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J Appl Physiol (October 6, 2005). doi:10.1152/japplphysiol.00389.2005
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Submitted on April 7, 2005
Accepted on September 29, 2005

SURFACTANT REPLACEMENT PARTIALLY RESTORES THE ACTIVITY OF PULMONARY STRETCH RECEPTORS IN SURFACTANT-DEPLETED CATS

Richard Sindelar1*, Anders Jonzon1, Andreas Schulze2, and Gunnar Sedin1

1 Department of Women's and Children's Health and Department of Physiology and Medical Biophysics, Uppsala University, Uppsala, Sweden
2 Department of Obstetrics and Gynecology, Ludwig Maximilian University, Munich, Germany

* To whom correspondence should be addressed. E-mail: richard.sindelar{at}kbh.uu.se.

Single units of slowly adapting pulmonary stretch receptors (PSRs) were investigated in anaesthetized cats during spontaneous breathing on continuous positive airway pressure (2-5 cm H2O), before and after lung lavage and then after instillation of surfactant in order to determine the PSR response to surfactant replacement. PSRs were classified as high-threshold (HT) and lowthreshold (LT), and their instantaneous impulse frequency (fimp) was related to transpulmonary pressure (Ptp) and tidal volume (VT). Both the total number of impulses and maximal fimp of HT and LT PSRs decreased after lung lavage (55% and 45%, respectively) in the presence of increased Ptp and decreased VT. While Ptp decreased markedly and VT remained unchanged after surfactant instillation, all except one PSR responded with increased total number of impulses and maximal fimp (42% and 26%, respectively). Some HT PSRs ceased to discharge after lung lavage but recovered after surfactant instillation. The end-expiratory activity of LT PSRs increased or was regained after surfactant instillation. After instillation of surfactant, respiratory rate increased further with a shorter inspiratory time, resulting in a lower inspiratory to expiratory time ratio. Arterial pH decreased (7.31 ± 0.04 vs. 7.22 ± 0.06) and pCO2 increased (5.5 ± 0.7 vs. 7.2 ± 1.3 kPa) after lung lavage, but were the same after as before instillation of surfactant (pH = 7.21 ± 0.08 and pCO2 = 7.6 ± 1.4) during spontaneous breathing. In conclusion, surfactant instillation increased lung compliance, which in turn increased the activity of both HT and LT PSRs. A further increase in respiratory rate due to a shorter inspiratory time after surfactant instillation, suggests that the partially restored PSR activity after surfactant instillation affected the breathing pattern.







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