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纤维长度在石棉纤维从肺部清除过程中的意义

Significance of fibre length in the clearance of asbestos fibres from the lung.

作者信息

Morgan A, Talbot R J, Holmes A

出版信息

Br J Ind Med. 1978 May;35(2):146-53. doi: 10.1136/oem.35.2.146.

Abstract

Rats were exposed by inhalation to radioactive anthophyllite asbestos. Animals were then killed serially over a period of 205 days and the fibre content of the lungs measured radiometrically. The lungs were subjected to selective bronchopulmonary lavage and the mean fibre content determined of free cells recovered from the alveolar spaces. The length distributions of fibres recovered from the lungs by lavage, and of those remaining in the lungs following lavage, were measured. Short (less than 5 micrometer) fibres are cleared from the lung via the conducting airways more efficiently than longer fibres and fibres exceeding 50 micrometer in length are not removed from the lungs by this route. Although fibres of about 200 micrometer in length were present in all the lungs examined, the longest which could be recovered by lavage, once fibre deposited in the airways had been cleared, was only about 100 micrometer decreasing to 60-70 micrometer after 205 days. It is suggested that long fibres are more liable than short to penetrate the alveolar wall as they tend to bridge the alveolar ducts and alveoli.

摘要

将大鼠通过吸入方式暴露于放射性直闪石石棉中。然后在205天的时间段内连续处死动物,并通过放射性测量法测定肺中的纤维含量。对肺进行选择性支气管肺灌洗,并测定从肺泡腔中回收的游离细胞的平均纤维含量。测量通过灌洗从肺中回收的纤维以及灌洗后留在肺中的纤维的长度分布。短(小于5微米)纤维通过传导气道从肺中清除的效率高于长纤维,并且长度超过50微米的纤维不会通过此途径从肺中清除。尽管在所有检查的肺中都存在约200微米长的纤维,但一旦气道中沉积的纤维被清除,通过灌洗能够回收的最长纤维仅约100微米,205天后降至60 - 70微米。有人提出,长纤维比短纤维更容易穿透肺泡壁,因为它们倾向于横跨肺泡管和肺泡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eceb/1008368/58c82e35cc86/brjindmed00074-0054-a.jpg

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