Cw. Thorpe et Jht. Bates, EFFECT OF STOCHASTIC HETEROGENEITY ON LUNG IMPEDANCE DURING ACUTE BRONCHOCONSTRICTION - A MODEL ANALYSIS, Journal of applied physiology, 82(5), 1997, pp. 1616-1625
In a previous study (J. H. T. Bates, A. M. Lauzon, G. S. Dechman, G. N
. Maksym, and T. F. Schuessler. J. Appl. Physiol. 76: 616-626, 1994),
we investigated the acute changes in isovolume lung mechanics immediat
ely after a bolus injection of histamine. We found that dynamic resist
ance and elastance increased progressively in the 80-s period after in
jection, whereas the estimated tissue hysteresivity reached a stable p
lateau after similar to 25 s. In the present study, are developed a co
mputer model of the lung to investigate the mechanisms responsible for
these observations. The model conforms to Horsfield's morphometry, wi
th the addition of compliant airways and structural damping tissue uni
ts. Using this model, we simulated the time course of acute bronchocon
striction after intravenous administration of a bolus of bronchial ago
nist. Heterogeneity was induced by randomly varying the values of the
maximal airway smooth muscle contraction and the tissue response to th
e agonist. Our results demonstrate that much of the increase in lung i
mpedance observed in our previous study can be produced purely by the
effects of airway heterogeneity. However, we were only able to reprodu
ce the plateauing of hysteresivity by assigning a minimum radius to ea
ch airway, beyond which it would immediately snap completely shut. We
propose that airway closure played an important role in our experiment
al observations.