Effect of detergent solutions upon distal lung phospholipids

Intratracheally injected acid detergent solutions induce in rabbits a predominantly bronchiolo-lobular process evolving in two steps, an epithelial and an epitheliomesenchymal one. When the acid detergent solution reached prominently the alveolar structures it determined a rapid release by exocytosis of phospholipid lamellated bodies from the large granular alveolocytes and the following engulfment by macrophages of released products (Eskenasy, 1982 b). Histochemically, the cells containing phospholipids increased in cellularized alveolar walls, the alveolar lining film appeared thickened and denser, and the accumulated free macrophages filled with phospholipid reactive granules (Landing et al. 's method). Glucose-6-phosphate-dehydrogenase activity is very intense in the cellularly thickened alveolar walls, in macrophages and in the newly formed (regenerated) bronchiolar cells. Lactate dehydrogenase activity becomes very intense in macrophages. These data complete the morphogenic events leading to the lobular pathology.     

Morphogenesis and pathogenesis of chronic lung diseases. XX. Effects of repeated hypersensitivity reactions upon experimental immuno-granulomas of the lung

In order to analyse the effects of repeated hypersensitivity reactions upon chronic lung lesions, lung granulomas were experimentally induced in rabbits by an intravenous injection of 1 ml of the complete Freund's adjuvant added with 10 per cent human gammaglobulin. Groups of rabbits with 14- and 21-day-granulomas were intratracheally challenged with 1.000 I.U. human gammaglobulin injected two or three times at 7-9 days interval. The responses of the lung tissue were of the Arthus type with neutrophil granulocytic accumulations and proteasic action; the intensity of cell accumulations was decreasing after the 2nd and 3rd challenge. The lesional evolution after challenge showed intra- and perigranulomatous infiltrations with alkaline-phosphatase positive lymphocytes and plasma cells. The density of the intragranulomatous reticulin network developed after the hypersensitivity reactions increased progressively and was morphometrically assessed as statistically significant. Cellular and fibrillar lesions led to the restructuring of the lung tissue.     

Bronchiolar pathology. IV. a morphometric analysis of the incidence and location of lesions induced in rabbits by intratracheally injected detergent solutions

An experimental model of bronchiolar lesions was elaborated. It consisted of three intratracheal administrations in rabbits of 2 ml of a 3 per cent detergent solution, pH 2.5-3; the adequate development of the process was induced when the second injection was given 48 h after the first and the third on days 5-6. The induced process evolved during three phases: a) hypertrophy with hyperfunction of Clara cells, cell beheading by apo- and merocrinia and denudation of basement membranes; b) lesions of subepithelial components, mainly of capillaries, with granulative response and restructuration of the peribronchiolar tissue, and c) tardy regenerative response of epithelial cells, sometimes with neoformation of bronchioli. The morphometric analysis of this experimental process asserted the validity of the model which led to damages involving at less 70 per cent of the bronchioli (under 200 epithelial nuclei on a circumferential section) and of the small bronchi (with 200-500 epithelia nuclei); the other small and large bronchi were never involved. The morphometric analysis also showed the relations of the intervals between injections to the lesional intensity and stereotyping.     

Lung pathogenesis. IV. Persisting pathogens and accumulative-proliferative cellular reactions in chronic lung processes (a systemic approach)

Persistence of pathogens within lung structures is due to the co-operation of the impairment of local defence means, of the aerial concentration and of the immunopathogenic component of processes. The action of pathogens, analysed in the framework of factor assemblies determining the process sequences, induced, as the most frequent reaction, cell proliferation and accumulation with the insertion of chemotactically retained circulating cells and their homing within alveolar wall interstitia and peribronchovascular sheets. The relations between the different inserting cells and the local ones are analyzed, with emphasis upon the derepression of local mechanisms of the steady state, secondary proliferation of both local and newly inserted cells, and current evolution to fibrosis.