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豚鼠诱导性气道收缩过程中气道与组织的反应性及相互作用

Responsiveness of and interactions between airways and tissue in guinea pigs during induced constriction.

作者信息

Nagase T, Ito T, Yanai M, Martin J G, Ludwig M S

机构信息

Meakins-Christie Laboratories, Royal Victoria Hospital, McGill University, Montreal, Quebec, Canada.

出版信息

J Appl Physiol (1985). 1993 Jun;74(6):2848-54. doi: 10.1152/jappl.1993.74.6.2848.

Abstract

Mechanical interdependence between airways and tissues can modify the magnitude of induced bronchoconstriction. We questioned whether the guinea pig, an animal with abundant airway smooth muscle, would differ from other species in the relative responsiveness of and interactions between airways and tissues. Therefore we induced constriction with aerosolized methacholine (MCh) and partitioned responses into airway and tissue components. We measured tracheal and alveolar pressures using alveolar capsules in open-chest guinea pigs (n = 9) during mechanical ventilation [frequency = 1 Hz, tidal volume = 6 ml/kg, positive end-expiratory pressure (PEEP) = 5 cmH2O] and calculated the resistance of lung (RL), tissue (Rti), and airway (Raw) before and after administration of aerosols of MCh in progressively doubling concentrations (0.063-16 mg/ml). In separate animals (n = 10), measurements were made at 3-13 cmH2O PEEP. After aerosols of saline and MCh (0.125-32 mg/ml), measurements were repeated at 3, 7, and 11 cmH2O PEEP. At submaximal levels of constriction, the airways and lung tissues demonstrated similar responsiveness. Increasing PEEP increased RL and Rti and decreased Raw under baseline conditions. At low concentrations of MCh, increasing PEEP increased RL but decreased RL at the highest concentration. Increases in PEEP significantly increased Rti at all concentrations of MCh but decreased Raw only at 8 mg/ml of MCh. These observations demonstrate that, in guinea pigs, during submaximal constriction, airways and tissues behave similarly; moreover, airway-parenchymal interdependence is important in determining the level of bronchoconstriction.

摘要

气道与组织之间的机械相互依存关系可改变诱发支气管收缩的程度。我们质疑豚鼠这种气道平滑肌丰富的动物,在气道与组织的相对反应性及相互作用方面是否与其他物种不同。因此,我们用雾化的乙酰甲胆碱(MCh)诱发收缩,并将反应分为气道和组织成分。我们在机械通气[频率 = 1 Hz,潮气量 = 6 ml/kg,呼气末正压(PEEP)= 5 cmH₂O]期间,使用肺泡囊测量开胸豚鼠(n = 9)的气管和肺泡压力,并在给予浓度逐渐加倍(0.063 - 16 mg/ml)的MCh气雾剂前后计算肺阻力(RL)、组织阻力(Rti)和气道阻力(Raw)。在另一组动物(n = 10)中,在3 - 13 cmH₂O的PEEP下进行测量。在给予盐水和MCh(0.125 - 32 mg/ml)气雾剂后,在3、7和11 cmH₂O的PEEP下重复测量。在次最大收缩水平时,气道和肺组织表现出相似的反应性。在基线条件下,增加PEEP会增加RL和Rti,并降低Raw。在低浓度的MCh时,增加PEEP会增加RL,但在最高浓度时会降低RL。在所有浓度的MCh下,增加PEEP都会显著增加Rti,但仅在8 mg/ml的MCh时会降低Raw。这些观察结果表明,在豚鼠中,在次最大收缩期间,气道和组织的行为相似;此外,气道 - 实质组织的相互依存关系在确定支气管收缩水平方面很重要。

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