Greiff L, Wollmer P, Erjefält I, Pipkorn U, Persson C G
Department of Otorhinolaryngology, University of Lund, Sweden.
Thorax. 1990 Nov;45(11):841-5. doi: 10.1136/thx.45.11.841.
Technetium-99m labelled diethylenetriamine penta-acetate (99mTc-DTPA) was used to compare small solute absorption (clearance) from nasal, tracheobronchial, and bronchoalveolar airways in anaesthetised guinea pigs. 99mTc DTPA dissolved in saline was superfused through nasal and orolaryngeal catheters on to nasal and tracheobronchial airways; a small particle aerosol of nebulised 99mTc DTPA was delivered to the bronchoalveolar airways through a tracheostomy. Radioactivity over the appropriate region was then determined with a gamma camera. Mucociliary transport of 99mTc DTPA appeared not to contribute to the disappearance of 99mTc DTPA. Time-activity curves were obtained and half life values calculated by fitting a monoexponential equation to the experimental data. A progressive reduction in 99mTc DTPA was recorded from the nasal and tracheobronchial airways and from the bronchoalveolar airway, suggesting that absorption was occurring. The disappearance of 99mTc DTPA was fastest from the bronchoalveolar region, which also had the largest mucosal surface. The similar shape of the retention curves for the nasal and tracheobronchial regions suggests that the characteristics of nasal absorption of 99mTc DTPA could prove applicable to the tracheobronchial region. It is proposed that the present methods are suited for comparing the pharmacology of small solute absorption across nasal, tracheobronchial, and bronchoalveolar airway mucosa.
用锝-99m标记的二乙烯三胺五乙酸(99mTc-DTPA)比较麻醉豚鼠鼻腔、气管支气管和肺泡气道对小溶质的吸收(清除)情况。将溶解于生理盐水中的99mTc-DTPA通过鼻腔和口喉导管灌流到鼻腔和气管支气管气道;雾化的99mTc-DTPA小颗粒气溶胶通过气管造口术输送到肺泡气道。然后用γ相机测定相应区域的放射性。99mTc-DTPA的黏液纤毛转运似乎对99mTc-DTPA的消失没有作用。获得时间-活性曲线,并通过将单指数方程拟合到实验数据来计算半衰期值。记录到99mTc-DTPA在鼻腔、气管支气管气道和肺泡气道中的逐渐减少,表明吸收正在发生。99mTc-DTPA从肺泡区域消失最快,该区域的黏膜表面积也最大。鼻腔和气管支气管区域保留曲线的相似形状表明,99mTc-DTPA鼻腔吸收的特征可能适用于气管支气管区域。有人提出,目前的方法适合比较小溶质跨鼻腔、气管支气管和肺泡气道黏膜吸收的药理学情况。