Wills P J, Pritchard K, Cole P J
Host Defence Unit, Imperial College at Royal Brompton National Heart and Lung Institute, London, UK.
Eur Respir J. 1998 Oct;12(4):837-41. doi: 10.1183/09031936.98.12040837.
For nearly 30 yrs, the mucus-depleted frog palate has been used to measure the ciliary transportability of respiratory and other mucus gels, but the data obtained from this amphibian digestive system may not be applicable to human airway mucociliary clearance. This study compared this model with the mucus-depleted bovine trachea, a mammalian respiratory system. Assessments were made of the reproducibility of each model, and of the behaviour of sputum subjected to changes to its salinity or hydration. The bovine tracheal model was more reproducible than the frog palate. On the trachea but not the frog palate, sputum was transported more slowly than mucus from healthy animals. Increasing the salinity of sputum caused it to be transported 129% more quickly by the trachea (p=.001), but made no significant change to its transportability by the frog palate. Removal of water by evaporation led to an 83% increase in its bovine tracheal transportability but a 60% fall in its frog palate transportability (p<0.001). Therefore, the models make opposite predictions for the clinical value of altering mucus osmolality. The applicability of the frog palate model in the study of airway mucociliary clearance should be seriously questioned.
近30年来,去黏液的蛙腭一直被用于测量呼吸道及其他黏液凝胶的纤毛运输能力,但从这种两栖动物消化系统获得的数据可能不适用于人类气道的黏液纤毛清除。本研究将该模型与去黏液的牛气管(一种哺乳动物呼吸系统)进行了比较。对每个模型的可重复性以及痰液在盐度或水合作用变化时的行为进行了评估。牛气管模型比蛙腭更具可重复性。在气管上,痰液的运输速度比健康动物的黏液慢,但在蛙腭上并非如此。增加痰液的盐度会使其在气管上的运输速度加快129%(p = 0.001),但对其在蛙腭上的运输能力没有显著影响。通过蒸发去除水分会使其在牛气管上的运输能力提高83%,但在蛙腭上的运输能力下降60%(p < 0.001)。因此,这两种模型对改变黏液渗透压的临床价值做出了相反的预测。蛙腭模型在气道黏液纤毛清除研究中的适用性应受到严重质疑。