There is marked heterogeneity of airway narrowing in intraparenchymal
airways in response to bronchoconstricting stimuli. We hypothesized th
at this heterogeneity results from variations in the structure of the
airway wall. Freshly excised dog lung lobes were inflated to transpulm
onary pressures (PL) of between 5 and 15 cmH(2)O, and an aerosol conta
ining a high concentration of carbachol was administered. The lobes we
re fixed and processed for Light-microscopic examination and morphomet
ric analysis of membranous airway dimensions. The relationships of smo
oth muscle shortening to PL and airway dimensions were analyzed using
multiple linear regression. The results show that airway smooth muscle
shortening was greater at lower PL and in airways with larger interna
l perimeter and a greater number of folds per internal perimeter and t
hat it was less in airways with greater inner wall area. We conclude t
hat the magnitude and variability of airway smooth muscle shortening a
nd airway narrowing in response to maximal constricting stimuli are in
fluenced by mechanical factors related to airway wall geometry.