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体内犬类大直径气道中收缩力向管径缩窄的转化。

Translation of contractile force to constriction in major diameter canine airways in vivo.

作者信息

Shioya T, Munoz N M, Leff A R

机构信息

Section of Pulmonary and Critical Care Medicine, University of Chicago, IL 60637.

出版信息

Am Rev Respir Dis. 1989 Sep;140(3):687-94. doi: 10.1164/ajrccm/140.3.687.

DOI:10.1164/ajrccm/140.3.687
PMID:2675705
Abstract

We studied the relationship between force generation and airway narrowing in the major diameter bronchi (Generations 1 to 5) in 14 mongrel dogs using tantalum bronchography in vivo. A characteristic tension-radius curve was described for each airway having two phases (different elastances). Substantial heterogeneity was demonstrated in the passive characteristics of these airways; compliance increased progressively with advancing airway generation. Changes in airway caliber elicited with intravenous infusion of methacholine (MCh) were used to calculate active force translated to airway wall tensions, and radius-tension (approximately equal to length-tension) curves were calculated for each airway after correcting for wall thickness. The resting smooth muscle length at which maximal active tension (ATmax) was elicited for each generation (expressed as percent of the initial radius; %Ri) was similar for all generations (147 +/- 7.32% for Generation 2 to 160 +/- 8.82 for Generation 5). However, ATmax decreased with advancing airway generation from 6.58 +/- 1.51 dyne/cm (Generation 2, extraparenchymal) to 1.60 +/- 0.13 dyne/cm (Generation 5, intraparenchymal; p less than 0.001). Relative change in airway diameter nonetheless was greater in smaller airways (28.2 +/- 5.1% in Generation 5) than in larger airways (15.8 +/- 3.5% in Generation 2; p less than 0.001). These data indicate that increased narrowing of more distal airways in the dog results predominantly from mechanical advantage related to smaller Ri and/or greater compressibility rather than to greater force translation from airway smooth muscle contraction, as suggested by prior investigations.

摘要

我们在14只杂种犬体内使用钽支气管造影术研究了主支气管(第1至5级)中力的产生与气道狭窄之间的关系。为每个具有两个阶段(不同弹性)的气道描绘了一条特征性的张力-半径曲线。这些气道的被动特性表现出显著的异质性;顺应性随着气道分级的推进而逐渐增加。通过静脉注射乙酰甲胆碱(MCh)引起的气道管径变化来计算转化为气道壁张力的主动力,并在校正壁厚后为每个气道计算半径-张力(近似等于长度-张力)曲线。各代产生最大主动张力(ATmax)时的静息平滑肌长度(以初始半径的百分比表示;%Ri)在所有代中相似(第2代147±7.32%至第5代160±8.82%)。然而,ATmax随着气道分级的推进而降低,从6.58±1.51达因/厘米(第2代,肺实质外)降至1.60±0.13达因/厘米(第5代,肺实质内;p<0.001)。尽管如此,较小气道(第5代为28.2±5.1%)的气道直径相对变化大于较大气道(第2代为15.8±3.5%;p<0.001)。这些数据表明,犬类中更远端气道狭窄的增加主要源于与较小Ri和/或更大可压缩性相关的机械优势,而非如先前研究所暗示的那样,源于气道平滑肌收缩产生的更大的力转化。

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