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1 Meakins-Christie Laboratories and 2 Department of Biomedical Engineering, McGill University, Montreal, Quebec, Canada H2X 2P2
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ABSTRACT |
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To investigate the effect of lung volume on chest wall and lung mechanics in the rats, we measured the impedance (Z) under closed- and open-chest conditions at various positive end-expiratory pressures (0-0.9 kPa) by using a computer-controlled small-animal ventilator (T. F. Schuessler and J. H. T. Bates. IEEE Trans. Biomed. Eng. 42: 860-866, 1995) that we have developed for determining accurately the respiratory Z in small animals. The Z of total respiratory system and lungs was measured with small-volume oscillations between 0.25 and 9.125 Hz. The measured Z was fitted to a model that featured a constant-phase tissue compartment (with dissipation and elastance characterized by constants G and H, respectively) and a constant airway resistance (Z. Hantos, B. Daroczy, B. Suki, S. Nagy, and J. J. Fredberg. J. Appl. Physiol. 72: 168-178, 1992). We matched the lung volume between the closed- and open-chest conditions by using the quasi-static pressure-volume relationship of the lungs to calculate Z as a function of lung volume. Resistance decreased with lung volume and was not significantly different between total respiratory system and lungs. However, G and H of the respiratory system were significantly higher than those of the lungs. We conclude that chest wall in rats has a significant influence on tissue mechanics of the total respiratory system.
respiratory mechanics; lung impedance; chest wall impedance; forced oscillation
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INTRODUCTION |
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THE CHEST WALL makes an important contribution to overall respiratory system mechanics, both in terms of their resistive and elastic properties and their influence on lung volume. Previous studies have partitioned total respiratory mechanics into lung and chest wall components and have investigated the effects of frequency and tidal volume on this contribution in humans (2, 9), dogs (3), cats (12, 17, 20), and rats (13). However, there have been no reports that evaluated the effects of lung volume on chest wall impedance (Zcw) and its contribution to respiratory system impedance (Zrs) in the rat. Given the current widespread use of rats in the study of bronchial responsiveness, it is important to characterize their respiratory mechanical properties under as wide a range of normal conditions as possible. It is particularly important to understand the influence of lung volume on respiratory mechanics, because lung volume has been shown to have a dramatic influence on bronchial responsiveness (6). Therefore, the purpose of the present study was to assess the effects of lung volume on lung and chest wall mechanics in anesthetized, paralyzed rats.
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METHODS |
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Animal preparation. Seven adult male Sprague-Dawley rats (body weight 290-310 g) were studied in the supine position. The rats were anesthetized by the intraperitoneal administration of xylazine (14 mg/kg) and pentobarbital sodium (30 mg/kg). They were then tracheostomized, and the trachea was cannulated by using a 14-gauge metal needle (the length of the cannula inside the trachea was 1 cm). The cannula was connected to a computer-controlled small-animal ventilator (SAV) that we have developed for assessment of respiratory mechanics in small animals (6, 19). The rats were mechanically ventilated at 90 breaths/min, with a tidal volume of 8 ml/kg against a set level of positive end-expiratory pressure (PEEP) established by a water trap. A venous line was established in the right jugular vein for injection of succinylcholine (6 mg) to paralyze the animals.
Measurements. Assessment of respiratory mechanics was made by interrupting mechanical ventilation for 16 s, during which a specially designed volume-oscillation signal (described below) was applied to the tracheal opening by the SAV. Mechanical ventilation was then immediately resumed while the 16-s data records of the piston displacement and cylinder pressure of the SAV were stored on the hard disk of the host computer (a 486-based personal computer). Before experiments with each rat, calibration signals were collected from the SAV by applying the volume oscillations through the trachea cannula, first with the cannula open to atmosphere and then with it completely closed. The piston displacement and cylinder pressure signals collected during the calibration runs were used to correct the subsequent animal data for the mechanical characteristics of the SAV itself, as described previously (6, 19).
Quasi-static deflation pressure-volume (P-V) curves were collected in each rat after a 2-s inflation of 4 ml from functional residual capacity (FRC), as determined by the PEEP level. Deflation proceeded in 0.5-ml decrements, with a 2-s pause at each step. The measurements were repeated four times starting at different PEEP levels (0-0.3 kPa). The 16-s signal used to drive the piston of the SAV for the purposes of respiratory impedance (Z) measurement was composed of 12 sinusoids having mutually prime frequencies ranging from 0.25 to 9.125 Hz (14). The amplitudes of the sinusoids decreased hyperbolically with frequency, and the phases of the sinusoids were chosen by a random search that attempted to minimize the peak-to-peak volume excursion of the composite signal. The signal was scaled to have a peak-to-peak volume excursion of 0.5 ml and was applied above the resting volume of the lung (i.e., the end-expiratory lung volume was the minimum volume during perturbations). Z measurements were made after expiration to various PEEP levels (0-0.9 kPa) presented in random order. The SAV piston displacement and cylinder pressure signals were low-pass filtered at 30 Hz and sampled at 128 Hz before they were stored on the SAV computer. All measurements were performed after the 15th breath after a sigh to total lung capacity (achieved by raising the tracheal pressure briefly to 3.0- 3.5 kPa). Measurements were performed every 3 min after changing the PEEP level. Measurements were first made with the chest closed. Then ventilation was interrupted while the lungs were held at constant volume and the tracheal pressure (Ptr) was recorded. Next, a thoracotomy was quickly made by cutting the abdomen to expose the diaphragm and then cutting the diaphragm to produce a bilateral pneumothorax. After completing the pneumothorax, mechanical ventilation was resumed. We calculated the mean of Ptr during the 2 s immediately preceding thoracotomy and took this value as the closed-chest pressure (Pc). We then similarly took the mean of Ptr over the 2 s after thoracotomy as the open-chest pressure (Po). We were then able to say that the closed-chest lung volume at pressure Pc was the same as the open-chest lung volume at pressure Po (neglecting any insignificant changes in lung volume due to differences in gas compression). This enabled us to align the pressure-volume curves according to the lung volume obtained during open- and closed-chest conditions. After the chest wall was opened widely by cutting both sides longitudinally, the quasi-static and dynamic measurements were performed in the same way as those with the chest closed, as described above.Data analysis. The deflation P-V curves were analyzed by using the method reported by Colebatch et al. (8). A fourth-order polynomial
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(1) |
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(2) |
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(3) |
) was calculated as
G/H
(11).
Zcw at each lung volume was calculated as the difference between Zrs
and ZL (averaged across all
animals). The constant-phase model was also fit to Zcw.
Results are expressed as means ± SD. A paired
t-test was used to compare closed- and
open-chest results. Values at each lung volume in each condition were
compared with the value at FRC by paired
t-test to assess the volume dependence
of Z. P < 0.05 was considered
statistically significant.
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RESULTS |
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Figure 1 shows an example of the real and imaginary parts of Zrs obtained in a representative closed-chest rat and of ZL obtained in an open-chest rat. These examples are typical of all animals studied and show a real part that decreases and an imaginary part that increases monotonically with f. The constant-phase model fitted Z very well in all cases, although there were some small systematic deviations between data and fit as exemplified in Fig. 1 (i.e., at some of the low-f values).
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The parameters R, G, and
H obtained by fitting the
constant-phase model (Eq. 2 without
the second term) to Zrs (closed chest) and
ZL (open chest) are shown in
Fig. 2. R decreased with lung volume in
both cases and was not significantly different between the two
conditions at any lung volume (P > 0.35). G decreased initially with
increasing lung volume above FRC but then essentially plateaued.
H achieved its minimum value at ~2.5
ml above FRC for the respiratory system and at 1.5-2 ml above FRC
for the lungs alone. The G
and H values for the respiratory
system were significantly higher than those of the lung over the entire
lung volume investigated, but the fractional differences varied with
volume. For example, at FRC, the lung contributed about one-half the
value of G for the respiratory system,
but this contribution decreased in relative terms as lung volume
increased. As lung volume changed, the parameter
changed from 0.82 to 0.87 for
respiratory system and from 0.87 to 0.93 for the lungs. The value of
varied with lung volume and was significantly higher for the
respiratory system than for the lung at every volume investigated
except FRC.
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Figure 3 shows the mean values (from all
animals studied) of R, G, and
H for the chest wall and lung. R for
chest wall was essentially zero at every lung volume.
G for the chest wall was essentially
independent of lung volume and was always higher than for the lung.
H for the chest wall was at its
minimum at a lung volume of 3.0-3.5 ml above FRC. Chest wall
changed markedly with lung volume, achieving a peak value at ~3 ml
above FRC, in contrast to the consistently decreasing tendency of
for the lung.
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DISCUSSION |
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It is known that the passive mechanical properties of the respiratory system depend on virtually every physical variable relevant to their assessment, including f, tidal volume, and mean lung volume. Numerous studies attest to this in various species (2-4, 9, 12, 13, 17, 20). Consequently, a complete characterization of respiratory mechanics in any species must include an investigation of the influences of these variables over their physiological ranges. In the present study, we have undertaken such a characterization in the rat, because this animal currently enjoys prominence as a model in bronchopharmacological studies. Although the rat has been studied in the past (6, 13, 18), the effects of lung volume on the Newtonian R and tissue Z of the chest wall are not well known. An understanding of the relative contribution of the chest wall to respiratory mechanics is important in any animal that is used for bronchial provocation studies. Without such an understanding, one cannot assess the relative change in lung mechanics that is produced, for example, by a bronchial challenge, from a change in the mechanics of the total respiratory system.
Although our main intention was to separate the effects of the lung and chest wall from overall respiratory Z, we did not measure both Zcw and ZL at the same time. Instead, we assessed lung mechanics independently of the chest wall by opening the chest, as has been done in past studies in other species (12). This makes a number of assumptions that bear consideration. It assumes, for example, that the lung behaves identically at a given volume, regardless of whether the chest wall is present or not. This may not be entirely true, because the removal of the chest wall may cause the lung to be distorted to some degree and there may be some mechanical effects associated with the interaction of the visceral and parietal pleura. Also, loss of blood due to the thoracotomy may affect tissue properties as a result of changes in the degree of vascular congestion. The trauma of the surgery may also release catecholamines and other mediators which might, for example, have an effect on airway smooth muscle tone. We cannot be sure of the magnitudes of these effects, so our results must be interpreted in light of them.
Mechanical Z on its own serves as a model-independent means to characterize a physical system. The variations of the real and imaginary parts of Z can be used as empirical indexes of the state of the system, but they do not lead directly to any meaningful insight into its internal structure. Such insight is only obtained when a model of the system is used to interpret Z; one can hope that the model contains structures and parameters that are readily identified with important components of the real system. In this study, we interpreted our measurements of Z in terms of the constant-phase model (Eq. 1) proposed by Hantos et al. (14, 15) and used by others (21). This model has been shown to provide extremely accurate fits to normal Zrs over the f range we used in our study. Our own results were also fitted very well by this model, although there were some small systematic deviations between model and fit (see the low-f values in Fig. 1) which presumably reflect the fact that the real lung is not quite so simple. The additional attraction of this model is that it is characterized by only four independent parameters (R, I, G, and H), and, in our case, we found we could drop I, thus leaving only three parameters to be estimated. Furthermore, these parameters are readily interpreted in physiological terms, as we discuss below.
The Newtonian Rs of the respiratory system and lung have been studied before in various species. Bates et al. (5) showed R for the chest wall to be roughly equally divided between the lung and chest wall in dogs. Hantos et al. (12) showed in cats that R was almost zero for the chest wall but finite for the lung, which agrees with the present study. This Newtonian R, embodied in the parameter R of the constant-phase model (Figs. 2 and 3), is clearly confined to the lung (R for the chest wall was <3% of G, whereas it was between 25 and 33% of G for the lung). Because previous studies that used the alveolar capsule technique have shown that the Newtonian R of the lung tissue is negligible, this means that the values of R we found in the present study of rats can be ascribed to airway R. This interpretation is supported by our observation that R decreased with increasing lung volume (Fig. 3), as has been previously reported of airway R in humans (7) and rats (18), and as would be expected given that the airways increase in caliber with lung volume.
The increase in G with decreasing lung volume at low volume (Fig. 2) is most likely due to progressive airspace closure that would shut off some of the lung, leaving a reduced parenchymal mass to receive the imposed volume oscillations. Similar results have been observed in lung R in dogs (3, 10). At volumes >1 ml above FRC, however, G was essentially independent of volume. This is somewhat at variance with the results of Nagase et al. (18) who showed that total lung R and tissue R increased with increasing lung volume in the rat with the use of alveolar capsules. However, Barnas and Sprung (3) showed in dogs that lung R was independent of lung volume at high lung volume. These differences may have resulted from differences in the methods used to assess mechanics. For example, alveolar capsule measurements of tissue and airway R are influenced by lung inhomogeneity, which may change with lung volume. G for the chest wall alone (Fig. 3) was essentially independent of lung volume, which is also similar to the findings of Barnas and Sprung (3) in dogs. Interestingly, however, our results show G for the lung to be less than G for the chest wall, in contrast to Barnas and Sprung (3) who found lung R to be much greater than chest wall R at low lung volumes in dogs. This discrepancy could be a species difference, or it could be due to the fact that Barnas and Sprung (3) used tidal volume oscillations to make their measurements, whereas we employed relatively smaller amplitude volume perturbations.
H for the lung (Fig. 2) achieved its minimum value at ~2 ml above FRC. The increase in H with decreasing lung volume below this point again most likely reflected progressive airway closure (3, 10). The increase in H at higher lung volumes was probably due to the nonlinear elastic properties of lung tissue (1, 3, 5). Indeed, the quasi-static elastances of the respiratory system and lung calculated from the slopes of open- and closed-chest P-V curves (Fig. 4) have a rather similar volume dependence to the corresponding H values (Fig. 3), especially at the lower lung volumes. This suggests that the elastic properties of the tissues are embodied similarly in both H and the quasi-static elastance. Chest wall H also exhibited a minimum (Fig. 3), but at a somewhat higher lung volume than the lung H. The variation of chest wall H with volume no doubt reflects the nonlinear elastic properties of the various tissues of the chest wall, such as rib cage, diaphragm, and skeletal muscle. However, the volume dependency of H for both lung and respiratory system was almost consistent with the volume change in the elastance calculated from quasi-static P-V curves (Fig. 4). The variations of H with lung volume we found for the lung and chest wall (Fig. 3) also show similarities with the volume dependencies of lung and chest wall elastance found in dogs by Barnas and Sprung (3). Specifically, both lung and chest wall parameters decreased with increasing volume initially, and then the lung parameters started to increase markedly again, whereas the chest wall parameters exhibited only a very minor increase with lung volume. However, as with G, our values of H for the chest wall were relatively greater compared with H for the lung than were the values of chest wall elastance compared with lung elastance found by Barnas and Sprung (3). Again, a species difference or a volume-amplitude effect might account for these differences.
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Hantos et al. (12) reported that
for the chest wall was higher than
for the lung in the cat, similar to our present results. In
addition, our results show that
depends on lung volume. Although
this dependence is rather modest for the lung (Fig. 3), it is marked
for the chest wall. Presumably this reflects the multicomponent
character of the chest wall, with various components making different contributions to the resistive and elastic properties of the chest wall as volume changes. Interestingly, however, the values
of
for lung and chest wall were rather well matched at FRC
(Fig. 3). This compels one to speculate that the mechanical properties of the lung and chest wall tissues might be adapted to
function in a similar fashion around those lung volumes normally encountered in life.
In summary, we have studied respiratory system and lung mechanics in rats in terms of their mechanical input Zs interpreted via the constant-phase model. We have shown that the chest wall makes significant contributions to the resistive and elastic properties of the respiratory system to a degree that depends on lung volume. In contrast, the Newtonian component of respiratory R is due, virtually exclusively, to the lung and reflects airway R. We conclude that the mechanical properties of the chest wall in the rat are significant and cannot be neglected when studying respiratory mechanics in the intact animal.
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ACKNOWLEDGEMENTS |
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We acknowledge the financial support of the Medical Research Council of Canada, the Respiratory Network of Centres of Excellence (Inspiraplex), and the J. T. Costello Memorial Research Fund.
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FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact.
Address for reprint requests: J. H. T. Bates, Meakins-Christie Laboratories, 3626 St. Urbain St., Montreal, Quebec, Canada H2X 2P2 (E-mail: jason{at}meakins.lan.mcgill.ca).
Received 4 May 1998; accepted in final form 31 August 1998.
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R. F. M. Gomes, F. Shardonofsky, D. H. Eidelman, and J. H. T. Bates Respiratory mechanics and lung development in the rat from early age to adulthood J Appl Physiol, May 1, 2001; 90(5): 1631 - 1638. [Abstract] [Full Text] [PDF] |
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R. F. M. Gomes, X. Shen, R. Ramchandani, R. S. Tepper, and J. H. T. Bates Comparative respiratory system mechanics in rodents J Appl Physiol, September 1, 2000; 89(3): 908 - 916. [Abstract] [Full Text] [PDF] |
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