Tomkiewicz R P, Albers G M, De Sanctis G T, Ramirez O E, King M, Rubin B K
St. Louis University School of Medicine, Division of Pediatric Pulmonary Medicine, Cardinal Glennon Children's Hospital, MO 63104-1095, USA.
Can J Physiol Pharmacol. 1995 Feb;73(2):165-71. doi: 10.1139/y95-025.
The clearance of airway secretions is vital in protecting the mammalian lung from pollution and infection. Diverse animal models have been used to study lung diseases associated with impaired secretion clearance. The extrapolation of data from animal models to humans is based on the assumption that there are structural and functional similarities in the airway epithelium and secretions. This manuscript reviews regulation of mucus secretion as well as the physical and transport properties of respiratory mucus. As tracheal size increases, the rigidity of airway secretions decreases, and rigidity is inversely correlated with mucociliary transportability. These differences are placed in the context of previously reported species and regional differences in transepithelial potential difference and the tracheobronchial epithelial cell population. Tracheal mucus transport velocity varies with the species studied and has been shown to positively correlate with tracheal surface area. A progressive increase in the rate of mucus transport from the small to the large airways has also been reported. The reduction in mucus rigidity from small to large airways could be one of the mechanisms responsible for velocity gradients, which facilitate mucociliary transport. Because airway dimensions, rather than anatomic level of the airway, may better predict epithelial secretory response, studies to assess the physiologic responses in human airways require the use of an animal model with a similar-sized airway.
气道分泌物的清除对于保护哺乳动物的肺部免受污染和感染至关重要。多种动物模型已被用于研究与分泌物清除受损相关的肺部疾病。将动物模型的数据外推至人类是基于气道上皮和分泌物在结构和功能上存在相似性这一假设。本手稿综述了黏液分泌的调节以及呼吸道黏液的物理和运输特性。随着气管尺寸的增加,气道分泌物的硬度降低,且硬度与黏液纤毛运输能力呈负相关。这些差异是在先前报道的跨上皮电位差和气管支气管上皮细胞群体的物种及区域差异的背景下进行探讨的。气管黏液运输速度因所研究的物种而异,并且已证明与气管表面积呈正相关。也有报道称,从小气道到大气道,黏液运输速率逐渐增加。从小气道到大气道黏液硬度的降低可能是导致速度梯度的机制之一,这有利于黏液纤毛运输。由于气道尺寸而非气道的解剖水平可能更能预测上皮分泌反应,因此评估人类气道生理反应的研究需要使用气道尺寸相似的动物模型。