川芎嗪对慢性缺氧大鼠肺动脉和主动脉的离体舒张作用

用生物测定法观察了川芎嗪对慢性缺氧大鼠肺动脉和主动脉环的舒张效应,并与乙酰胆碱的舒血管作用进行了比较。结果表明:川芎嗪对慢性缺氧大鼠肺动脉和主动脉的舒张作用均与平原组无明显差异。慢性缺氧明显减低了乙酰胆碱诱发的肺动脉内皮依赖性舒张反应,但不影响川芎嗪对肺血管的舒张作用。提示川芎嗪对肺血管的舒张作用不依赖于内皮。川芎嗪对肺动脉的舒张作用明显大于体动脉。这些特性有利于川芎嗪对肺动脉高压的治疗。     

缺氧性肺血管收缩的细胞机制

缺氧直接作用于肺血管平滑肌细胞而使肺血管收缩。缺氧使细胞膜Ca~(2 )通透性增加,K~ 电导降低、膜电位下降,产生Ca~(2 )依赖性动作电位,导致肺血管张力增加和肺血管收缩。缺氧还能使平滑肌细胞内能量代谢发生改变,抑制氧化磷酸化和三羧酸循环作用,降低磷酸势能,引起肺血管收缩。缺氧减少细胞内氧自由基的产生而使细胞内氧化还原状态发生改变,GSH/GSSG和NADPH/NADP~ 比值增高,导致肺血管阻力增高。     

κ-阿片受体激动通过激活KATP通道对大鼠腹主动脉产生舒张作用

为观察U50,488H（选择性κ－阿片受体激动剂）对大鼠腹主动态的佶张作用,并探讨其机制,实验采用离体血管灌流实验,测定血管张力的改变。结果显示：（1）U50,488H对大鼠腹主动脉具有明显的舒张作用;（2）U50,488H对大鼠腹主动脉的舒张效应部分依赖于内皮细胞的存在;（3）优降糖和格列甲嗪可明显抑制U50,488H对大鼠腹主动脉的佶张作用;（4）U50,488H的舒张血管效应与M受体、β受体、前列腺素及NO无关。结果表明,U50,488H是一种有效的扩血管物质,其舒张血管的效应具有内皮依赖性,且与KATP通道有密切关系。     

中药764—3对内毒素所致离体大鼠灌流肺损伤的保护作用探讨

本研究观察了大肠杆菌内毒素对大鼠离体灌流肺的氧化性损伤作用,并探讨了中药７６４－３对该损伤的保护作用。结果发现单纯离体灌流肺给予内毒素刺激未能引起肺动脉升高,这与在体情况下的反应不同。内毒素组的肺泡灌洗液中蛋白质含量和肺组织湿干重比值分别比其它组为高（Ｐ＜０．０５）,该组肺组织匀浆和肺泡灌洗液中丙二醛（ＭＤＡ）含量也显著高于其它组（Ｐ＜０．０１）。中药７６４－３能够显著地减轻肺水肿（Ｐ＜０．０５）     

利用兔离体肺灌流模型评价肺微小血管通透性

目的准确、定量的评价肺微小血管通透性.方法利用兔离体肺灌流模型,采用肺重量分析法测定肺毛细血管滤过系数(Kf).结果肺毛细血管滤过系数测定值为4.78±0.73mg·min-1.cmH2O-1·g-1.结论这种利用离体肺灌流模型定量评价肺微小血管通透性的方法具有直接、测定准确的优点,对于了解肺的生理状态、评价急性肺损伤和肺水肿程度具有重要意义,是一种新型的实验方法.     

香青兰总黄酮对大鼠离体胸主动脉的舒张作用

香青兰(Dracocephalum MoldavicaL.)为传统维吾尔族药材,具有补益心脑之功效,现代研究表明其对冠心病、心绞痛等病具有治疗作用。该文作者采用大鼠离体胸主动脉灌流技术,观察了香青兰总黄酮的血管舒张作用,旨在为阐明其活性物质基础和作用机制提供依据。结果表明:1)10.0～40.0mg/L香青兰总黄酮对内皮完整和去内皮大鼠主动脉环的基础张力没有明显影响。2)10.0～40.0mg/L香青兰总黄酮对去甲肾上腺素(NE,10μmol/L)所致的内皮完整和去内皮血管均有浓度依赖性的舒张作用,对内皮完整血管的舒张作用更强;一氧化氮合酶抑制剂左旋硝基精氨酸甲酯L-NAME(0.1mmol/L)、鸟苷酸环化酶抑制剂亚甲蓝(10μmol/L)和环氧合酶抑制剂吲哚美辛(10μmol/L)预处理均可一定程度上抑制香青兰总黄酮的血管舒张作用,表明血管内皮合成的一氧化氮(NO)信号通路和前列环素(PGI2)信号通路参与了香青兰总黄酮的血管舒张作用。3)香青兰总黄酮预处理去内皮血管环可以抑制细胞外钙内流所致的血管收缩,但对细胞内钙释放所致的血管收缩没有影响,香青兰总黄酮对高钾(60mmol/L KCl)所致血管收缩没有...     

川芎嗪对大鼠胸主动脉平滑肌电压依赖性Cl-通道的影响

川芎嗪(即四甲基吡嗪tetramethylpyrazine)是从具有活血化淤兼有理气功用中药川芎中分离得到的一种生物碱,现已广泛应用临床,对治疗缺血性脑血管疾病、缺血性肢体血管疾病、部分泌尿系统疾病等有明显的疗效,安全而无明显的毒副作用.有作者报道川芎嗪有明显抑制α1-肾上腺受体激动所引起持续血管收缩,而使血管舒张作用,可能与其有类似的"钙通道阻断剂"作用有关.目前认为血管平滑肌的张力与钙、钾和氯通道有关,川芎嗪与钾和氯通道的关系目前未见报道. 1 材料与方法 (1)药物川芎嗪,无锡市第七制药厂生产;DMEM,DIDS,HEPES,胰蛋白酶,EGTA,硝苯地平(nifedipine),苯肾上腺素(简称PHE)均为 Sigma公司出品,其余试剂均为市场销售的分析纯试剂.均为美国Sigma公司产品;其余的试剂均为国产分析纯.     

区域性血管床对局部注射胍丁胺的不同反应

在66只麻醉大鼠,分别采用后肢、肾脏和肠系膜动脉在体恒流灌注法,观察了向灌注环路中直接注射胍丁胺（agmatine,AGM）的血管效应,以所引起的灌流压增减反映血管的收缩和舒张。所得结果如下：（1）不同剂量的AGM（0.1、0.5、1mg/kg）注射于股部灌注环路时,可剂量依赖性地增高后肢血管的灌流压。无论预先注射咪唑啉受体(imidazoline receptor,IR）和α2－肾上腺素能受体阻断剂（α2－adrenergic receptor,α2－AR）idazoxan(0.5mg/kg）或注射α2-肾上腺素能受体阻断剂yohimbine(1mg/kg）均可完全阻抑上述AGM的效应。（2）向肾血管灌注环路中直接注射AGM也可剂量依赖性地增高肾血管的灌流压,需特别指出的是：大剂量AGM（1mg/mg）引起肾血管双相的灌注压增高,此效应可被idazoxan完全阻断。而在预先应用yohimbine后,再注射AGM则引起肾血管灌流压降低。（3）在肠系膜血管灌流环路中注射AGM可剂量依赖性地降低其灌流压。此效应可被idazoxan(0.5mg/kg）完全阻断,而yohimbine(1mg/kg）对此无作用。根据上述结果得出的结论是,AGM对后肢、肾脏和肠系膜血管床的血管紧张性具有不同的作用。     

Apelin：心肺疾病的一种新的血浆标志分子

呼吸困难是肺实质疾病和慢性心衰共同的主要症状。心功能不全可以通过检测血浆中的心脏来源的脑钠肽（BNP）或其前体来评估,但是迄今尚没有特异的反映肺实质疾病的内分泌的标志分子。Apelin是新发现的G蛋白偶联受体一血管紧张素受体AT1相关的受体蛋白（putative receptor protein related to the angiotensin receptor AT1,APJ）的天然配体,具有增强心肌收缩力和舒张血管、降低血压的作用,而且在肺组织高表达。     

钙激活氯离子通道对大鼠肺动脉张力的调节作用

目的：研究钙激活氯离子通道及其通道阻断剂尼氟灭酸（niflumic acid,NFA）、indaryloxyacetic acid（IAA-94）在苯福林（phenylephrine,PE）引起的肺动脉收缩中的作用。方法：常规离体血管灌流法检测肺动脉环张力;采用钙荧光探针（Fura-2／AM）负载急性酶分离法（胶原酶Ⅰ型和木瓜蛋白酶）获得的大鼠肺动脉平滑肌细胞（PASMCs）,观察NFA和IAA-94对PE诱导的PASMCs胞浆游离钙离子浓度（[Ca^2＋]i）的影响,用荧光分光光度计法检测[Ca^2＋]i。结果：钙激活氯离子通道阻断剂NFA和IAA-94可以舒张PE引起的肺动脉环收缩;NFA和IAA-94对KCl引起的血管收缩无影响;PE可以引起[Ca^2＋]i升高,NFA和IAA-94对PE诱导[Ca^2＋]i升高无影响。结论：钙激活氯离子通道在生理状态下与血管活性药（PE）引起的肺动脉张力变化有关,这为研究其在低氧肺血管收缩中的作用提供了新的线索。     

Radiation-induced lung injury — what do we know in the era of modern radiotherapy?

Radiation-induced lung injury (RILI) that is usually divided into an early radiation-induced pneumonitis (RIP) and late chronic radiation-induced lung fibrosis (RILF) remains a clinically significant toxicity in radiation oncology. Thus, a thorough understanding of underlying molecular mechanisms and risk factors is crucial. This review, focused on patients treated with modern radiotherapy (RT) techniques, describes the different clinical presentations of RIP, with most typical imaging findings and usefulness of pulmonary function tests and laboratory assessment in differential diagnosis. The most critical patient- and treatment-related predictors are summarized and discussed — age and sex, comorbidities, tumour characteristics, concomitant treatment, and RT-plan parameters. The conventional grading scales and contemporary approach to quantitative assessment (radiomics, CT density changes) is described as well as treatment methods.     

KLN205—A murine lung carcinoma cell line

Summary KLN205 cells, a cloned cell line established from the Nettesheim lung carcinoma, grow in various synthetic media such as MEM, Fisher's or Roswell Park Memorial Institute Medium (RPMI) with the addition of 5 to 20% fetal bovine serum (FBS), calf serum (CS) or horse serum (HS). They grow optimally in minimum Eagle's medium plus nonessential amino acids (NEAA) plus 5 to 10% FBS or HS. The cells are transplantable to DBA/2, BDF₁, AKD₂F₁, and BALB/c, but not to C3H/He or ICR mice. The growth curves, plating efficiency, ultrastructural characteristics, modal number of chromosomes and transplantability to mice of various strains are almost the same for early and late passages of cells passaged in vitro. These parameters for 16th and 36th passages were: doubling time, 31 and 33 hr; plating efficiency, 12.4±1.2 and 14.6±2.6%; modal number of chromosomes, 73 and 76; lung colony formation in DBA/2, 50 and 45.9/mouse; and subcutaneous tumor diameter 24.5 and 27.4 mm, respectively. Only the numbers of lung colonies formed in BDF₁ mice were different: 24.4/mouse with 16th passage cells, and 10.2/mouse with 36th passage cells. The results suggest that KLN205 is a relatively stable cultured cell line through 36 passages. As was expected, immunosuppression by higher concentrations of triaminolone acetonide (TA) enhanced lung colony formation in BDF₁ mice. On the other hand, a low concentration of TA inhibited lung colony formation in DBA/2 mice, which was unexpected. These results suggest that KLN205 offers a model for investigations on metastases to lungs as well as chemotherapy for lung carcinoma. This work was supported by the National Cancer Institute of Canada.     

Cardio‐pulmonary anatomy in theropod dinosaurs: Implications from extant archosaurs

Although crocodilian lung and cardiovascular organs are markedly less specialized than the avian heart and lung air‐sac system, all living archosaurs possess four‐chambered hearts and heterogeneously vascularized, faveolar lungs. In birds, normal lung function requires extensive, dorsally situated nonvascularized abdominal air‐sacs ventilated by an expansive sternum and specially hinged costal ribs. The thin walled and voluminous abdominal air‐sacs are supported laterally and caudally to prevent inward (paradoxical) collapse during generation of negative (inhalatory) pressure: the synsacrum, posteriorly directed, laterally open pubes and specialized femoral‐thigh complex provide requisite support and largely prevent inhalatory collapse. In comparison, theropod dinosaurs probably lacked similarly enlarged abdominal air‐sacs, and skeleto‐muscular modifications consistent with their ventilation. In the absence of enlarged, functional abdominal air‐sacs, theropods were unlikely to have possessed a specialized bird‐like, air‐sac lung. The likely absence of bird‐like pulmonary function in theropods is inconsistent with suggestions of cardiovascular anatomy more sophisticated than that of modern crocodilians. J. Morphol. 2009. © 2009 Wiley‐Liss, Inc.     

A case of resectable lung adenocarcinoma associated with sarcoidosis

A 71-year-old woman with uveitis was referred to our hospital for further examination of the possible underlying diseases. In roentgenological examination with plain X-ray and CT scan, hilar and mediastinal lymphadenopathy and a mass shadow in the right upper lung field was observed, whereas fibrotic changes were not obvious in both lung fields. Transbronchial lung biopsy with fiberoptic bronchoscope revealed granulomatous interstitial pneumonia. CD4-positive lymphocytes were increased in bronchoalveolar lavage. The patient was diagnosed as having sarcoidosis. Subsequently, right upper lobectomy was performed, and Stage I lung adenocarcinoma was diagnosed. The patient is under follow up without medication and the disease has been stable for two years. A relationship between epithelioid granulomatosis and malignant diseases is discussed and a review of the literature is given. Since it is still controversial as to the incidence of malignant diseases in sarcoidosis patients, it is important to accumulate data on these associations.     

Hippo信号通路在肺发育、再生和疾病中的功能

哺乳动物肺对于血液与外部环境之间的气体交换至关重要。而肺相关的疾病是现代人死亡的主要原因之一。肺的发育、再生和相关疾病的研究对临床治疗具有重要的指导作用。研究发现,Hippo信号通路参与细胞增殖与分化的调控、器官大小的控制,以及机械力的感应和传递。Hippo信号通路中的核心转录调控分子YAP/TAZ在肺部的多种细胞中均有表达,其表达及定位的变化在肺发育与再生中发挥着重要的调控作用。本文主要介绍了Hippo信号通路在肺生长发育中的功能及其与肺纤维化、肺癌的关系,并从肺泡力学和肺泡相关免疫两个角度对Hippo信号通路潜在的功能进行了展望。     

Adult lung stem cells and their contribution to lung tumourigenesis

The isolation and characterization of lung stem and progenitor cells represent an important step towards the understanding of lung repair after injury, lung disease pathogenesis and the identification of the target cells of transformation in lung carcinogenesis. Different approaches using prospective isolation of progenitor cells by flow cytometry or lineage-tracing experiments in mouse models of lung injury have led to the identification of distinct progenitor subpopulations in different morphological regions of the adult lung. Genetically defined mouse models of lung cancer are offering new perspectives on the cells of origin of different subtypes of lung cancer. These mouse models pave the way to further investigate human lung progenitor cells at the origin of lung cancers, as well as to define the nature of the lung cancer stem cells. It will be critical to establish the link between oncogenic driver mutations recently discovered in lung cancers, target cells of transformation and subtypes of lung cancers to enable better stratification of patients for improved therapeutic strategies.     

Chromium content of normal and pathologically altered lung tissue

Flameless atomic absorption spectrophotometry was used to determine the chromium (Cr) content of samples taken at autopsy from the lungs, bronchi, and regional hilar lymph nodes of 50 randomly selected patients from urban and rural areas; these patients were not known to have been excessively exposed to Cr. On the average, the Cr concentration in the lungs of patients younger than 40 yr of age was approximately 2 μg/g; for patients over 40, the average Cr values were between 5 and 15 μg/g dry wt. The highest values were found in samples from the apex of the lung. The Cr concentration in lung and lymph nodes increased in proportion to age and the degree of anthracosis. Chromium content in the bronchial wall was very low in all cases. Chromium values up to ten times greater as compared to age-matched average values were found in scarred lung tissue, probably caused by a postinflammatory lymph vessel blockade. Slightly elevated Cr values were found in smokers' lungs. Chromium values in tissue from primary lung carcinomas (n=9) were lower than those in neighboring lung tissue. Based on the results of this study the amount of Cr of lung and bronchial tissue does not appear to be associated with the induction of bronchial carcinoma.     

Blast injuries to the lung: epidemiology and management

Lung injury is frequently a component of the polytrauma sustained by military personnel surviving blast on the battlefield. This article describes a case series of the military casualties admitted to University Hospital Birmingham's critical care services (role 4 facility), during the period 1 July 2008 to 15 January 2010. Of the 135 casualties admitted, 107 (79.2%) were injured by explosive devices. Plain chest films taken soon after arrival in the role 4 facility were reviewed in 96 of the 107 patients. In 55 (57.3%) films a tracheal tube was present. One or more radiological abnormalities was present in 66 (68.75%) of the films. Five patients met the consensus criteria for the definition of adult respiratory distress syndrome (ARDS). The majority of casualties with blast-related lung injury were successfully managed with conventional ventilatory support employing a lung protective strategy; only a small minority received non-conventional support at any time in the form of high-frequency oscillatory ventilation. Of those casualties who survived to be received by the role 4 facility, none subsequently died as a consequence of lung injury.     

Growth characteristics,morphology, and phospholipid composition of human type II pulmonary alveolar cells grown in a collagen-free microenvironment

Summary Human lung epithelial cells have been isolated and maintained in pure culture and characterized during their time in culture. Any residual fibroblasts were removed by selective trypsinization within the first 48 h in culture and the residual epithelial cells from the primary culture grew to confluent density. The epithelial cells at Passage 2 or greater were serially subpassaged when cultures reached ca. 80% confluency. This procedure permitted us to conduct biochemical and structural studies of starting materials and subsequent population doublings. Electron microscope evaluation of both initial monolayers and cell suspensions showed cultures to be composed of a single cell type. These cells had microvilli on their free or apical surface. Subsequent population doubling level 1 up to 5 exhibited the same structures. They contained lamellar inclusions, which are typical of Type II alveolar epithelial cells. Fetal lung (age 18 to 20 wk) cell suspensions processed for electron microscopy before culturing showed cells to be undifferentiated, epithelial-like with small microvilli along cell borders, and with desmosomes at cell junctions. Lamellar inclusions were not observed in these cells. Ultrastructural studies of the cultured epithelial cells demonstrated that the lamellar inclusions had a slightly positive reaction when tested for acid phosphatase. Phospholipid analysis of these lung epithelial cells showed a phospholipid composition consistent with that found in surfactant-containing Type II cells. Cultured epithelial cells stained with phosphine 3-R demonstrated a green fluorescent cytoplasm and nucleus with brightly fluorescent yellow-orange perinuclear particles. The preceding characterization of these cells leads us to conclude that they exhibit structural and biochemical features commensurate with Type II epithelial cells from human lung. Moreover, these selection techniques applied to the isolation of human lung Type II cells from the tissue permit us to study the differentiative function of these cells routinely under conditions of growth in vitro. This work was supported in part by grants from EPA, R 806638-01 and 131-640-1599A1     

New insights into small‐cell lung cancer development and therapy

Small‐cell lung cancer (SCLC) accounts for approximately 15% of lung cancer cases; however, it is characterized by easy relapse and low survival rate, leading to one of the most intractable diseases in clinical practice. Despite decades of basic and clinical research, little progress has been made in the management of SCLC. The current standard first‐line regimens of SCLC still remain to be cisplatin or carboplatin combined with etoposide, and the adverse events of chemotherapy are by no means negligible. Besides, the immunotherapy on SCLC is still in an early stage and novel studies are urgently needed. In this review, we describe SCLC development and current therapy, aiming at providing useful advices on basic research and clinical strategy.