Dreshaj I A, Haxhiu M A, Potter C F, Agani F H, Martin R J
Department of Pediatrics, School of Medicine, Case Western Reserve University, Cleveland, Ohio 44106, USA.
J Appl Physiol (1985). 1996 Oct;81(4):1785-91. doi: 10.1152/jappl.1996.81.4.1785.
We determined how postnatal maturation affects the relative contributions of airways and lung parenchyma to pulmonary resistance (RL) and whether there are developmental differences in their respective responses to constrictive agents. We studied open-chest ventilated anesthetized piglets of three ages: 2-4 days, 2-3 wk, and 10 wk. RL as partitioned into tissue (Rti) and airway (Raw) resistance by means of alveolar capsules under baseline conditions and after intravenous histamine. Postnatal maturation was associated with a progressive decline in RL, Rti and Raw and with an increase in the contribution of Rti and RL from 38 +/- 8% at 2-4 days to 72 +/- 2% at both 2-3 and 10 wk. Histamine caused RL to increase at all ages. When partitioned into Rti and Raw, the percent increase in Rti significantly exceeded that of Raw at both 2-4 days and 2-3 wk. In contrast, the percent increase in Raw significantly exceeded that of Rti at 10 wk. Administration of atropine before histamine in piglets aged 10 wk reduced the response of Rti and Raw to histamine. Histamine-induced responses of RL were blocked by prior H1-receptor blockade with pyrilamine (2 mg/kg). These results indicate that 1) the contribution of Rti and Raw to RL changes during maturation and that 2) contractile responses to exogenous histamine are manifest predominantly in most distal airways and lung parenchyma during early postnatal life; with advancing maturation there is greater contribution of airways to the increase in RL induced by histamine.
我们确定了出生后成熟如何影响气道和肺实质对肺阻力(RL)的相对贡献,以及它们对收缩剂的各自反应是否存在发育差异。我们研究了三个年龄段的开胸通气麻醉仔猪:2 - 4天、2 - 3周和10周。在基线条件下和静脉注射组胺后,通过肺泡囊将RL分为组织(Rti)和气道(Raw)阻力。出生后成熟与RL、Rti和Raw的逐渐下降相关,并且Rti和RL的贡献从2 - 4天时的38±8%增加到2 - 3周和10周时的72±2%。组胺在所有年龄段均导致RL增加。当分为Rti和Raw时,在2 - 4天和2 - 3周时,Rti的增加百分比显著超过Raw。相比之下,在10周时,Raw的增加百分比显著超过Rti。在10周龄仔猪中,在组胺给药前给予阿托品可降低Rti和Raw对组胺的反应。组胺诱导的RL反应可被事先用吡拉明(2 mg/kg)进行的H1受体阻断所阻断。这些结果表明:1)Rti和Raw对RL的贡献在成熟过程中发生变化;2)在出生后早期,对外源性组胺的收缩反应主要表现在大多数远端气道和肺实质中;随着成熟度的提高,气道对组胺诱导的RL增加的贡献更大。