Gazzola Morgan, Henry Cyndi, Couture Christian, Marsolais David, King Gregory G, Fredberg Jeffrey J, Bossé Ynuk
Institut Universitaire de Cardiologie et de Pneumologie de Québec (IUCPQ), Université Laval, Québec, Canada.
Woolcock Institute of Medical Research, Australia; University of Sydney, Australia; CRC for Asthma, Sydney, Australia.
Respir Physiol Neurobiol. 2016 Jul 15;229:51-8. doi: 10.1016/j.resp.2016.04.005. Epub 2016 Apr 16.
Studying airway smooth muscle (ASM) in conditions that emulate the in vivo environment within which the bronchi normally operate may provide important clues regarding its elusive physiological function. The present study examines the effect of lengthening and shortening of ASM on tension development in human bronchial segments. ASM from each bronchial segment was set at a length approximating in situ length (Linsitu). Bronchial tension was then measured during a slow cyclical strain (0.004Hz, from 0.7Linsitu to 1.3Linsitu) in the relaxed state and at graded levels of activation by methacholine. In all cases, tension was greater at longer ASM lengths, and greater during lengthening than shortening. The threshold of methacholine concentration that was required for ASM to account for bronchial tension across the entire range of ASM lengths tested was on average smaller by 2.8 logs during lengthening than during shortening. The length-dependency of ASM tension, together with this lower threshold of methacholine concentration during lengthening versus shortening, suggest that ASM has a greater ability to resist airway dilation during lung inflation than to narrow the airways during lung deflation. More than serving to narrow the airway, as has long been thought, these data suggest that the main function of ASM contraction is to limit airway wall distension during lung inflation.
在模拟支气管正常运作的体内环境的条件下研究气道平滑肌(ASM),可能会为其难以捉摸的生理功能提供重要线索。本研究考察了ASM的拉长和缩短对人支气管节段张力产生的影响。将每个支气管节段的ASM设置在接近原位长度(Linsitu)的长度。然后在松弛状态下以及在不同程度的乙酰甲胆碱激活水平下,测量在缓慢周期性应变(0.004Hz,从0.7Linsitu到1.3Linsitu)过程中的支气管张力。在所有情况下,较长的ASM长度时张力更大,且拉长时的张力大于缩短时的张力。在测试的整个ASM长度范围内,ASM产生支气管张力所需的乙酰甲胆碱浓度阈值,拉长时平均比缩短时小2.8个对数。ASM张力的长度依赖性,以及拉长与缩短过程中乙酰甲胆碱浓度的较低阈值,表明ASM在肺充气过程中抵抗气道扩张的能力比在肺放气过程中使气道变窄的能力更强。这些数据表明,ASM收缩的主要功能不是像长期以来所认为的那样使气道变窄,而是在肺充气过程中限制气道壁的扩张。