Mn. Melsom et al., Hypoxia and hyperoxia both transiently affect distribution of pulmonary perfusion but not ventilation in awake sheep, ACT PHYSL S, 166(2), 1999, pp. 151-158
Despite a remarkable gravity independent heterogeneity in both local pulmon
ary ventilation and perfusion, the two are closely correlated at rest and d
uring exercise in the normal lung. These observations strongly indicate tha
t there is a mechanism for coupling of the two so that local (V) over dot/(
Q) over dot-ratio is kept fairly uniform throughout the lung. This is also
necessary to achieve adequate gas exchange in the lung. it was recently sug
gested that oxygen-induced vasoconstriction has a slow and intense componen
t that might contribute to the matching of ventilation and perfusion also u
nder normal conditions (Vejlstrup & Dorrington 1993). We therefore simultan
eously determined distribution of local (approximate to 1 1/2 cm(3) lung pi
eces) ventilation and perfusion in eight sheep a? normoxia (FiO(2) 21%) and
after 10 min and 2 1/2 h exposure to hypoxia (FiO(2) 12%; four sheep) or h
yperoxia (FiO(2) 40%: four sheep). We used a approximate to 1 mu m wet fluo
rescent aerosol and 15 mu m radioactive microspheres i.v. to measure local
ventilation and perfusion, respectively. Neither hypoxia nor hyperoxia caus
ed changes in the distribution of ventilation. After 10 min exposure to hyp
oxia or hyperoxia, distribution of perfusion was altered so that the correl
ation between values for local ventilation and perfusion decreased. After 2
1/2 h exposure to either hypoxia or hyperoxia, distributions of perfusion
and (V) over dot/(Q) over dot-ratio had returned to baseline. These results
show that distribution of perfusion is influenced by acute changes in oxyg
en tension, so that local matching of ventilation and perfusion is affected
. Apparently, some mechanism restores the matching during extended exposure
to the altered oxygen tension.