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1 Biomedical Engineering, Boston University, Boston, Massachusetts, United States
2 Physiology, School of Biomedical, Biomolecular and Chemical Sciences, University of Western Australia, Perth, Western Australia, Australia
* To whom correspondence should be addressed. E-mail: alaprad{at}bu.edu.
Deep inspirations (DIs) are large periodic breathing maneuvers that regulate airway caliber and prevent airway obstruction in vivo. This study characterized the intrinsic response of the intact airway to DI, isolated from parenchymal attachments and other in vivo interactions. Porcine isolated bronchial segments were constricted with carbachol and subjected to transmural pressures of 5-10cmH2O at 0.25Hz (tidal breathing) interspersed with single DIs of 5-20, 5-30 or 5-40cmH2O amplitude (6s duration) or a 5-30cmH2O DI (30s duration). Tidal breathing was ceased after DI in a subset of airways and in control airways in which no DI was performed. Luminal cross sectional area was measured using a fiberoptic endoscope. Bronchodilation by DI was amplitude dependent; 5-20cmH2O DIs produced less dilation than 5-30 and 5-40cmH2O DIs (p=0.003 and 0.012 respectively). Effects of DI duration were not significant (p=0.182). Re-narrowing after DI followed a mono-exponential decay function to pre-DI airway caliber with time constants between 27.4±4.3 and 36.3±6.9s. However, when tidal breathing was ceased after DI, further bronchoconstriction occurred within 30s. This response was identical in both the presence and absence of DI (p=0.919). We conclude that the normal bronchodilatory response to DI occurs as a result of the direct mechanical effects of DI on activated ASM in the airway wall. Further bronchoconstriction occurs by altering the airway wall stress following DI, demonstrating the importance of continual transient strains in maintaining airway caliber.
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