Long N C, Martin J G, Pantano R, Shore S A
Physiology Program, Harvard School of Public Health, Boston, Massachusetts 02115, USA.
Am J Respir Crit Care Med. 1997 Apr;155(4):1222-9. doi: 10.1164/ajrccm.155.4.9105058.
We evaluated the role of C fibers in the development of airway hyperresponsiveness in a rat model of chronic bronchitis. Neonatal rats were treated with capsaicin (50 mg/kg, subcutaneously), a procedure which results in permanent depletion of tachykinins from the lungs and airways as well as degeneration of C fibers. Control rats were treated with the vehicle used to dissolve capsaicin. Three months later, rats from both groups were exposed either to SO2 gas (250 ppm, 5 h/d, 5 d/wk for 4 wk) or to filtered air for the same period of time. One day after the last exposure, rats were anesthetized and instrumented for the measurement of pulmonary resistance (R(L)), dynamic compliance (Cdyn), and airway responsiveness to inhaled aerosolized methacholine. There was a small (30%) but significant increase in R(L) in neonatal capsaicin- but not vehicle-treated rats exposed to SO2. Chronic exposure to SO2 resulted in increased airway responsiveness in both groups of rats, but the effect was more pronounced in the neonatal capsaicin-treated animals in which the doses of methacholine required to double R(L) or decrease Cdyn by 50% decreased 6.3-fold and 4.6-fold, respectively, compared with only 2.2- and 1.3-fold decreases in vehicle-treated rats. Morphometric analysis of histologic sections of airways demonstrated that the average area of smooth muscle in the airway wall, normalized by the length of basement membrane, was significantly greater in SO2 compared with air-exposed capsaicin-treated rats, but not in vehicle-treated control rats (p < 0.012). The maximal tension generated by tracheal rings in response to cholinergic agonists was also significantly increased by SO2 exposure in neonatal capsaicin-treated, but not vehicle-treated rats (p < 0.002). These results support the hypothesis that rather than contributing to the pathophysiologic manifestations of bronchitis, C fibers limit the development of airway obstruction and airway hyperresponsiveness during induction of chronic bronchitis by SO2 exposure. The enhanced contractile responses of airways from the SO2-exposed neonatal capsaicin-treated rats may result from increased airway smooth muscle mass and contribute to the increased airway responsiveness observed in these animals.
我们在慢性支气管炎大鼠模型中评估了C纤维在气道高反应性发展中的作用。新生大鼠皮下注射辣椒素(50mg/kg),该操作会导致肺和气道中速激肽永久性耗竭以及C纤维变性。对照大鼠用溶解辣椒素的溶媒进行处理。三个月后,两组大鼠分别暴露于二氧化硫气体(250ppm,每天5小时,每周5天,共4周)或相同时间段的过滤空气中。最后一次暴露后一天,将大鼠麻醉并安装仪器以测量肺阻力(R(L))、动态顺应性(Cdyn)以及气道对吸入雾化乙酰甲胆碱的反应性。暴露于二氧化硫的新生辣椒素处理组大鼠的R(L)有小幅(30%)但显著的增加,而溶媒处理组大鼠则无此现象。慢性暴露于二氧化硫导致两组大鼠气道反应性增加,但在新生辣椒素处理的动物中这种效应更明显,其中使R(L)加倍或使Cdyn降低50%所需的乙酰甲胆碱剂量分别降低了6.3倍和4.6倍,而溶媒处理组大鼠仅降低了2.2倍和1.3倍。气道组织学切片的形态计量分析表明,与空气暴露的辣椒素处理组大鼠相比,二氧化硫暴露组大鼠气道壁平滑肌的平均面积(以基底膜长度归一化)显著更大,但溶媒处理的对照大鼠中则无此现象(p<0.012)。在新生辣椒素处理组但非溶媒处理组大鼠中,二氧化硫暴露也显著增加了气管环对胆碱能激动剂产生的最大张力(p<0.002)。这些结果支持了这样的假说:在二氧化硫暴露诱导慢性支气管炎过程中,C纤维并非导致支气管炎病理生理表现的原因,而是限制了气道阻塞和气道高反应性的发展。二氧化硫暴露的新生辣椒素处理组大鼠气道收缩反应增强可能是由于气道平滑肌质量增加所致,并导致了这些动物中观察到的气道反应性增加。