Institute of Functional and Applied Anatomy, Hannover Medical School, Hannover, Germany.
Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Hannover, Germany.
Am J Physiol Lung Cell Mol Physiol. 2022 Dec 1;323(6):L667-L675. doi: 10.1152/ajplung.00273.2022. Epub 2022 Oct 25.
Quantitative data about the internal lung structure are needed to better understand normal and pathological lung development. Aberrant lung development causes deficits in alveolar and microvascular development; however, the normal temporal relationship between these processes is still not fully understood. We hypothesized that alveolar and capillary development show a differential time pattern. Lungs of rats aged 3, 7, 14, 21 days (d) or 3 mo ( = 8-10 each) were fixed by vascular perfusion and processed for light microscopy. Using design-based stereology number, the surface area and volume of alveoli, septal capillaries, and alveolar septa were quantified. The total number and the total volume of alveoli increased progressively during postnatal development. Interestingly, the numerical density of capillary loops was significantly higher in 14- and 21-d-old rats than before or after this age, causing a duplication of the total number of capillary loops between 1 and 2 wk of age. The mean thickness of alveolar septa started to decline slightly at the age of 14d and more pronounced at later stages. Although the septal epithelial surface area increased in proportion to alveolar number during the first 3 wk, the capillary endothelial surface area grew only slightly compared with the number of capillaries. In conclusion, the number of elements composing the alveolar capillary network expands massively during the first two postnatal weeks and exceeds the formation of alveoli. The thinning of the alveolar septa during further development suggests a reduction of the capillary network during alveolarization.
需要定量数据来更好地了解正常和病理性肺发育的肺内结构。异常的肺发育导致肺泡和微血管发育不足;然而,这些过程之间的正常时间关系仍不完全清楚。我们假设肺泡和毛细血管的发育呈现出不同的时间模式。通过血管灌注固定 3、7、14、21 天(d)或 3 个月龄(= 每组 8-10 只)大鼠的肺,并进行光镜处理。使用基于设计的体视学技术,定量测量肺泡、隔毛细血管和肺泡隔的表面积和体积。在出生后发育过程中,肺泡的总数和总体积逐渐增加。有趣的是,14 至 21 日龄大鼠的毛细血管袢数量密度显著高于该年龄之前或之后,导致 1 至 2 周龄之间毛细血管袢总数增加了一倍。肺泡隔的平均厚度在 14 日龄时开始略有下降,在后期更为明显。尽管在最初的 3 周内,肺泡上皮表面积与肺泡数量成比例增加,但与毛细血管数量相比,毛细血管内皮表面积仅略有增加。总之,在出生后的前两周内,构成肺泡毛细血管网络的元素数量大量增加,并超过了肺泡的形成。在进一步发育过程中,肺泡隔的变薄表明肺泡化过程中毛细血管网络的减少。