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Vol. 83, Issue 6, 1814-1821, December 1997
1 Center for Biomedical
Engineering and the Department of Mechanical Engineering,
Received 30 July 1996; accepted in final form 1 August 1997.
Wiggs, Barry R., Constantine A. Hrousis, Jeffrey M. Drazen,
and Roger D. Kamm. On the mechanism of mucosal
folding in normal and asthmatic airways. J. Appl.
Physiol. 83(6): 1814-1821, 1997.
asthma; epithelium; mechanics; finite-element analysis; remodeling; computational model
Previous studies have demonstrated that the airway
wall in asthma and chronic obstructive pulmonary disease is markedly thickened. It has also been observed that when the smooth muscle constricts the mucosa buckles, forming folds that penetrate into the
airway lumen. This folding pattern may influence the amount of luminal
obstruction associated with smooth muscle activation. A finite-element
analysis of a two-layer composite model for an airway is used to
investigate the factors that determine the mucosal folding pattern and
how it is altered as a result of changes in the thickness or stiffness
of the different layers that comprise the airway wall. Results
demonstrate that the most critical physical characteristic is the
thickness of the thin inner layer of the model. Thickening of this
inner layer likely is represented by the enhanced subepithelial
collagen deposition seen in asthma. Other findings show a high shear
stress at or near the epithelial layer, which may explain the
pronounced epithelial sloughing that occurs in asthma, and steep
gradients in pressure that could cause significant shifts of liquid
between wall compartments or between the wall and luminal or vascular
spaces.
0161-7567/97 $5.00
Copyright © 1997 the American Physiological Society
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