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健康男性和女性肺部中超细颗粒的总沉积:实验和理论结果。

Total deposition of ultrafine particles in the lungs of healthy men and women: experimental and theoretical results.

机构信息

Department of Materials Science and Physics, Division of Physics and Biophysics, University of Salzburg, Salzburg, Austria.

出版信息

Ann Transl Med. 2016 Jun;4(12):234. doi: 10.21037/atm.2016.06.05.

Abstract

BACKGROUND

Inhaled ultrafine particles (UFP) may induce greater adverse respiratory effects than larger particles occurring in the ambient atmosphere. Due to this potential of UFP to act as triggers for diverse lung injuries medical as well as physical research has been increasingly focused on the exact deposition behavior of the particles in lungs of various probands. Main purpose of the present study was the presentation of experimental and theoretical data of total, regional, and local UFP deposition in the lungs of men and women.

METHODS

Both experiments and theoretical simulations were carried out by using particle sizes of 0.04, 0.06, 0.08, and 0.10 µm [number median diameters (NMD)]. Inhalation of UFP took place by application of predefined tidal volumes (500, 750, and 1,000 mL) and respiratory flow rates (150, 250, 375, and 500 mL·s(-1)). For male subjects a functional residual capacity (FRC) of 3,911±892 mL was measured, whereas female probands had a FRC of 3,314±547 mL. Theoretical predictions were based on (I) a stochastic model of the tracheobronchial tree; (II) particle transport computations according to a random walk algorithm; and (III) empirical formulae for the description of UFP deposition.

RESULTS

Total deposition fractions (TDF) are marked by a continuous diminution with increasing particle size. Whilst particles measuring 0.04 µm in size deposit in the respiratory tract by 40-70%, particles with a size of 0.10 µm exhibit deposition values ranging from 20% to 45%. Except for the largest particles studied here TDF of female probands are higher than those obtained for male probands. Differences between experimental and theoretical results are most significant for 0.10 µm particles, but never exceed 20%. Predictions of regional (extrathoracic, tracheobronchial, alveolar) UFP deposition show clearly that females tend to develop higher tracheobronchial and alveolar deposition fractions than males. This discrepancy is also confirmed by airway generation-specific deposition, which is permanently higher in women than in men.

CONCLUSIONS

From the experimental data and modeling predictions it can be concluded that females bear a slightly higher potential to develop lung insufficiencies after exposure to UFP than males. Besides higher deposition fractions occurring in female subjects, also total lung deposition dose is noticeably enhanced.

摘要

背景

吸入超细颗粒(UFP)可能比环境大气中存在的较大颗粒引起更大的呼吸道不良影响。由于 UFP 有可能成为各种肺部损伤的触发因素,医学和物理研究越来越关注各种受试对象肺部中颗粒的确切沉积行为。本研究的主要目的是呈现男性和女性肺部中总、区域和局部 UFP 沉积的实验和理论数据。

方法

通过使用粒径为 0.04、0.06、0.08 和 0.10 µm [数中值直径(NMD)] 进行实验和理论模拟。通过应用预定的潮气量(500、750 和 1000 mL)和呼吸流量(150、250、375 和 500 mL·s(-1))进行 UFP 吸入。对于男性受试者,测量到功能残气量(FRC)为 3911±892 mL,而女性受试对象的 FRC 为 3314±547 mL。理论预测基于 (I) 气管支气管树的随机模型;(II) 根据随机游走算法进行的颗粒输运计算;和 (III) 用于描述 UFP 沉积的经验公式。

结果

总沉积分数(TDF)随着颗粒尺寸的增加而连续减小。虽然粒径为 0.04 µm 的颗粒在呼吸道中沉积 40-70%,但粒径为 0.10 µm 的颗粒沉积值范围为 20%-45%。除了这里研究的最大颗粒外,女性受试对象的 TDF 高于男性受试对象。实验结果与理论结果之间的差异在粒径为 0.10 µm 的颗粒中最为明显,但从未超过 20%。区域(胸外、气管支气管、肺泡)UFP 沉积的预测清楚地表明,女性比男性更容易发展出更高的气管支气管和肺泡沉积分数。这种差异也通过气道生成特异性沉积得到证实,女性的沉积始终高于男性。

结论

从实验数据和建模预测可以得出结论,女性在暴露于 UFP 后发展肺部缺陷的潜力略高于男性。除了女性受试者中发生的更高沉积分数外,总肺沉积剂量也明显增强。

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