葡聚糖浓度的变化小于根据肺叶重量预期的值,尽管体积标记物能准确检测到代谢抑制剂诱导的水肿形成(重量增加)。我们得出以下结论:1)重量变化代表气腔的液体吸收;2)血清刺激Na⁺吸收过程;3)通过排除法可知,小气道和/或其他肺泡亚群是这种吸收的部位。