Shoji K, Enzan K, Masaki Y, Suzuki M, Yoshioka N
Department of Anesthesiology, Akita University School of Medicine.
Masui. 1994 Jun;43(6):848-53.
To investigate whether blood components, such as complements, antibody, platelets and leukocytes, can play important roles in increasing pulmonary arterial and airway pressures after antigen challenge in sensitized rabbits, we measured the time course of pulmonary arterial pressure, airway pressure and lung weight gain after antigen challenge in isolated perfused rabbit lungs. Nineteen rabbits were divided into 3 groups; S group (n = 9), which was sensitized rabbit lung with antigen added into perfusate; NS group (n = 5), which was nonsensitized rabbit lung with antigen added into perfusate; S+R group (n = 5), which was sensitized rabbit lung with autologous erythrocytes added into perfusate. Although agglutinin titer in sensitized rabbits was more than 1: 10,000, that in the perfusate was less than 1:16. Pulmonary arterial and airway pressures significantly increased after antigen challenge in S group, while those in NS and S+R groups did not show any change. Also there were no significant changes in pulmonary arterial and airway pressures and lung weight gain in nonsensitized rabbit lungs of the same agglutinin titer as S group. Lung weight gain in S group was 2-4 times higher than that in S+R group after antigen challenge. We conclude that blood components, such as complements, antibody, platelets and leukocytes, do not play important roles on antigen induced pulmonary responses in sensitized rabbit lungs.
为了研究血液成分,如补体、抗体、血小板和白细胞,在致敏兔抗原激发后肺动脉压和气道压升高过程中是否发挥重要作用,我们在离体灌注兔肺中测量了抗原激发后肺动脉压、气道压和肺重量增加的时间进程。19只兔分为3组;S组(n = 9),将抗原加入灌注液中制成致敏兔肺;NS组(n = 5),将抗原加入灌注液中制成未致敏兔肺;S + R组(n = 5),将自体红细胞加入灌注液中制成致敏兔肺。虽然致敏兔的凝集素效价超过1:10000,但灌注液中的凝集素效价低于1:16。S组抗原激发后肺动脉压和气道压显著升高,而NS组和S + R组未见任何变化。凝集素效价与S组相同的未致敏兔肺,其肺动脉压、气道压和肺重量增加也无显著变化。抗原激发后,S组的肺重量增加比S + R组高2 - 4倍。我们得出结论,补体、抗体、血小板和白细胞等血液成分在致敏兔肺抗原诱导的肺反应中不发挥重要作用。