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Lung volumes and respiratory mechanics in elastase-induced emphysema in mice

机译:弹性蛋白酶诱导的小鼠肺气肿的肺体积和呼吸力学

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摘要

Absolute lung volumes such as functional residual capacity, residual volume (RV), and total lung capacity (TLC) are used to characterize emphysema in patients, whereas in animal models of emphysema, the mechanical parameters are invariably obtained as a function of transrespiratory pressure (Prs). The aim of the present study was to establish a link between the mechanical parameters including tissue elastance (H) and airway resistance (Raw), and thoracic gas volume (TGV) in addition to Prs in a mouse model of emphysema. Using low-frequency forced oscillations during slow deep inflation, we tracked H and Raw as functions of TGV and Prs in normal mice and mice treated with porcine pancreatic elastase. The presence of emphysema was confirmed by morphometric analysis of histological slices. The treatment resulted in an increase in TGV by 51 and 44% and a decrease in H by 57 and 27%, respectively, at 0 and 20 cmH2O of Prs. The Raw did not differ between the groups at any value of Prs, but it was significantly higher in the treated mice at comparable TGV values. In further groups of mice, tracheal sounds were recorded during inflations from RV to TLC. All lung volumes but RV were significantly elevated in the treated mice, whereas the numbers and size distributions of inspiratory crackles were not different, suggesting that the airways were not affected by the elastase treatment. These findings emphasize the importance of absolute lung volumes and indicate that tissue destruction was not associated with airway dysfunction in this mouse model of emphysema.
机译:肺功能绝对容量,残余容量(RV)和总肺容量(TLC)等绝对肺活量用于表征患者的肺气肿,而在肺气肿的动物模型中,机械参数总是作为经呼吸压的函数获得的( prs)。本研究的目的是在肺气肿的小鼠模型中建立机械参数,包括组织弹性(H)和气道阻力(Raw),以及胸腔气量(TGV)和Prs之间的联系。在缓慢的深度充气过程中使用低频强迫振荡,我们追踪了正常小鼠和用猪胰弹性蛋白酶治疗的小鼠中H和Raw作为TGV和Prs的功能。通过组织切片的形态计量学分析证实了肺气肿的存在。该处理导致在0和20 cmH2O的Prs下,TGV分别增加了51%和44%,H减少了57%和27%。在任何Prs值下,两组之间的Raw值均无差异,但在可比较的TGV值下,经处理的小鼠的Raw值明显更高。在另外几组小鼠中,从RV向TLC充气期间记录了气管声音。在治疗的小鼠中,除RV外,所有肺部容积均显着升高,而吸气性裂纹的数量和大小分布无差异,这表明弹性蛋白酶处理不会影响气道。这些发现强调了绝对肺活量的重要性,并表明在这种肺气肿小鼠模型中,组织破坏与气道功能障碍无关。

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