Rapid alveolar liquid removal by a novel convective mechanism

PM Wang, Y Ashino, H Ichimura… - American Journal of …, 2001 - journals.physiology.org
PM Wang, Y Ashino, H Ichimura, J Bhattacharya
American Journal of Physiology-Lung Cellular and Molecular …, 2001journals.physiology.org
Although alveoli clear liquid by active transport, the presence of surface-active material on
the alveolar surface suggests that convective mechanisms for rapid liquid removal may exist.
To determine such mechanisms, we held the isolated blood-perfused rat lung at a constant
alveolar pressure (Pa). Under videomicroscopy, we micropunctured a single alveolus to
infuse saline or Ringer solution in∼ 10 adjacent alveoli. Infused alveoli were lost from view.
However, as the infused liquid cleared, the alveoli reappeared and their diameters could be …
Although alveoli clear liquid by active transport, the presence of surface-active material on the alveolar surface suggests that convective mechanisms for rapid liquid removal may exist. To determine such mechanisms, we held the isolated blood-perfused rat lung at a constant alveolar pressure (Pa). Under videomicroscopy, we micropunctured a single alveolus to infuse saline or Ringer solution in ∼10 adjacent alveoli. Infused alveoli were lost from view. However, as the infused liquid cleared, the alveoli reappeared and their diameters could be quantified. Hence the time-dependent determination of alveolar diameter provided a means for quantifying the time to complete liquid removal (C t ) in single alveoli. All determinations were obtained at an Pa of 5 cmH2O. C t , which related inversely to alveolar diameter, averaged 4.5 s in alveoli with the fastest liquid removal. Injections of dye-stained liquid revealed that the liquid flowed from the injected alveoli to adjacent air-filled alveoli. Lung hyperinflations instituted by cycling Pa between 5 and 15 cmH2O decreased C t by 50%. Chelation of intracellular Ca2+ prolonged C t and abolished the inflation-induced enhancement of liquid removal. We conclude that when liquid is injected in a few alveoli, it rapidly flows to adjacent air-filled alveoli. The removal mechanisms are dependent on alveolar size, inflation, and intracellular Ca2+. We speculate that removal of liquid from the alveolar surface is determined by the curvature and surface-active properties of the air-liquid interface.
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