Department of Ultrasonic Medicine The First Affiliated Hospital of Guangxi Medical University, No. 6 Shuangyong Road, Nanning 530021, China.
Can Respir J. 2024 Jul 23;2024:6619471. doi: 10.1155/2024/6619471. eCollection 2024.
Pulmonary hypertension (PH) is a progressive and complex pulmonary vascular disease with poor prognosis. The aim of this study was to provide a new understanding of the lung pathology of disease and a noninvasive method in monitoring the establishment of animal models for basic and clinical studies of PH, indeed to explore clinical application value of lung ultrasound for patients with PH. Totally 32 male SD rats were randomly divided into control group, MCT (monocrotaline) group, PDTC (pyrrolidine dithiocarbamate) group, and NS (normal saline) group. Rats in the MCT group, PDTC group, and NS group received single intraperitoneal injection of MCT, while the control group received the same dose of NS. Then, PDTC group and NS group received PDTC and NS daily for treatment at the end of the model. Each group received lung ultrasound examination and measurement of pulmonary arterial pressure (PAP). Then, the rats were sacrificed to take the lung specimens to being observed. The ultrasound and pathological results were analyzed with a semiquantitative score. With the pulmonary artery pressure increases, the MCT group had a higher pulmonary ultrasound score and pathological score compared with the control group ( < 0.05). After PDTC treatment, the pulmonary ultrasound score and the pathological score decline ( < 0.05). We investigated both lung ultrasound scores, and the pathological scores were positively correlated with mean pulmonary artery pressure (mPAP) (both > 0.8, < 0.0001). Moreover, lung ultrasound scores were positively correlated with pathological scores ( > 0.8, < 0.0001). We elucidated lung ultrasound evaluation providing more evidence for the management of PH in the rat model. Moreover, lung ultrasound provided a noninvasive method in monitoring the establishment of animal models for basic and clinical studies of PH.
肺动脉高压(PH)是一种进行性和复杂的肺血管疾病,预后不良。本研究旨在提供对疾病肺部病理学的新认识,以及一种非侵入性方法来监测 PH 基础和临床研究动物模型的建立,实际上是探索肺部超声在 PH 患者中的临床应用价值。共 32 只雄性 SD 大鼠随机分为对照组、MCT(野百合碱)组、PDTC(吡咯烷二硫代氨基甲酸盐)组和 NS(生理盐水)组。MCT 组、PDTC 组和 NS 组大鼠接受单次腹腔注射 MCT,而对照组接受相同剂量的 NS。然后,PDTC 组和 NS 组在模型结束时接受 PDTC 和 NS 每日治疗。每组大鼠均接受肺部超声检查和肺动脉压(PAP)测量。然后处死大鼠取肺标本进行观察。采用半定量评分法分析超声和病理结果。随着肺动脉压升高,MCT 组的肺部超声评分和病理评分均高于对照组( < 0.05)。PDTC 治疗后,肺部超声评分和病理评分下降( < 0.05)。我们同时研究了肺部超声评分和病理评分,发现两者均与平均肺动脉压(mPAP)呈正相关(均 > 0.8, < 0.0001)。此外,肺部超声评分与病理评分呈正相关(均 > 0.8, < 0.0001)。我们通过肺部超声评估阐明了为大鼠模型 PH 管理提供更多证据。此外,肺部超声提供了一种非侵入性方法来监测 PH 基础和临床研究动物模型的建立。