Butler B D, Davies I, Drake R E
Department of Anesthesiology, University of Texas Medical School, Houston 77030.
Am J Physiol. 1989 Nov;257(5 Pt 2):H1466-70. doi: 10.1152/ajpheart.1989.257.5.H1466.
Lysophosphatidylcholine (lyso-Pc) is a lysophospholipid normally found in low concentrations in the lung. At high concentrations lyso-Pc, instilled into the airways, causes pulmonary edema. We tested the hypothesis that the edema caused by lyso-Pc was due to an increase in pulmonary microvascular membrane permeability. In 11 anesthetized dogs we continuously weighed the left lower lobes (LLL) while instilling lyso-Pc (20 mM) into the LLL airways. After 30 min we determined the microvascular membrane fluid filtration coefficient (Kf) from the relationship between the rate of LLL weight gain and the pulmonary microvascular pressure. Kf was not significantly different between the lyso-Pc-treated lobes (0.048 +/- 0.018 ml.min-1.mmHg-1) vs. control lobes (0.067 +/- 0.031 ml.min-1.mmHg-1). Our data do not support the hypothesis that lyso-Pc, instilled into the airways, causes an increase in pulmonary microvascular permeability.
溶血磷脂酰胆碱(lyso - Pc)是一种溶血磷脂,通常在肺中以低浓度存在。高浓度的lyso - Pc注入气道会导致肺水肿。我们检验了这样一个假设,即lyso - Pc引起的水肿是由于肺微血管膜通透性增加所致。在11只麻醉犬中,我们在向左下叶(LLL)气道注入lyso - Pc(20 mM)的同时持续称量左下叶的重量。30分钟后,我们根据左下叶重量增加速率与肺微血管压力之间的关系确定微血管膜滤过系数(Kf)。lyso - Pc处理的肺叶(0.048 +/- 0.018 ml·min⁻¹·mmHg⁻¹)与对照肺叶(0.067 +/- 0.031 ml·min⁻¹·mmHg⁻¹)之间的Kf没有显著差异。我们的数据不支持气道注入lyso - Pc会导致肺微血管通透性增加这一假设。