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衰老肺泡壁力学性能的比较研究。

A comparative study of the mechanical properties in aging alveolar wall.

作者信息

Martin C J, Chihara S, Chang D B

出版信息

Am Rev Respir Dis. 1977 Jun;115(6):981-8. doi: 10.1164/arrd.1977.115.6.981.

Abstract

Alveolar wall from the lung of aging humans shows a progressive decrease in maximal extensibility, which should follow an increase in resting tissue length rather than a reduction in maximal length. An increase in resting tissue length is compatible with the change in lung volumes and reduction in elastic recoil that occurs with time. A model of the lung was used to compare the effects of a change in resting tissue length in diminishing elastic recoil with that of a reduction in the volume density of the elastic elements (emphysema). Such differentiation is important in selecting an animal that may model the aging or emphysematous lung. In the rat, rabbit, and horse, alveolar walls show no decrease in maximal extensibility with age. In the male monkey (M. nemestrina and M. mulatta) between birth and 2.4 years there is a decrease in maximal extensibility that lacks significance for the limited age span examined. On the other hand, the energy loss in length-tension cycling (hysteresis) of alveolar wall increases in aging humans, diminishes in rats and rabbits, and shows little change in horses and monkeys. The breaking force of alveolar wall increases with age in rats and rabbits but does not change significantly in the other species. Of these species, the monkey promises a better model of the age-related changes in maximal extensibility of alveolar wall. A measure of maximal extensibility can distinguish the effects of dilatation of air spaces from those of destruction of alveolar wall in causing loss of lung elastic recoil.

摘要

衰老人类肺部的肺泡壁最大伸展性逐渐降低,这种降低应伴随着静息组织长度的增加,而非最大长度的减少。静息组织长度的增加与肺容积的变化以及随时间发生的弹性回缩力降低是相符的。利用一个肺部模型来比较静息组织长度变化对弹性回缩力降低的影响与弹性成分容积密度降低(肺气肿)的影响。这种区分对于选择可模拟衰老或肺气肿肺部的动物很重要。在大鼠、兔子和马中,肺泡壁的最大伸展性不会随年龄增长而降低。在雄性猴子(猪尾猕猴和恒河猴)出生至2.4岁期间,最大伸展性有所降低,但在所研究的有限年龄范围内,这种降低并不显著。另一方面,衰老人类肺泡壁长度 - 张力循环中的能量损失(滞后现象)增加,大鼠和兔子中减少,马和猴子中变化不大。大鼠和兔子的肺泡壁断裂力随年龄增长而增加,但在其他物种中无显著变化。在这些物种中,猴子有望成为肺泡壁最大伸展性与年龄相关变化的更好模型。最大伸展性的测量可以区分气腔扩张和肺泡壁破坏在导致肺弹性回缩力丧失方面的影响。

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