The Effects of Lung Protective Ventilation or Hypercapnic Acidosis on Gas Exchange and Lung Injury in Surfactant Deficient Rabbits

Background

Permissive hypercapnia has been shown to reduce lung injury in subjects with surfactant deficiency. Experimental studies suggest that hypercapnic acidosis by itself rather than decreased tidal volume may be a key protective factor.

Objectives

To study the differential effects of a lung protective ventilatory strategy or hypercapnic acidosis on gas exchange, hemodynamics and lung injury in an animal model of surfactant deficiency.

Methods

30 anesthetized, surfactant-depleted rabbits were mechanically ventilated (FiO₂ = 0.8, PEEP = 7cmH₂O) and randomized into three groups: Normoventilation-Normocapnia (NN)-group: tidal volume (Vt) = 7.5 ml/kg, target PaCO₂ = 40 mmHg; Normoventilation-Hypercapnia (NH)-group: Vt = 7.5 ml/kg, target PaCO₂ = 80 mmHg by increasing FiCO₂; and a Hypoventilation-Hypercapnia (HH)-group: Vt = 4.5 ml/kg, target PaCO₂ = 80 mmHg. Plasma lactate and interleukin (IL)-8 were measured every 2 h. Animals were sacrificed after 6 h to perform bronchoalveolar lavage (BAL), to measure lung wet-to-dry weight, lung tissue IL-8, and to obtain lung histology.

Results

PaO₂ was significantly higher in the HH-group compared to the NN-group (p<0.05), with values of the NH-group between the HH- and NN-groups. Other markers of lung injury (wet-dry-weight, BAL-Protein, histology-score, plasma-IL-8 and lung tissue IL-8) resulted in significantly lower values for the HH-group compared to the NN-group and trends for the NH-group towards lower values compared to the NN-group. Lactate was significantly lower in both hypercapnia groups compared to the NN-group.

Conclusion

Whereas hypercapnic acidosis may have some beneficial effects, a significant effect on lung injury and systemic inflammatory response is dependent upon a lower tidal volume rather than resultant arterial CO₂ tensions and pH alone.     

胚龄和激素对小麦幼胚组织培养的影响

以扬麦158为试验材料,通过田间取样室内培养的方法研究了胚龄和激素对小麦幼胚组织培养的作用。结果表明,幼胚组织培养最适宜的胚龄为14—16d;适宜的2,4-D浓度为1．5-2．5mg/L;适宜的IAA浓度为2．0-3．0mg/L;适宜的6-BA浓度为0．1-0．8mg/L;适宜的KT浓度为0．5—1．5mg/L。因此,胚龄和激素对于小麦幼胚组织培养具有明显的调节作用．在组织培养实践中,充分认识和综合协调这些因素对小麦幼胚组织培养的作用,可以提高组织培养效率,使其更加有利于生物学研究、遗传转化和快速育种等工作。     

基因型和胚龄对小麦未成熟胚离体培养反应的影响

本文对34种基因型的小麦未成熟胚在离体培养中的反应进行了比较。结果表明,94％的供试基因型愈伤组织诱导率都可达到80％以上,若排除供体植株环境条件的不同和接种过程中的人为因素可能造成的影响,不同基因型的愈伤组织诱导率看来没有根本的差异。愈伤组织分化率因基因型的不同变动在0—60％之间,平均为32.7％。虽然同一基因型的盾片愈伤组织分化率在不同年份中有所不同,但是愈伤组织是否具有再生能力?看来是个稳定的遗传性状。因此小麦未成熟胚对愈伤组织诱导的反应和愈伤组织的再生能力可能具有不同的遗传基础。本文的结果还表明,虽然最适于培养的未成熟胚的大小为1毫米左右,伹小至0.3毫米的未成熱胚仍能以几乎100％的频率形成愈伤组织,60％左右的愈伤组织能分化出再生檀株,只是所需的时间比1毫米左右的胚较长。     

The Effect of Leaf Age on Gas Exchange and Malate Accumulation in C3-CAM Plant Marrubium Frivaldszkyanum (Lamiaceae)

For the first time the expression of C₃ and CAM in the leaves of different age of Marrubium frivaldszkyanum Boiss, is reported. With increasing leaf age a typical C₃ photosynthesis pattern and high transpiration rate were found. In older leaves a shift to CAM occurred and the 24-h transpiration water loss decreased. A correlation was established between leaf area and accumulation of malate. Water loss at early stages of leaf expansion may be connected with the shift to CAM and the water economy of the whole plant.     

Structural Characterisation of Ligand-Binding Determinants in Human Lung Surfactant Protein D: Influence of Asp325

The crystal structures of a biologically and therapeutically active recombinant homotrimeric fragment of human lung surfactant protein D with a series of bound ligands have been determined. While the structures reveal various different binding modes, all utilise a similarly positioned pair of mannose-type O3′ and O4′ hydroxyls with no direct interaction between any non-terminal sugar and protein. The orientation, position, and interactions of the bound terminal sugar depend on the sugar itself, the presence and form of glycosidic linkage, and the environment in the crystal, which, via Asp325, places stereochemical and electronic constraints, different for the three different subunits in the homotrimer, on the ligand-binding site. As a direct consequence of this influence, the other binding-pocket flanking residue, Arg343, exhibits variable conformation and variable interactions with bound ligand and leaves open to question which orientation of terminal mannobiose, and of other terminal disaccharides, may be present in extended physiological ligands. The combined structural evidence shows that there is significant flexibility in recognition; that Asp325, in addition to Arg343, is an important determinant of ligand selectivity, recognition, and binding; and that differences in crystal contact interfaces exert, through Asp325, significant influence on preferred binding modes.     

A Hyperoxic Lung Injury Model in Premature Rabbits: The Influence of Different Gestational Ages and Oxygen Concentrations

Background

Many animal models have been developed to study bronchopulmonary dysplasia (BPD). The preterm rabbit is a low-cost, easy-to-handle model, but it has a high mortality rate in response to the high oxygen concentrations used to induce lung injury. The aim of this study was to compare the mortality rates of two models of hyperoxia-induced lung injury in preterm rabbits.

Methods

Pregnant New Zealand white rabbits were subjected to caesarean section on gestational day 28 or 29 (full term  = 31 days). The premature rabbits in the 28-day gestation group were exposed to room air or FiO₂ ≥95%, and the rabbits in the 29-day gestation group were exposed to room air or FiO₂  = 80% for 11 days. The mean linear intercept (Lm), internal surface area (ISA), number of alveoli, septal thickness and proportion of elastic and collagen fibers were quantified.

Results

The survival rates in the 29-day groups were improved compared with the 28-day groups. Hyperoxia impaired the normal development of the lung, as demonstrated by an increase in the Lm, the septal thickness and the proportion of elastic fibers. Hyperoxia also decreased the ISA, the number of alveoli and the proportion of collagen fibers in the 28-day oxygen-exposed group compared with the control 28-day group. A reduced number of alveoli was found in the 29-day oxygen exposed animals compared with the control 29-day group.

Conclusions

The 29-day preterm rabbits had a reduced mortality rate compared with the 28-day preterm rabbits and maintained a reduction in the alveoli number, which is comparable to BPD in humans.     

The Effect of Gestational Age and Labour on Markers of Lipid and Protein Oxidation in Cord Plasma

There are many potential sources of reactive oxidants around the time of birth and pre-term infants are considered to be particularly vulnerable to oxidative injury. To gain insight into these processes, we have measured biomarkers of lipid and protein oxidation in umbilical cord plasma and related concentrations to mode of delivery and gestational age. Protein carbonyls were measured by ELISA and malondialdehyde (MDA) by HPLC after reaction with thiobarbituric acid, for 54 pre-term (≤36 weeks gestational age) and 43 term infants. Protein carbonyls were significantly lower in pre-term (median for <32 weeks gestational age 0.048?nmol/mg protein) than in term infants (0.105?nmol/mg, p=0.004), and were unrelated to mode of delivery. In contrast, MDA concentrations were higher in the very pre-term (<32 weeks gestation) group (2.47 compared with 1.83?μM for term infants, p<0.0001). MDA concentrations were higher in infants who were born with labour compared with elective caesarean section. Pre-eclampsia in the mother was associated with higher cord blood MDA concentrations. The MDA results are consistent with other studies of this marker and could be interpreted as indicating increased oxidative stress associated with prematurity and labour. However, the lower protein carbonyls in pre-term infants would lead to an opposite interpretation. More information is needed on the source and fate of these and other biomarkers before drawing strong conclusions on how they reflect oxidative stress in this and other clinical situations.     

in Vitro Effect of Lung Surfactant on Alveolar Macrophage Defence Mechanisms Against Cryptococcus Neoformans

The effects of a modified natural porcine surfactant (Curosurf) on phagocytosis and killing of Cryptococcus neoformans by alveolar macrophages and on the production of superoxide anions were investigated in vitro. Attachment and ingestion were evaluated separately by a fluorescent quenching technique. The nitroblue tetrazolium reduction test was used as an indirect measurement of superoxide anion production. Killing was assessed by a colony-forming assay. Surfactant induced increased ingestion of C. neoformans, unopsonized as well as opsonized with fresh serum or anticryptococcal polyclonal IgG. Surfactant had, however, no effect on the attachment or killing of unopsonized or opsonized C. neoformans by the alveolar macrophages. In addition, the enhancement of the oxidative metabolism of the macrophages after stimulation with opsonized yeast was impaired, although the killing was not affected. This study indicates that in vitro Curosurf can influence the alveolar macrophage defence against C. neoformans by enhancing its ingestion and by interacting with the superoxide anions release from alveolar macrophages stimulated with fresh serum or anticryptococcal polyclonal IgG opsonized yeast cells. This revised version was published online in August 2006 with corrections to the Cover Date.     

单肺通气时两种通气模式对PetCO2与PaCO2相关性的影响

目的：探讨胸科开胸手术单肺通气定容通气模式下和定压通气模式下PetC02（呼气末二氧化碳分压）与PaCO2（动脉二氧化碳分压）的相关性。方法：选择40例择期左侧开胸手术单肺通气成年患者,ASAI～II级,随机分为A组（n=20）采用VCV（容量控制通气）模式通气、B组（n=20）采用PCV（压力控制通气）模式通气。比较两组各时段的PaCO2和PetCO2的差异及相关性。结果：经统计学分析,除第一时间点,两组同一时间点的PetC02比较及PaCO2比较差异均有统计学意义（P〈O．05）,A组PetC02四个时间点比较及PaCO2四个时间点比较差异均有有统计学意义（P〈0．001）,B组除PetCO2第三与第四个时间点比较差异无统计学意义外,余PetCO2各时间点相比较及PaCO2各时间点相比较差异均有统计学意义（P〈0．05）。单肺通气定压通气模式下PetCO2与PaCO2在各个时间点的相关系数均大于定容通气模式时。无论是定容还是定压通气模式,单肺通气时间越长,其PetCO2与PaCOz的相关系数也越小。结论：1．同双肺通气相比,单肺通气时定压通气模式下PaCO2及PetCO2的改变小于定容通气模式时。2．单肺通气时,定压通气模式下PetCO2与PaCO2的相关性好于定容通气模式时。3．在这两种通气模式下PetCO2与PaCO2的相关性与单肺通气的时间成反比。     

石河子大学医学院第一附属医院

目的：探讨胸科开胸手术单肺通气定容通气模式下和定压通气模式下PetCO2（呼气末二氧化碳分压）与PaCO2（动脉二氧化 碳分压）的相关性。方法：选择40 例择期左侧开胸手术单肺通气成年患者,ASAⅠ～Ⅱ级,随机分为A组（n=20）采用VCV（容量 控制通气）模式通气、B组（n=20）采用PCV（压力控制通气）模式通气。比较两组各时段的PaCO2和PetCO2的差异及相关性。结 果：经统计学分析,除第一时间点,两组同一时间点的PetCO2比较及PaCO2比较差异均有统计学意义(P＜0.05),A 组PetCO2四个 时间点比较及PaCO2四个时间点比较差异均有有统计学意义(P＜0.001),B组除PetCO2第三与第四个时间点比较差异无统计学 意义外,余PetCO2各时间点相比较及PaCO2各时间点相比较差异均有统计学意义(P<0.05)。单肺通气定压通气模式下PetCO2与 PaCO2在各个时间点的相关系数均大于定容通气模式时。无论是定容还是定压通气模式,单肺通气时间越长,其PetCO2与PaCO2 的相关系数也越小。结论：1.同双肺通气相比,单肺通气时定压通气模式下PaCO2及PetCO2的改变小于定容通气模式时。2.单肺 通气时,定压通气模式下PetCO2与PaCO2的相关性好于定容通气模式时。3.在这两种通气模式下PetCO2与PaCO2的相关性与单 肺通气的时间成反比。     

高频振荡呼吸机治疗呼吸窘迫综合征致呼吸机相关性肺损伤的疗效观察

目的:观察高频振荡呼吸机在治疗呼吸窘迫综合征(NRDS)致呼吸机相关性肺损伤(VALI)患儿的临床疗效。方法:选择我院2012年6月~2014年10月收治的NRDS致VALI患儿83例为研究对象,采用随机数字表法将患者随机分为研究组(45例)和对照组(38例)。两组均进行一般治疗,在此基础上对照组采用常规机械通气,研究组采用高频振荡呼吸机行高频通气。观察两组患者治疗24 h后p H值、二氧化碳分压(Pa CO2)、氧分压(Pa O2)、血压(BP)、心率(HR)及并发症情况。结果:两组患者治疗24 h后p H值、Pa CO2、Pa O2及BP比较,差异均无统计学意义(P0.05),研究组HR心率低于对照组,差异存在统计学意义(P0.05);研究组纵膈气肿、肺损伤、间质气肿及气胸的发生率均低于对照组,差异有统计学意义(P0.05)。结论:高频振荡呼吸机治疗NRDS致VALI患儿能够明显改善其症状及减少并发症的发生率,是治疗NRDS致VALI的有效的方式。     

妊娠糖尿病对仔鼠肺成熟的影响及吡格列酮的干预作用

摘要 目的：探究妊娠糖尿病（GDM）对仔鼠肺成熟的影响及吡格列酮对肺发育的干预作用。方法：将30只SD孕鼠分为对照组、GDM组和GDM+吡格列酮组（GDM+P组）,每组10只。GDM组和GDM+P组孕鼠通过腹腔注射链脲霉素（STZ,45 mg/kg）和高脂饮食饲养构建GDM孕鼠模型,GDM+P组大鼠建模后灌胃10 mg/kg的吡格列酮,对照组和GDM组孕鼠每天灌胃等体积生理盐水。分娩后,检测各组仔鼠的血糖和血浆胰岛素水平以及胎肺组织中的总磷脂量。通过苏木精伊红（HE）染色、油红O染色和透射电镜观察胎肺组织结构和形态变化。通过RT-PCR和Western blot检测胎肺组织中SP-A、SP-B、SIRT1和PPARγ的表达。结果：GDM组仔鼠的血糖水平与对照组无显著差异（P>0.05）,胰岛素水平明显高于对照组（P<0.05）。与对照组相比,GDM组仔鼠胎肺组织中的总磷脂含量降低（P<0.05）;胎肺组织中肺泡Ⅱ型上皮细胞(AECⅡ)数量和脂滴明显减少。与对照组相比,GDM组仔鼠胎肺组织中的SP-A、SP-B、SIRT1和PPARγ的mRNA和蛋白相对表达水平均降低（P<0.05）。吡格列酮干预显著逆转了GDM对仔鼠胰岛素、胎肺组织结构和形态变化的影响;GDM+P组仔鼠胎肺组织中的SP-A、SP-B、SIRT1和PPARγ的mRNA和蛋白相对表达水平相较GDM组均升高（P<0.05）。结论：GDM母鼠所生仔鼠存在肺发育延迟,吡格列酮干预可有效促进仔鼠的肺成熟。     

NaCl胁迫对西瓜幼苗生长和光合气体交换参数的影响

以早春红玉品种为材料,采用营养液水培法,研究了不同浓度NaCl胁迫对西瓜幼苗生长、叶片光合气体交换参数、质膜透性和脯氨酸含量的影响.结果表明:25 mmol·L-1NaCl处理9 d后对西瓜幼苗生长有促进作用,>75 mmol·L-1NaCl处理则显著抑制幼苗生长;NaCl处理显著提高了叶片光合色素含量,并在100 mmol·L-1NaCl处理下达到最大;叶片净光合速率、气孔导度和蒸腾速率均随NaCl浓度提高而显著降低;胞间CO2浓度随NaCl浓度提高呈先降低后升高的趋势,在75 mmol·L-1NaCl处理下降到最小;气孔限制值随NaCl浓度提高而增加,在75 mmol·L-1NaCl处理下达到最大值后趋于稳定;水分利用率随NaCl浓度提高呈先增加后降低的趋势,在75 mmol·L-1NaCl处理下达到最大;叶片质膜透性和脯氨酸含量均随NaCl浓度提高而显著增加.结果说明:NaCl胁迫显著抑制了西瓜叶片光合作用,且低浓度处理下光合速率降低的主要原因是气孔因素限制,高浓度胁迫下则转变为非气孔因素限制.     

Influence of Seasonal Variations in Soil Water Availability on Gas Exchange of Tropical Canopy Trees

Seasonal variations in environmental conditions influence the functioning of the whole ecosystem of tropical rain forests, but as yet little is known about how such variations directly influence the leaf gas exchange and transpiration of individual canopy tree species. We examined the influence of seasonal variations in relative extractable water in the upper soil layers on predawn leaf water potential, saturated net photosynthesis, leaf dark respiration, stomatal conductance, and tree transpiration of 13 tropical rain forest canopy trees (eight species) over 2 yr in French Guiana. The canopies were accessed by climbing ropes attached to the trees and to a tower. Our results indicate that a small proportion of the studied trees were unaffected by soil water depletion during seasonal dry periods, probably thanks to efficient deep root systems. The trees showing decreased tree water status (i.e., predawn leaf water potential) displayed a wide range of leaf gas exchange responses. Some trees strongly regulated photosynthesis and transpiration when relative extractable water decreased drastically. In contrast, other trees showed little variation, thus indicating good adaptation to soil drought conditions. These results have important applications to modeling approaches: indeed, precise evaluation and grouping of these response patterns are required before any tree‐based functional models can efficiently describe the response of tropical rain forest ecosystems to future changes in environmental conditions.     

Effect of Benzyladenine and Hydroxybenzyladenosine on Gas Exchange of Bean and Sugar Beet Leaves

Using bean seedlings, the effects of benzyladenine (BA) on stomatal conductance (g_s), transpiration rate (E), and net photosynthetic rate (P_N) were examined in order to find out dose and time responses. In bean seedlings, BA appli roots in concentrations of 1, 5, 10, and 20 µM increased g_s and P_N of leaves already 1 h after application. E was not markedly affected and water use efficiency (WUE) was increased. However, the effects were mostly transient and after 24 h P_N only at 1 and 5 µM BA was increased, and other parameters were not affected or even decreased. In sugar beet seedlings, the effects of hydroxybenzyladenosine (HBA) in addition to those of BA on the same parameters were determined. The both cytokinins were applied in 1, 5, 10, and 20 µM concentrations either to roots or sprayed on leaves However, the effects were inconsistent and the positive effect was observed only after 24 h on P_N in plants with roots immersed in 5 and 10 µM BA, or 10 µM HBA, and on E in plants sprayed with 5 µM BA or 10 µM HBA. Thus the stimulation of gas exchange by exogenously applied cytokinins is rather exceptional than general.     

Influence of Maternal Gestational Treatment with Mycobacterial Antigens on Postnatal Immunity in an Experimental Murine Model

Background

It has been proposed that the immune system could be primed as early as during the fetal life and this might have an impact on postnatal vaccination. Therefore, we addressed in murine models whether gestational treatment with mycobacterial antigens could induce better immune responses in the postnatal life.

Methods/Findings

BALB/c mice were treated subcutaneously (s.c.) at the second week of gestation with antigen (Ag)85A or heparin-binding hemagglutinin (HBHA) in the absence of adjuvant. Following birth, offspring mice were immunized intranasally (i.n.) with the same antigens formulated with the adjuvant cholera toxin (CT) at week 1 and week 4. One week after the last immunization, we assessed antigen-specific recall interferon gamma (IFN-γ) responses by in vitro restimulation of lung-derived lymphocytes. Protection against infection was assessed by challenge with high dose Mycobacterium bovis Bacille Calmette-Guérin (BCG) given i.n. We found that recall IFN-γ responses were higher in the offspring born to the treated mother compared to the untreated-mother. More importantly, we observed that the offspring born to the treated mother controlled infection better than the offspring born to the untreated mother. Since the gestational treatment was done in absence of adjuvant, essentially there was no antibody production observed in the pregnant mice and therefore no influence of maternal antibodies was expected. We hypothesized that the effect of maternal treatment with antigen on the offspring occurred due to antigen transportation through placenta. To trace the antigens, we conjugated fluorescent nanocrystals with Ag85A (Qdot-ITK-Ag85A). After inoculation in the pregnant mice, Qdot-ITK-Ag85A conjugates were detected in the liver, spleen of pregnant females and in all the fetuses and placentas examined.

Conclusion

The fetal immune system could be primed in utero by mycobacterial antigens transported through the placenta.