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1Division of Clinical Sciences, Telethon Institute for Child Health Research and Centre for Child Health Research, University of Western Australia, Perth, Australia; and 2Department of Medical Informatics and Engineering, University of Szeged, Szeged, Hungary
Submitted 4 October 2004 ; accepted in final form 14 March 2005
| ABSTRACT |
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lung mechanics; mice; age; forced oscillations
Gomes et al. (11) reported the changes in lung function in rats from early life to adulthood as estimated by a simplified oscillatory technique. The low-frequency forced oscillation technique is an advanced measurement of lung function that applies multiple frequencies simultaneously at the airway opening and enables partitioning of the airway and lung tissue impedances (9, 15, 28). In the present study, we have utilized the low-frequency forced oscillation technique to examine lung function in mice from infancy to adulthood. We have measured respiratory mechanics at end-expiratory pause as well as determining the changes over a wide range of lung volume using a sophisticated system of tracking oscillatory mechanics recently described (14).
| METHODS |
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) was calculated as G/H (10). Values of Raw and Iaw were corrected for the resistance and inertance, respectively, of the tracheal cannula. Because most of the inertance resides in the cannula, the values of Iaw were negligible after correction and hence not reported. A representative sample of the impedance spectra is shown for both 2- and 8-wk-old mice, along with the respective model fits, at end-expiratory pause (Fig. 1).
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Statistical analysis.
One-way ANOVA was used to compare the effect of age on measurements of Raw, G, H, and
at end-expiratory pause (Prs = 2 cmH2O) and at the beginning (Prs = 20 cmH2O) and end (Prs = 0 cmH2O) of the expiratory maneuver. Differences between groups were assessed with Tukey's multiple comparison test procedure, with Dunn's method employed when equal variance failed on the slow expiration maneuvers. Data are reported as means ± SE. Means were considered significantly different at the P < 0.05 level.
| RESULTS |
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). Data measured during inspiration and expiration showed the same pattern; thus, for clarity, only the expiratory limbs of the maneuvers are presented. Group mean fitting errors for estimates of Zrs made during relaxed expiration were 6.9 ± 0.4% at 2 wk, 6.5 ± 0.2% at 3 wk, 6.6 ± 0.1% at 4 wk, 7.5 ± 0.8% at 5 wk, 7.3 ± 0.3% at 6 wk, and 8.4 ± 0.2% at 8 wk. There was a progressive downward shift in the Raw-Prs curves with age, with greater spread apparent at a Prs of 0 than at 20 cmH2O (Fig. 2 and Table 2). Curves obtained at 5, 6, and 8 wk were essentially identical. Values of Raw at 0 cmH2O decreased from 1.14 ± 0.11 cmH2O·ml1·s at 2 wk of age to 0.30 ± 0.04 cmH2O·ml1·s at 8 wk (a 4-fold decrease). At 20 cmH2O, the differences between mice of different ages were less marked, with the group mean difference between 2- and 8-wk-old mice being 0.18 cmH2O·ml1·s (Table 2).
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Whereas there were no age-related changes in
at end expiration, marked differences were seen in the pattern of volume dependence of
for mice of different ages (Fig. 5 and Table 2). These differences are most marked for 2-wk-old mice, with more subtle differences seen in the 3-wk-old group.
| DISCUSSION |
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when measured at end-expiratory pause. Although all parameters followed the expected pattern of change as lung volume decreased from high lung volume (Prs = 20 cmH2O) to the elastic equilibrium volume of the respiratory system (Prs = 0 cmH2O), marked differences were seen between the youngest and oldest animals. The only previous study to examine age-related changes in lung mechanics in mice was conducted by Hirai et al. (17); however, the measurements were made on excised lungs and, because the focus of the study was senescence, the youngest age group was 3 mo old. To our knowledge, no studies have examined changes in lung mechanics with growth and development in vivo in the mouse. Several in vitro studies have looked at how lung mechanics change with age in rats (25, 30), and a recent in vivo study investigated maturational changes in respiratory mechanics in rats (11). Gomes et al. (11) measured respiratory mechanics using a forcing function consisting of two frequencies (0.9 and 4.8 Hz) and found resistance and elastance to decrease with age, whereas changes with positive end-expiratory pressure were most evident in the youngest age groups. Although tissue resistance and elastance were estimated from the 0.9-Hz rat Zrs data and the assessment of Raw was based on the 4.8-Hz resistance, the general pattern of their results are consistent with those we now report in mice from multiple-frequency data and model fitting and over a wider range of Prs.
In addition to making the traditional mechanical measurements at end expiration, our study was designed to track changes as the lung was inflated from passive end-expiratory pressure to close to a high lung volume (Prs = 20 cmH2O) and deflated back to baseline (Prs = 0 cmH2O) in vivo. We used forcing functions that covered the frequency range between 1 and 25 and 4 and 38 Hz, respectively, allowing us to partition respiratory mechanics into airway and tissue components. Both data sets provide the opportunity to examine separately the changes occurring in each compartment with age. Mice were studied at key time points in their development. Three weeks is the age of biological weaning; therefore, it was imperative to study mice before, during, and after this key period. Eight weeks is generally accepted to represent adulthood in mice.
Lung structure and composition.
Mice are born without alveoli, and these form rapidly within the first few postnatal weeks (1). The third or fourth postnatal day marks the beginning of distinct changes in lung appearance with primary saccules subdividing into alveoli. This rapid alveolarization continues to day 14, and by day 22 the parenchymal structure is comparable to adult lungs. The development of both alveoli and elastic fiber length is complete by 38 days (20), which is
56 wk of age, corresponding to the age at which the mechanical parameters approached adult values in our study. These milestones in lung development are reflected in the change in lung volume-corrected airway and tissue mechanics (Table 3).
An interesting aspect of the present study is the different messages about lung development that come from the measurements made at end-expiratory pause and during relaxed expiration from high lung volume, especially for measurements of respiratory tissue mechanics. Raw has reached adult levels by 5 wk of age, both at end-expiratory pause and across the range of lung volumes encountered during relaxed expiration (Fig. 2). Both G and H appear to have reached adult levels when measured at end-expiratory pause by 5 wk of age. However, clear differences are seen at high lung volumes, i.e., above 10 cmH2O for G and above 15 cmH2O for H, in both 5- and 6-wk-old animal when compared with adult animals.
The discrepancy in the age-related changes in measurements made at end-expiratory pause and during slow deflation is particularly marked for
describing the coupling between the dissipative and elastic elements of the lung parenchyma (10). When calculated from measurements made at Prs = 2 cmH2O in the present study, there are no differences in
from infancy to adulthood. The approximately constant values of
measured at baseline (Prs = 2 cmH2O) from infancy to adulthood despite substantial lung growth suggest parallel growth of the structures responsible for energy dissipation and the elastic properties of the lung parenchyma. However, substantial age-related differences are seen in the pattern of volume dependence of
, especially in the youngest animals (Fig. 5). We have previously reported the volume dependence of
(22) and suggested that at low lung volumes the mechanical properties of the parenchymal matrix determined
, whereas at high lung volumes the mechanical properties of individual collagen fibers were more important. Interpreted in that light, the age-related pattern of the volume dependence of
suggests that the growth and development of the lungs occurring after the period of rapid alveolarization has been completed involve changes in the tensile strength of the lungs that is provided by the collagen fibers. The reversal in
in the adult mice may reflect the ongoing development of "protective" collagen, inapparent in the separate G and H vs. Prs plots.
It should also be noted that, in the present study, the estimates of G, H, and
reflect the mechanical contribution of the chest wall as well as the pulmonary tissues. This is particularly important in view of the small-amplitude oscillations employed in the present study (the peak-to-peak amplitude did not exceed 2 cmH2O), since the contribution of the chest wall to the total tissue impedance was shown to increase with decreasing amplitude (13). We have previously demonstrated across a similar Prs range in adult mice (28) that the chest wall contributes
20% to G, and negligibly to H, which results in an
20% rise in
, in a fairly volume-independent manner. Although these contributions might change with age, being probably even less in the younger mice of softer chest wall, we have not studied them during the development of the respiratory system, because the trauma and the abnormal pattern of lung expansion associated with the open-chest preparation (28) might have led to uncontrollable errors in the assessment of the true contribution of the chest wall to the mechanical properties of the respiratory system.
In the human lung, alveoli are present by 36 wk of gestation with the majority of alveolarization occurring after birth (8590%) (2, 3, 27). There is conjecture as to when this process ceases (8), but most agree that the majority of alveolar formation occurs in the few weeks before birth up until the first 618 mo after birth (2). Changes in lung function with growth and development during the first years of life have been reported in human infants and young children (12, 22, 31). These studies show progressive increases in forced expiratory flows (12, 31) and decreases in Raw (12, 22), G, and H (12) during this time. The changes in respiratory mechanics reported from the present study in mice are compatible with the changes reported with growth in human infants and young children.
No differences were found between sexes in either the mechanical parameters at baseline (end-expiratory pause) or their Prs dependencies; however, the present study was not designed to systematically examine whether gender differences exist in the changes in lung function seen during growth and development. Although this lack of difference may possibly be the result of small study numbers, it has previously been reported that there are no sex differences in growth rate in the early postnatal period (4).
Conclusions. The present study was conducted to determine how the mechanical properties of the airway and lung parenchyma change with age across a range of transpulmonary pressures between end-expiratory pause (2 cmH2O) and high lung volume (20 cmH2O) in mice. We demonstrated age-related decreases in Raw, G, and H between 2 and 8 wk in BALB/c mice. Raw reached adult levels by 5 wk of age at all Prs, while differences were still present up until 6 wk of age, especially at high lung volumes, for parenchymal mechanics. These age- and volume-related changes need to be understood and taken into account when studies examining the influence of early life exposures on murine models of human lung diseases are designed.
The results of our present study have several implications for the use of mice as models of human lung diseases. Although most studies use adult mice, generally at 8 to 10 wk of age, interest is increasing in studying the effects of early life exposures to a variety of agents, especially viruses and allergens. By 5 wk of age, there is little further change with growth in airway mechanics, whereas changes in the mechanical properties are still occurring until 8 wk of age. This is especially true at lung volumes above end expiration (Prs = 2 cmH2O). Most studies that measure lung function do so at forced residual capacity, either at an end-expiratory pressure set by the ventilator circuit or at Prs of 0 cmH2O. However, in many experimental circumstances, including during methacholine challenge and in the presence of chronic inflammation, changes in lung volume are likely to occur during the study. These protocol-related changes in lung volume may also be more likely when younger mice are studied. Thus it is important that investigators understand both the age-related and lung volume-dependent changes in respiratory mechanics that may complicate their experimental protocol and take these into account in study design.
| GRANTS |
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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. Section 1734 solely to indicate this fact.
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