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1 Department of Surgery, University of Wisconsin-Madison, The William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin 53792-7375; and 2 Center for Biomedical Engineering, University of Kentucky, Lexington, Kentucky
To evaluate the
transport properties of the alveolar epithelium, we instilled
hetastarch (Het; 6%, 10 ml, 1
1 × 104
kDa) into the trachea of isolated rat lungs and then measured the molecular distribution of Het that entered the lung perfusate from
the air space over 6 h. Het transport was driven by either diffusion or an oncotic gradient. Perfusate Het had a unique, bimodal
molecular weight distribution, consisting of a narrow low-molecular-weight peak at 10-15 kDa (range, 5-46 kDa) and
a broad high-molecular-weight band (range 46-2,000 kDa; highest at
288 kDa). We modeled the low-molecular-weight transport as (passive)
restricted diffusion or osmotic flow through a small-pore system and
the high-molecular-weight transport as passive transport through a
large-pore system. The equivalent small-pore radius was 5.0 nm, with a
distribution of 150 pores per alveolus. The equivalent large-pore
radius was 17.0 nm, with a distribution of one pore per seven alveoli.
The small-pore fluid conductivity (2 × 10
5
ml · h
1 · cm
2 · mmHg
1)
was 10-fold larger than that of the large-pore conductivity.
pulmonary edema; lung fluid balance; epithelial transport; epithelial permeability
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