Kauffman S L
Lab Invest. 1977 Apr;36(4):395-401.
Morphometric techniques were used to compare the volume density of air space (Vva) and the degree of maturation of pulmonary epithelium in normal fetal mouse lung and in lungs of fetuses exposed transplacentally to dexamethasone. Pregnant Bagg-Webster Swiss mice of 16 days' gestation were given injections of either saline or dexamethasone in doses ranging from 0.40 to 12.0 microng. per gm. of body weight, and killed at intervals thereafter. Fetuses were removed and weighed and their lungs prepared for morphometry using osmium-fixed, Epon-embedded tissue. In control lungs, Vva increased 10-fold between days 17 and 19, an increase from 1.5 to 15%. A 25-fold increase occurred during the same period in test fetal lungs exposed to 0.40 microng. per gm. or more of dexamethasone. When the degree of air space development was compared 24 hours after exposure, within a single weight group and, according to dose, a linear increase in air space was found; 0.1-microng. per gm. increment in dexamethasone produced a 0.66% increment in Vva. Body weight was an important determinant, in that fetuses in the lower weight range had much less response. The latter showed an increment of approximately 0.25% in Vva for each 0.1-microng. per gm. increment of dexamethasone. It can be emphasized from the present experiments that a maximal development of Vva could be achieved by amounts of dexamethasone too low to depress fetal or lung weight. The proportion of pulmonary epithelial cells containing osmiophilic granules increased in control lungs from 18% on day 17 to 42% on day 18. Test fetuses (17 days old) examined 24 hours after receiving either 0.40 or 0.80 microng. per mg. of dexamethasone showed no significant increase in this proportion; however, a significant increase in the proportion of cells containing osmiophilic granules was found in fetal lungs exposed to 2.0 microng. per mg. Whereas a significant increase in Vva was found within 14 hours of exposure, no increase in the proportion of cells containig osmiophilic granules was detectable at this time. It was concluded that air space development is a sensitive method for evaluating the effect of dexamethasone as it gives a clear dose-response curve in fetuses exposed to it 24 hours prior to sacrifice. Accelerated maturation of the presumptive type II cell could only be demonstrated within 24 hours by using higher doses than those required to initiate air space development. These observations suggest that the steps invovled in canal formation, which are assumed to reflect alterations in mesenchyme, may have a different sensitivity to dexamethasone than do those initiating the maturation of alveolar epithelial cells.
采用形态测量技术比较正常胎鼠肺以及经胎盘暴露于地塞米松的胎鼠肺的气腔容积密度(Vva)和肺上皮成熟度。对妊娠16天的Bagg-Webster瑞士小鼠腹腔注射生理盐水或剂量为0.40至12.0微克/克体重的地塞米松,之后每隔一段时间处死小鼠。取出胎儿并称重,将其肺用锇固定、环氧树脂包埋后用于形态测量。在对照肺中,Vva在第17天至19天增加了10倍,从1.5%增至15%。在暴露于0.40微克/克或更高剂量地塞米松的试验胎鼠肺中,同期Vva增加了25倍。在暴露24小时后,在单一体重组内根据剂量比较气腔发育程度,发现气腔呈线性增加;地塞米松每增加0.1微克/克,Vva增加0.66%。体重是一个重要的决定因素,因为体重范围较低的胎儿反应小得多。后者地塞米松每增加0.1微克/克,Vva增加约0.25%。从本实验可以强调,在剂量低至不影响胎儿或肺重量的情况下,地塞米松就能使Vva达到最大发育。对照肺中含嗜锇颗粒的肺上皮细胞比例从第17天的18%增至第18天的42%。在接受0.40或0.80微克/毫克地塞米松24小时后检查的试验胎儿(17日龄),该比例无显著增加;然而,在暴露于2.0微克/毫克地塞米松的胎鼠肺中,含嗜锇颗粒的细胞比例显著增加。虽然在暴露14小时内发现Vva显著增加,但此时含嗜锇颗粒的细胞比例无增加。结论是,气腔发育是评估地塞米松作用的一种敏感方法,因为在处死前24小时暴露于地塞米松的胎儿中它给出了清晰的剂量反应曲线。只有使用高于启动气腔发育所需的剂量,才能在24小时内证明假定的II型细胞加速成熟。这些观察结果表明,假定反映间充质变化的管道形成步骤对地塞米松的敏感性可能与启动肺泡上皮细胞成熟的步骤不同。