Weissmann N, Grimminger F, Walmrath D, Seeger W
Department of Internal Medicine, Justus-Liebig-University, Giessen, Germany.
Respir Physiol. 1995 May;100(2):159-69. doi: 10.1016/0034-5687(94)00133-k.
Isolated rabbit lungs were buffer-perfused under constant flow-conditions with separate control of alveolar (PAO2) and mixed venous (PvO2) O2 tension. Alveolar hypoxia caused an increase in pulmonary artery pressure (PAP) with sigmoidal dose-dependency. Erythrocytes increased the strength of the hypoxic pulmonary vasoconstriction (HPV). The contractile and vasorelaxant responses to the onset and release of alveolar hypoxia, respectively, occurred within seconds. Kinetics of the PAP increase, but not the magnitude of response, were related to the velocity of PAO2 decline. In contrast, changes in PvO2, both in the absence and presence of erythrocytes, did neither provoke any pressor response nor amplify the response to concomitant alveolar hypoxia. Repeatedly performed HPV manoeuvres revealed excellent reproducibility, and long-term alveolar hypoxia (90 min) provoked a biphasic pressor response. We conclude that the isolated rabbit lung is a feasible model for the characterization of hypoxic vasoconstriction, with specific features hitherto not described for perfused lungs of other species.
在恒流条件下对离体兔肺进行缓冲灌注,分别独立控制肺泡氧分压(PAO₂)和混合静脉氧分压(PvO₂)。肺泡缺氧导致肺动脉压(PAP)呈S形剂量依赖性增加。红细胞增强了缺氧性肺血管收缩(HPV)的强度。对肺泡缺氧开始和解除分别产生的收缩反应和血管舒张反应在数秒内即可出现。PAP升高的动力学过程,而非反应的幅度,与PAO₂下降的速度有关。相比之下,无论有无红细胞,PvO₂的变化既不会引发任何升压反应,也不会放大对同时存在的肺泡缺氧的反应。反复进行的HPV操作显示出极佳的可重复性,长期肺泡缺氧(90分钟)引发双相升压反应。我们得出结论,离体兔肺是用于表征缺氧性血管收缩的可行模型,具有迄今尚未在其他物种的灌注肺中描述的特定特征。