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健康与疾病状态下的气管支气管功能。黏液溶解物质的作用。

Tracheobronchial function in health and disease. Effect of mucolytic substances.

作者信息

Melville G N, Ismail S, Sealy C

出版信息

Respiration. 1980;40(6):329-36. doi: 10.1159/000194301.

DOI:10.1159/000194301
PMID:7221201
Abstract

The effect of mucolytic and expectorant substances on ciliary beat frequency, mucus transport velocity and mucus production, was investigated in normal and bronchitic rats. The results showed that: (i) N-acetylcysteine and S-carboxymethylcysteine were mildly cilioexcitatory at low and ciliodepressive at higher concentrations in both normal and bronchitic rats. A similar pattern was seen in mucus transport velocity. (ii) Bisolvon enhanced all aspects of mucociliary activity in both groups of animals. Sobrepin was less effective than Bisolvon and more effective than Tachoquilin. (iii) Geleomyrtol, Ozothin and prostaglandin E1 were all cilioexcitatory in rats with bronchitis. Mucus transport velocity was similarly stimulated by both Geleomyrtol and Ozothin. (iv) Ammonium chloride and potassium iodide enhanced mucociliary activity in normal and bronchitic rats. (v) All substances stimulated mucus production, however, the most potent was prostaglandin E1. The mechanisms for increased mucociliary activity involve inter alia the probable cleaving of disulfide bridges, decreased mucosal swelling, altered rheological characteristics and stimulation of adenylate cyclase.

摘要

在正常大鼠和患支气管炎大鼠中,研究了黏液溶解剂和祛痰剂对纤毛摆动频率、黏液运输速度和黏液分泌的影响。结果表明:(i)在正常大鼠和患支气管炎大鼠中,N-乙酰半胱氨酸和S-羧甲基半胱氨酸在低浓度时对纤毛有轻度兴奋作用,而在高浓度时则有纤毛抑制作用。黏液运输速度也呈现类似模式。(ii)必嗽平增强了两组动物黏液纤毛活动的各个方面。索布瑞平的效果不如必嗽平,比泰洛喹啉更有效。(iii)吉诺通、桉油精和前列腺素E1对患支气管炎的大鼠均有纤毛兴奋作用。吉诺通和桉油精对黏液运输速度有类似的刺激作用。(iv)氯化铵和碘化钾增强了正常大鼠和患支气管炎大鼠的黏液纤毛活动。(v)所有物质均刺激了黏液分泌,然而,最有效的是前列腺素E1。黏液纤毛活动增加的机制尤其包括二硫键可能的断裂、黏膜肿胀减轻、流变学特性改变以及腺苷酸环化酶的刺激。

相似文献

1
Tracheobronchial function in health and disease. Effect of mucolytic substances.健康与疾病状态下的气管支气管功能。黏液溶解物质的作用。
Respiration. 1980;40(6):329-36. doi: 10.1159/000194301.
2
[Pharmacology of mucociliary transport].[黏液纤毛运输的药理学]
Rev Mal Respir. 1985;2(3):117-26.
3
Comparative observations of mucus transport velocity in health and disease.健康与疾病状态下黏液转运速度的对比观察。
Respiration. 1983 May-Jun;44(3):184-8. doi: 10.1159/000194547.
4
[Recent progress in the study of tracheobronchial mucociliary clearance: clinical and methodological note].
Arch Monaldi. 1982 Jan-Apr;37(1-2):65-70.
5
Mucus transport in the tracheobronchial tree of normal and bronchitic rats.正常大鼠和患支气管炎大鼠气管支气管树中的黏液运输
J Pathol. 1972 Feb;106(2):81-93. doi: 10.1002/path.1711060204.
6
Factors affecting ciliary beat frequency in the intrapulmonary airways of rats.影响大鼠肺内气道纤毛摆动频率的因素。
Can J Physiol Pharmacol. 1975 Dec;53(6):1122-8. doi: 10.1139/y75-156.
7
Effect of mucolytic and expectorant drugs on tracheobronchial clearance in chronic bronchitis.
Eur J Respir Dis Suppl. 1980;110:179-91.
8
[Physiology and pathophysiology of ciliary activity and mucus transport in the tracheobronchial tree (research in rats)].[气管支气管树纤毛活动与黏液运输的生理学及病理生理学(大鼠研究)]
Pneumonologie. 1971;144(2):93-112. doi: 10.1007/BF02111024.
9
The airway mucociliary system.气道黏液纤毛系统。
Int Rev Physiol. 1981;23:213-60.
10
The organization of ciliary activity and mucus transport in pulmonary airways.
S Afr Med J. 1972 Mar 25;46(13):347-50.

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