Perinel Sophie, Leclerc Lara, Prévôt Nathalie, Deville Agathe, Cottier Michèle, Durand Marc, Vergnon Jean-Michel, Pourchez Jérémie
INSERM, U1059, SAINBIOSE, Saint-Etienne, F-42023, France.
Université de Lyon, Saint-Etienne, F-42023, France.
Respir Res. 2016 Jul 7;17(1):78. doi: 10.1186/s12931-016-0395-7.
The knowledge of where particles deposit in the respiratory tract is crucial for understanding the health effects associated with inhaled drug particles.
An ex vivo study was conducted to assess regional deposition patterns (thoracic vs. extrathoracic) of radioactive polydisperse aerosols with different size ranges [0.15 μm-0.5 μm], [0.25 μm-1 μm] and [1 μm-9 μm]. SPECT/CT analyses were performed complementary in order to assess more precisely the regional deposition of aerosols within the pulmonary tract. Experiments were set using an original respiratory tract model composed of a human plastinated head connected to an ex vivo porcine pulmonary tract. The model was ventilated by passive expansion, simulating pleural depressions. Aerosol was administered during nasal breathing.
Planar scintigraphies allowed to calculate the deposited aerosol fractions for particles in the three size ranges from sub-micron to micron The deposited fractions obtained, for thoracic vs. extra-thoracic regions respectively, were 89 ± 4 % vs. 11 ± 4 % for [0.15 μm-0.5 μm], 78 ± 5 % vs. 22 ± 5 % for [0.25 μm-1 μm] and 35 ± 11 % vs.65 ± 11 % for [1 μm-9 μm].
Results obtained with this new ex vivo respiratory tract model are in good agreement with the in vivo data obtained in studies with baboons and humans.
了解颗粒在呼吸道中的沉积位置对于理解与吸入药物颗粒相关的健康影响至关重要。
进行了一项体外研究,以评估不同粒径范围[0.15μm - 0.5μm]、[0.25μm - 1μm]和[1μm - 9μm]的放射性多分散气溶胶的区域沉积模式(胸腔内与胸腔外)。为了更精确地评估气溶胶在肺内的区域沉积,进行了SPECT/CT分析作为补充。实验使用了一个由与体外猪肺相连的人体塑化头部组成的原始呼吸道模型。该模型通过被动扩张进行通气,模拟胸膜凹陷。在鼻腔呼吸期间给予气溶胶。
平面闪烁扫描法能够计算出从亚微米到微米的三个粒径范围内颗粒的沉积气溶胶分数。胸腔内与胸腔外区域分别获得的沉积分数为:对于[0.15μm - 0.5μm],分别为89±4%和11±4%;对于[0.25μm - 1μm],分别为78±5%和22±5%;对于[1μm - 9μm],分别为35±11%和65±11%。
使用这种新的体外呼吸道模型获得的结果与在狒狒和人类研究中获得的体内数据高度一致。