Wright J L, Sun J P, Vedal S
Department of Pathology, University of British Columbia, Vancouver, Canada.
Lung. 1998;176(4):289-97. doi: 10.1007/pl00007611.
To ascertain whether chronic cigarette smoke exposure induces increased airway responsiveness, we performed methacholine response tests in Sprague-Dawley rats by calculating pulmonary resistance after nebulization of saline followed by an increasing concentration of methacholine. We also calculated the concentration of methacholine which doubled the baseline resistance (R200). Tests were performed at baseline and after 2, 4, 8, and 12 months of exposure to the smoke of seven cigarettes per day, 5 days each week; control animals were exposed to room air. At the completion of the study, there were 13 rats in the smoke-exposed group and 7 rats remaining in the control group. Airway morphology was assessed using a point counting technique. We found that (1) chronic exposure to cigarette smoke did not alter either the baseline resistance or the R200; (2) the saline baseline resistance decreased over time in the control animals; and (3) at the 12-month time point, smokers with increased baseline airway resistance had greater amounts of airway smooth muscle compared with the smoke-exposed animals without increased resistance. We conclude that in this animal model, long term exposure to cigarette smoke did not alter the response to methacholine but did increase airway smooth muscle and baseline resistance in some but not all animals.
为确定长期接触香烟烟雾是否会导致气道反应性增加,我们对Sprague-Dawley大鼠进行了乙酰甲胆碱反应试验,方法是在雾化生理盐水后,接着雾化浓度递增的乙酰甲胆碱,然后计算肺阻力。我们还计算了使基线阻力加倍的乙酰甲胆碱浓度(R200)。试验在基线时以及每天接触7支香烟烟雾、每周5天,持续2、4、8和12个月后进行;对照动物暴露于室内空气中。在研究结束时,烟雾暴露组有13只大鼠,对照组有7只大鼠存活。使用点计数技术评估气道形态。我们发现:(1)长期接触香烟烟雾既未改变基线阻力,也未改变R200;(2)对照动物的生理盐水基线阻力随时间下降;(3)在12个月时间点,基线气道阻力增加的吸烟动物与气道阻力未增加的烟雾暴露动物相比,气道平滑肌含量更多。我们得出结论,在这个动物模型中,长期接触香烟烟雾并未改变对乙酰甲胆碱的反应,但在部分而非全部动物中增加了气道平滑肌和基线阻力。