Gaultier C, Harf A, Balmain N, Cuisinier-Gleizes P, Mathieu H
Am Rev Respir Dis. 1984 Dec;130(6):1108-10. doi: 10.1164/arrd.1984.130.6.1108.
Lung mechanics was studied at 50 days of age in 7 rachitic rats born from mothers deprived of vitamin D. They were compared with 7 control rats raised in the same conditions but fed a diet supplemented with vitamin D. The animals were anesthetized, tracheotomized, and paralyzed. Quasi-static pressure-volume curves of the respiratory system and of the lungs were obtained. Body weight of the rachitic rats was within the range of the control rats, but dry lung weight (LW) was significantly lower (p less than 0.01). Lung volumes in absolute terms and when normalized for LW were significantly lower than in the control rats. Chest wall compliance (Ccw) of the rachitic rats was within the range of values of the control rats, except for 2 animals with an infinite Ccw. Analysis of the pressure-volume curves of the lungs of the rachitic rats compared with those in the control animals showed a significant decrease in lung compliance (CL) and in CL/LW (p less than 0.01), indicating a decrease in lung distensibility. The more severe the rickets (according to microradiographic criteria of the tibia), the lower the CL/LW. It is speculated that decrease in lung distensibility may be related to abnormal lung growth caused by disturbed alveolar formation and lung connective tissue development. These abnormalities could be due to vitamin D deficiency acting on the growing lung, as on the growing bones, by a mechanism involving proteoglycans.
对7只出生于缺乏维生素D的母鼠的佝偻病大鼠在50日龄时进行了肺力学研究。将它们与7只在相同条件下饲养但喂食补充维生素D饮食的对照大鼠进行比较。动物被麻醉、气管切开并麻痹。获得了呼吸系统和肺的准静态压力-容积曲线。佝偻病大鼠的体重在对照大鼠范围内,但肺干重(LW)显著更低(p<0.01)。以绝对值表示以及经LW标准化后的肺容积均显著低于对照大鼠。佝偻病大鼠的胸壁顺应性(Ccw)在对照大鼠的值范围内,但有2只动物的Ccw为无穷大。与对照动物相比,佝偻病大鼠肺的压力-容积曲线分析显示肺顺应性(CL)和CL/LW显著降低(p<0.01),表明肺扩张性降低。佝偻病越严重(根据胫骨的显微放射学标准),CL/LW越低。据推测,肺扩张性降低可能与肺泡形成和肺结缔组织发育受干扰导致的肺异常生长有关。这些异常可能是由于维生素D缺乏通过涉及蛋白聚糖的机制作用于生长中的肺,如同作用于生长中的骨骼一样。