Use of an hypoxic lung as a deoxygenator to provide extended
assessment of pulmonary function in rats.
Decampos, Kleber N., Shaf H. Keshavjee, Lorraine Tremblay, Toshiyuki
Yamashiro, Arthur S. Slutsky.
Divisions of Thoracic Surgery and Respirology, Departments of
Surgery and Medicine, The Toronto Hospital, and The Samuel Lunenfeld
Research Institute, Mount Sinai Hospital, University of Toronto,
Toronto, Ontario, Canada
APStracts 3:0057A, 1996.
Isolated perfused lung systems are commonly used to assess lung
function in experimental studies. Assessment of hemodynamics and gas
exchange function in these systems is limited by the availability of
venous blood. This study describes and validates a rat lung perfusion
circuit in which a double-lung block ventilated with an hypoxic gas
mixture (FIO2 0.04, FICO2 0.08; deoxy block) is used to provide
blood, with blood gases that are similar to mixed venous values, to
perfuse a study lung (FIO2 0.21; left lung only). This allows
extended assessment of hemodynamics and gas exchange. Fifty adult
male Wistar rats (300-400 g) were used as double-lung donors. Twenty
five perfusions (of both deoxy and study lungs) were performed in 4
protocols (groups 1 to 5; n=5). In protocol 1 (group 1), we tested
whether exposure to room air affects the gas composition of the blood
in the system. We found that the gas composition of the venous
reservoir blood was identical to that of the blood entering the study
block. In protocol 2, the effect of perfusion time and perfusion flow
rate on the stability of the system was assessed. Lungs were perfused
at 4 and 12 ml/min (groups 2 & 3, respectively) and the procedure
was discontinued if edema, or a marked decline in hemodynamics, or
gas exchange function was observed. Pulmonary function was excellent
and remained stable for 3h (at 12 ml/min), and 5h (at 4 ml/min). In
protocol 3, we examined whether hypoxic ventilation in the deoxy
lungs affects the stability of the system. Despite the low FIO2 used
in the deoxy lungs, the Ppa-Q relationships in the study and deoxy
lungs were similar. Finally, in protocol 4, perfusion of a damaged
study lung did not impair the function of the system. We conclude
that this model permits reliable assessment of pulmonary function in
rats under controlled ventilation and perfusion conditions. The use
of a deoxygenator double-lung block simplifies the perfusion
apparatus and eliminates the main cause of instability of other
systems which use an anaesthetized host animal to provide venous
blood.
Received 10 April 1995; accepted in final form 30 November 1995.
APS Manuscript Number A386-5.
Article publication pending Journal of Applied Physiology.
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 29 January 96