Distribution of blood flow and neutrophil kinetics in bronchial vasculature of sheep

Elisabeth M. Baile, Peter D. Paré, David Ernest, and Peter M. Dodek Department of Medicine and Pulmonary Research Laboratory, St. Paul's Hospital, and University of British Columbia, Vancouver, British Columbia, Canada V6Z 1Y6 Received 19 August 1996; accepted in final form 27 December 1996. Ba...

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Published inJournal of applied physiology (1985) Vol. 82; no. 5; pp. 1466 - 1471
Main Authors Baile, Elisabeth M, Pare, Peter D, Ernest, David, Dodek, Peter M
Format Journal Article
LanguageEnglish
Published Bethesda, MD Am Physiological Soc 01.05.1997
American Physiological Society
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Summary:Elisabeth M. Baile, Peter D. Paré, David Ernest, and Peter M. Dodek Department of Medicine and Pulmonary Research Laboratory, St. Paul's Hospital, and University of British Columbia, Vancouver, British Columbia, Canada V6Z 1Y6 Received 19 August 1996; accepted in final form 27 December 1996. Baile, Elisabeth M., Peter D. Paré, David Ernest, and Peter M. Dodek. Distribution of blood flow and neutrophil kinetics in bronchial vasculature of sheep. J. Appl. Physiol. 82(5): 1466-1471, 1997. The bronchial circulation, as opposed to the pulmonary circulation, is the likely source of the edema and inflammatory cells that contribute to airflow obstruction and airway narrowing associated with asthma and pulmonary edema. The purpose of this study was to understand the mechanism of edema formation and inflammation in airway walls. Therefore, we sought first to determine the normal bronchial venous drainage pathways. In anesthetized, ventilated, open-chest sheep we measured the relative distribution of 51 Cr-labeled red blood cells to the right and left ventricles after injection into the bronchial artery ( n  = 7). Using this information, we then studied the kinetics of leukocytes in the bronchial vascular bed. We measured the extraction of 111 In-labeled neutrophils during their first pass through the microvasculature after injection into the bronchial artery or right ventricle ( n = 6). In the first set of experiments, we found >85% of the systemic blood flow to the lung returns to the left ventricle. In the second set of experiments, we found that extraction of neutrophils in the bronchial vasculature (50-60%) was less ( P  < 0.05) than that in the pulmonary vasculature (80%). This finding may be explained by differences in the anatomy and/or hydrodynamic dispersal forces between the pulmonary and bronchial vascular beds or may reflect sequestration of neutrophils within the pulmonary microvasculature while traversing bronchial-to-pulmonary anastomotic pathways. bronchial-to-pulmonary anastomoses; bronchial venous drainage; neutrophil extraction; pulmonary vasculature 0161-7567/97 $5.00 Copyright © 1997 the American Physiological Society
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ISSN:8750-7587
1522-1601
DOI:10.1152/jappl.1997.82.5.1466