Methacholine Responsiveness of Proximal and Distal ... - CiteSeerX

2 downloads 0 Views 2MB Size Report
Oct 26, 2001 - Department of Pediatrics, School of Medicine and the Department of ... the University of California, Davis, California 95616. Running head: Rat vs monkey airway responses .... Chemicals, St. Louis, MO) were prepared fresh on the day of each experiment in .... On the other hand, Minshall et al (17), using.
J Appl Physiol Articles in PresS. Published on October 26, 2001 as DOI 10.1152/japplphysiol.00415.2001

JAP-00415-2001.R4

Methacholine Responsiveness of Proximal and Distal Airways of Monkeys and Rats using Videomicrometry

KAYLEEN S. KOTT, KENT E. PINKERTON, JOHN M. BRIC, CHARLES G. PLOPPER, KRISHNA P. AVADHANAM, JESSE P. JOAD

Department of Pediatrics, School of Medicine and the Department of Anatomy, Physiology, and Cell Biology, School of Veterinary Medicine at the University of California, Davis, California 95616

Running head: Rat vs monkey airway responses

Corresponding author: Jesse P. Joad, M.D. Department of Pediatrics, Ticon II 2516 Stockton Blvd. Sacramento CA 95817 Telephone: 916-734-3189 FAX: 916-734-4757 e-mail: [email protected]

Copyright 2001 by the American Physiological Society.

JAP-00415-2001.R4 ABSTRACT Rat and monkey are species that are used in models of human airway hyperresponsiveness.

However, the wall structures of rat and monkey airways are

different from each other, with that of the monkey more closely resembling that of humans. We hypothesized that differences in wall structure would explain differences in airway responsiveness. Using videomicrometry, we measured airway lumenal area in lung slices to compare proximal and distal airway responsiveness to methacholine in the rat and monkey. The airway type was then histologically identified. Proximal airways of the young rat and monkey were equally responsive to methacholine.

In contrast,

respiratory bronchioles of monkeys were less responsive than were their proximal bronchi, whereas the distal bronchioles of rats were more responsive than their proximal bronchioles.

Both proximal and distal airways of younger monkeys were more

responsive than those of older monkeys. Airway heterogeneity in young monkeys was greatest with regard to degree of airway closure of respiratory bronchioles. We conclude that responsiveness to methacholine varies with airway wall structure and location.

Key words: age, methacholine, respiratory bronchiole.

JAP-00415-2001.R4 1 INTRODUCTION Rat and monkey are both species that are used as models of human airway hyperresponsiveness. However, the wall structures of rat and monkey airways are very different from each other, with that of the monkey more closely resembling that of humans. In particular, the most distal airways in the rats are unalveolarized bronchioles, whereas those in monkey and human are extensively alveolarized or respiratory bronchioles. The most common methods used to evaluate airway responsiveness are to measure total pulmonary resistance (RL) or airway resistance (Raw) in the whole animal, or to measure tension in isolated airway segments. Airway strips or rings measure changes in smooth muscle tension, which only approximates airway narrowing, since the mechanical interactions with other components of the airway wall are not evaluated. None of these methods allow for measurement of the most distal airways. One method used to study distal airways is to determine the tissue resistance (Rti) component of RL. However, only some of the potential contributors to Rti involve the small airways. Methacholine-induced

increases

in

Rti

have

been

ascribed

to

airway-tissue

interdependence, small airway closure, interstitial contractile elements, airway inhomogeneities and/or airway wall shunting (13).

Another method to study distal

airways is to measure changes in tension in parenchymal strips. However, this technique measures the behavior of multiple small airways and may measure the activity of myofibroblasts in the parenchyma. These measures of airway function are inadequate to evaluate: 1) the functional differences due to the distinctive airway wall structure of different airway generations, or 2) the toxicological problems that arise from generation-

JAP-00415-2001.R4 2 specific or focal injury to airways. Finally, these methods do not allow an evaluation of airway histology with physiology in the same small airway segment. Videomicrometry of airways in lung slices holds several advantages.

First,

individual airways can be evaluated by airway location, including the smallest of airways. Videomicrometry evaluates the airway in situ with all the influences of tethering and of an intact and functional wall, though without such in vivo effects as tidal volume oscillations (9). Local immune and nerve responses are functional, but proximal nervous system and systemic circulation influences are absent.

Airway heterogeneity in

sensitivity and closure to spasmogens can be studied. A number of investigators have used lung-slice videomicrometry to study rat (4;5;15) and guinea pig (8) airways. Problems experienced include an inability to identify airway location, variability in the data, and poor resolution of images.

In this study, we undertook to address these

technical issues and to use videomicrometry to study airway responsiveness in two species, rat and monkey, with markedly different airway morphology.

We were

particularly interested in evaluating whether the respiratory bronchioles of the monkey would show significant narrowing, and how they would compare with the distal bronchioles of the rat. We hypothesized that the known differences in wall structure of these airways would help explain differences in proximal and distal airway responsiveness in the two species.

MATERIALS AND METHODS Animals. Sprague-Dawley female rats (n = 7) were obtained from Zivic-Miller (Zelienople, PA) and utilized in these experiments at 45 to 55 days of age. Rats were

JAP-00415-2001.R4 3 received at 4 to 5 weeks of age and housed in filtered air rooms for at least a week before necropsy. The rhesus monkeys (Macaca mulatta; n=28) used in this study were born at the California Regional Primate Center colony and represented animals from three different ongoing projects at CRPRC. The ages of young monkeys were 30 days (n=3), 70 days (n=8), 90 days (n=3), and 6 months (n=8). Six 3-year-old monkeys were also used. With the exception of four female 70-day-old monkeys, all monkeys were males. The young monkeys were housed from birth indoors in filtered air rooms, with the exception of two 6-month-old monkeys that were housed out of doors.

Seventeen

monkeys skin tested negatively for dust mite. Three of the 6-month-old and eight of the 70-day-old monkeys were not skin tested. All 3-year-old monkeys were field controls, housed in outdoor field corrals.

Care and housing of animals complied with the

provisions of the Institute of Laboratory Animal Resources and conformed to practices established by the American Association for Accreditation of Laboratory Animal Care (AAALAC). Tissue preparation.

Rats were anesthetized with pentobarbital 1 mg/kg

intraperitoneally. A ventral incision in the neck was made to cannulate the trachea, the chest was opened, and heparin (100 units) was injected into the right ventricle. The pulmonary artery was cannulated via the right ventricle, the left ventricle was incised, and 50 mL of warm (37oC) Krebs Henseleit buffer with 2% bovine serum albumin was perfused through the lungs. The lungs and heart were removed en bloc from the thoracic cavity and warm (37oC) agarose (1.25%) in Waymouth's medium was slowly instilled into the lungs. The filling progressed evenly, with the tip of the infracardiac lobe filling last. At this point, the filling was stopped and the agarose-filled lungs were chilled in ice-

JAP-00415-2001.R4 4 cold (4°C) Waymouth's medium for at least 30 min. The pleura of the infracardiac lobe was translucent and showed no signs of uneven filling either at the time of agarose inflation or upon inspection of the slices after the lobe was cut. The slicing procedure was performed between 60 and 150 min after sacrifice. The infracardiac lobe was separated from the rest of the lung and cut in 10-mm blocks in a plane perpendicular to the long axis of the lobe. To prepare lung slices, the lung lobe block was glued to the cutting platform of the vibratome and submerged in ice-cold Waymouth’s. Lung slices, cut perpendicular to the axial airway of the lobe, were 650 µm thick for proximal airways and 600 µm thick for distal airways. Each slice was tacked to a cover-slip with small, discrete spots of nexaband glue near the pleural edges and placed in 35-mm tissue culture dishes (Corning, NY) in 3 mL ice-cold Waymouth’s. Slices were inspected, and only those airways with edges completely in focus and with no airway branching were chosen for methacholine challenge. The agarose plug from each airway was removed prior to study by gently probing it using a 32-gauge needle. Tissue harvest and slice preparation for the monkeys were similar to that of the rat, with the following exceptions.

The monkeys were initially anesthetized with

ketamine (10 mg/kg i.m.), and then deeply anesthetized with pentobarbital (>22 mg/kg). The trachea was intubated, and the ventilator set at 10 mL/kg tidal volume and respiratory rate of 45 to 60 breaths per minute for the monkeys 6 months old and younger, and 15 mL/kg tidal volume and respiratory rate of 15 to 20 breaths per minute for 3-year-old monkeys. The monkeys were given a euthanizing dose of pentobarbital (44 mg/kg) and exsanguinated. The heart-lung-tracheal unit was removed from the chest cavity, and the right accessory lobe cannulated and inflated with 1.25 % agarose as

JAP-00415-2001.R4 5 described above. The lobe was chilled in ice-cold Waymouth’s for at least 30 min and subsequently prepared and cut into slices in the same manner as the rat tissue. Image Capture.

Lung slices in culture dishes were placed under an Olympus

BH2 light microscope with water-immersion lenses connected to a Power Macintosh 7300/180 computer running NIH Image software via a DAGE MTI video camera and observed on the monitor. Image magnification on the video screen was 75X or 150X depending on the size of the airway. Images of the cross-sectional area of the main axial airway path were captured using NIH Image software. Experimental protocol for determining reactivity of airways. In the rat studies, the lung slices were kept in ice-cold Waymouth’s until studied 4 to 8 hours after sacrifice. Throughout the airway responsiveness studies, the slices were placed in Krebs (37°C) with or without methacholine, and were continually aerated with 95% O2 and 5% CO2 (carbogen), at pH 7.35 ±0.03. All solutions were aerated with carbogen for at least 5 min and pH measured prior to application to slices. Preliminary studies showed pH was constant after 5 min of aeration with carbogen. After a minimum of 40 min, with Krebs buffer changes every 5 min, airways with a lumenal area changing less than 10% between washes and pulsating less than 10% by visual inspection were challenged with methacholine. Drug concentrations started at 10-8 M (rat) or 10-9 M (monkey), with each subsequent concentration increasing by at least ½ log increments to a maximum 10-4 M. For each concentration, the old solution was removed and the new one added. An image was captured 5 min after each buffer change and after 5 min incubation in each concentration of drug.

Preliminary studies with rats and monkey slices found the

responses to drug to be stable between 2 and 8 min incubation time.

Preliminary

JAP-00415-2001.R4 6 experiments showed that when this procedure was performed with buffer without methacholine, the lumenal area was stable in both rats and monkeys. Distal and proximal airways were paired in the image capture protocol, to avoid any time delay effects in comparing proximal vs distal responsiveness. Histological evaluation of the airways.

Following measurement of airway

response, all lung slices were fixed in 1% paraformaldehyde for a minimum of 24 hrs prior to being embedded in paraffin (Paraplast-20, Oxford Labware, St. Louis, MO). Serial sections 5 µm thick were cut using a microtome (Carl Zeiss, Inc., Thornwood, NY) and stained with hematoxylin and eosin.

The airway within each lung slice was

examined by light microscopy. The alveoli appeared to be properly inflated and of uniform size. The airway epithelium showed no evidence of damage from removal of the agarose plug. Airways were identified by structural features. A bronchus was identified by the presence of cartilage in the wall, a bronchiole by the lack of cartilage or alveolar outpocketings within the wall, and a respiratory bronchiole by alveolar outpocketings along the wall. Reagents and solutions. SeaPlaque agarose was obtained from FMC Bioproducts (Rockland, ME). Waymouth's MB 752/1 Medium was purchased from Gibco BRL, Life Sciences (Grand Island, NY).

Sodium bicarbonate 2.24 mg/L was added to the

Waymouth’s solution, and pH was adjusted to 7.4 at 4oC. The Krebs Henseleit buffer (NaCl 119 mM, KCl 4.7 mM, CaCl2 3.2 mM, NaHCO3 21 mM, MgSO4. 7H2O 1.17 mM, KH2PO4 1.18 mM, and D-glucose 0.1%; Mallinkrodt and Sigma) was made fresh weekly and heat sterilized. NaHCO3 and CaCl2 were added on the day of the experiment; the buffer was aerated with 5% CO2 in O2 (carbogen) and adjusted to a pH of 7.4 at 37oC.

JAP-00415-2001.R4 7 Final

concentrations

of

methacholine

(acetyl-β-methylcholine

chloride;

Sigma

Chemicals, St. Louis, MO) were prepared fresh on the day of each experiment in Krebs buffer from 10-2 M stock.

Nexaband was purchased from Veterinary Products

Laboratories, and bovine serum albumin was purchased from Sigma. Data analysis and statistical evaluation. The epithelial lumenal border of the airway was traced, and the lumenal area was calculated using NIH Image software. The data were expressed as a percent of the lumen measured in the last buffer wash. Concentration response curves were compared using a repeated measures analysis of variance. When appropriate, post hoc analyses consisted of a series of Scheffe contrast tests among the treatment groups (SAS/Stat, SAS Institute). Heterogeneity of airway responsiveness to methacholine, as indicated by maximal response and EC50, was evaluated in monkeys 6 months of age and younger. The younger monkey data base was chosen because, it had a sufficient number of animals with multiple slices to evaluate intra-animal variance.

For evaluation of intra-animal

heterogeneity, airways were included if at least 2 airways from the same region (proximal or distal) in the same animal were available. The maximal response, defined as the airway-lumenal area at maximal closure, was expressed as a percentage of original lumenal area. The EC50, defined as the concentration of methacholine that decreased the lumenal area from its original area to half of its final area, was calculated by linear interpolation between log-transformed methacholine concentrations.

The individual

animal variances of these values in the proximal and distal airways were compared using a t-test.

JAP-00415-2001.R4 8 Data were log transformed if variances differed by more than 3-fold. Significance was defined as a P value less than 0.05.

RESULTS Videomicrometry technique. Water-immersion

lenses

provided

excellent

visualization of the epithelial lumenal border as airway smooth muscle constricted, as shown in Figure 1. In addition, some of the airways in the monkeys were noted to pulse by spontaneously opening and partially closing in about a 3-s cycle, with about 0.5 s for constriction and 2.5 s for relaxation. This pulsation was not affected by addition of indomethacin (10–3 M). If the pulsation was significant, the slice was not used for data acquisition. If the pulsation was minor (less than 10% by visual inspection), the image was captured in the most open configuration. In an effort to reduce variability in the data, the effects of obliquely cut vs. crosssectionally cut airways on concentration response curves were evaluated. As shown in Figure 2 for distal airways, the obliquely cut airways were less reactive to methacholine, and closed less completely than cross-sectionally cut airways.

Thus, only cross-

sectionally cut airways were used for data analyses. Histological evaluation of the airways. In histologically evaluating the monkey lung slices, it was determined that 95% of the proximal airways were bronchi, with the presence of cartilage in the wall and intact epithelium lining the lumen. Ninety-five percent of distal airways in monkey lung slices were found to have alveolar outpocketings in the walls and were defined as respiratory bronchioles. The remaining airways were labeled as bronchioles and were typically within one to two generations of a

JAP-00415-2001.R4 9 respiratory bronchiole. In contrast, rat lung slices contained only bronchioles, with large bronchioles identified in proximal slices and small bronchioles identified in distal slices. In all instances for both species, the epithelial lining of all airways was found to be intact. Comparison of 7-week-old rat and 6-month-old monkey proximal and distal airways. Histological evaluation of the proximal airways (Figure 3, Table 1) from the lung slices showed the expected morphology for the rat and monkey airways. Specifically, the monkey proximal airway had pseudostratified columnar epithelium, cartilage, goblet cells, and submucosal glands, whereas the rat had simple columnar epithelium and no cartilage, goblet cells, or submucosal glands. In the distal airways, the monkey had alveolar outpocketings indicative of respiratory bronchioles, while the rat had bronchioles without alveolar outpocketings. In airway slices used in the comparison, the rat proximal airways were approximately the same diameter as those from the monkey, whereas the rat distal airways were bigger than those from monkey.

All

airways, independent of size and type, demonstrated the presence of interrupted, circumferential bands of smooth muscle segments. Proximal airways for both monkeys and rats possessed prominent bands of smooth muscle, while distal airways contained less. Physiological evaluation (Figure 4) showed that the rat and monkey proximal airways were equally responsive to methacholine. However, rat distal airways were more responsive to methacholine than monkey distal airways. In the rat, the distal airways were more responsive to methacholine than the proximal airways, whereas in the monkey, the reverse was observed—distal airways were less responsive to methacholine than proximal airways.

JAP-00415-2001.R4 10 Comparison of monkey proximal and distal airways at different ages. Airway responsiveness to methacholine was evaluated in monkeys at various ages. Because airway responsiveness in monkeys 6 months of age and younger did not differ, the data were combined and compared with data from airways of 3-year-old monkeys. The proximal and distal airways of young monkeys were more responsive than those of older monkeys (Figure 5). Intra-animal heterogeneity in airways from young rhesus monkeys. Intra-animal heterogeneity of airway responsiveness to methacholine is shown in Figure 6. The mean of the individual animal variances for the EC50 in the proximal airways (0.24 ± 0.13, n=13) did not differ statistically from that in the distal airways (0.28 ± 0.12, n=11, P=0.42).

However, for the maximal response, the mean of the individual animal

variances was much less in the proximal airways (31 ± 12) than in the distal airways (401 ± 259, P=0.02).

DISCUSSION By using videomicrometry in conjunction with lung airway slices, a method that allows measurement of airway contractility by individual generations with intact peribronchial constituents, we found variability by airway generation, age, and species. This study is the first to compare the responsiveness of proximal and distal airways of monkeys and rats. In fact, to the best of our knowledge, this represents the first time the responsiveness of the respiratory bronchiole, as defined by its anatomic structure, has been measured in any species. We demonstrated that rat and monkey proximal airways, used in this study, were remarkably similar in their response to methacholine.

In

JAP-00415-2001.R4 11 contrast, rat distal bronchioles were more responsive than proximal airways to methacholine, while in the monkey; respiratory bronchioles (i.e., distal airways) were less responsive than bronchi (i.e., proximal airways). In addition, both proximal and distal airways from young monkeys were more responsive to methacholine than those from 3year-old monkeys. An extensive database exists to identify differences between the rat and primate airway wall structure (2;5). Proximal airways in the rat differ from those of the monkey by

the

presence

of

a

simple

cuboidal-to-columnar

epithelium,

rather

than

psueudostratified epithelium. In addition, proximal airways of the rat lack goblet cells, submuscosal glands, and cartilage. The presence of cartilage in the proximal airways of the monkey might be expected to limit the narrowing of the airway lumen. Jiang and Stephens (10) showed that bronchial smooth muscle without cartilage attached demonstrated greater maximum shortening capacity and greater maximum velocity of isotonic shortening than bronchial smooth muscle with cartilage intact. In the present studies, virtually all of the proximal airways studied from monkeys contained cartilage. However the presence of cartilage did not appear to inhibit proximal airway responsiveness. Distal airways in the rat differ from those in the monkey to an even greater degree than do the proximal airways (Table 1). In the rat, up to 16 airway generations are present before reaching the terminal bronchiole, immediately giving rise to the alveolar duct (26).

In the monkey, there are up to 16 generations of airways (personal

communication, Michelle Fanucchi, UC Davis), which subsequently give rise to 3 to 6 generations of respiratory bronchioles before reaching the level of the alveolar duct (23).

JAP-00415-2001.R4 12 In this study, virtually all distal airways in monkeys were identified anatomically as respiratory bronchioles.

Despite the interruption of the wall with outpocketings of

alveoli, the monkey respiratory bronchioles were responsive to methacholine. However, as shown statistically in the younger monkeys, the respiratory bronchioles were the least responsive and most variable airway studied.

There was no obvious histological

explanation for the hyperresponsiveness of rat distal airway compared to the proximal airway. Possible mechanisms include fewer infolds (internal tethers); thinner lamina propria/submucosa (21); thick epithelial basal lamina (24); different smooth muscle area, configuration, or cell biology; less diffusion distance (18); and increased epithelial permeability (18). Recently, Wohlsen et al. (25), using viedomicrometry techniques, showed that smaller airways of Wistar rats were more responsive to allergen and ketanserin, a serotonin antagonist, than were larger airways. Similarly, Mitchell and Sparrow (18) demonstrated in pig airways in vitro, that small lumen (3 mm2) bronchial tubes were more sensitive to methacholine and closed more completely than did larger lumen bronchial tubes (18 mm2).

On the other hand, Minshall et al (17), using

videomicrometry techniques similar to those used in the present study to examine human airways from lung tissue resected for cancer, did not see a difference in responsiveness between large and small airways. However, differences between proximal and distal airways may have been obscured, because the airways came from different lobes and parts of lobes and that the airways were inflamed due to cigarette smoke exposure. Thus it may be that in general, airway responsiveness increases in the distal airways compared to the proximal airways, but that once the airways become respiratory bronchioles as they do in the human and monkey, airway responsiveness is less.

JAP-00415-2001.R4 13 A number of studies in rats (12), rabbits (22), and humans (3;7;14) have suggested that airway responsiveness is greater in younger than in older animals. We previously showed that the isolated perfused lungs from 8-week-old rats were 2- to 3-fold more responsive to methacholine at the highest dose given than were those from 15-week-old rats (12). This is the first study to compare the developmental aspects of airway reactivity of proximal and distal airways in the monkey. We showed that both proximal and distal airways were more responsive to methacholine in younger than in older primates. The observation of pulsing airways in monkeys (rarely found in rats) was an unexpected and interesting phenomenon. This pulsation was not due to cyclooxygenase products, because indomethacin did not inhibit this unique feature.

In vivo airway

physiology in primates may be even more dynamic than had been previously appreciated. It is generally thought that airways within a person or animal show heterogeneity in responsiveness. In fact, airway heterogeneity is one of the potential explanations for the increase in Rti with methacholine administration (13). The study of human airways by Minshall et al. (17) reported marked heterogeneity in human airways using videomicrometry techniques. Although we also saw some heterogeneity in responses in the young monkeys, it was much less than they reported. Our intra-animal variances for EC50 in both proximal and distal airways, and for maximal effect in the proximal airways, were 5-fold less than that reported by Minshall et al.

However, we did see marked

variability in maximal effect in the distal airways. The variance of these airways was 12fold that in the proximal airways. Thus, although heterogeneity exists, we believe it is mostly confined to the degree of closure of respiratory bronchioles.

JAP-00415-2001.R4 14 We believe that improvement in technique is the reason we showed less heterogeneity than has been reported by others. We have made a number of adjustments in our technique to reduce variability. We always studied generations within the axial airway of the lobe. We cut our slices with a vibratome to a consistent thickness (600–650 µm) that would allow for clearly defined airway lumen and also be thick enough for histology procedures. We glued the edges of the lung slice to a cover slip to optimize the intrinsic tethering forces of the surrounding parenchyma. This is important because in vivo studies have shown that tethering of the airways affects airway responsiveness to spasmogens (1;2) and Mitchell et al. (19) showed in vitro in lung slices that bronchoconstriction will stretch adjacent lung parenchyma, imposing a load on airway smooth muscle. Although the concentration of agarose can affect the closure of airways, (5) we used the same concentration (1.25%) in all our studies. Inflation volume with the agarose can also affect airway closure (5). We used a standard method to fill the lungs with agarose, which was done by the same person for every experiment. Histological examination showed the alveoli to be equally distended. A water-immersion lens, rather than an inverted microscope (5;15), allowed for a more precise image of the airway. We also extended our pre-washes until the lumenal area of the airway was changing by no more than 10%, and rejected airways that failed to stop pulsating. Finally, as shown in Figure 2, eliminating obliquely cut slices provided much more consistent data, especially for distal airways. In order for comparisons to be made within and between species, there must be consistency in the method for airway selection. This was accomplished by 1) studying airways from a lobe with a single primary axial airway, 2) localizing the distance along

JAP-00415-2001.R4 15 the lobe (proximal or distal), and 3) describing the airway’s lumenal size and structure as shown by histology. We were certain that the proximal airways were proximal to the distal ones.

In addition, in the monkey, we knew that the proximal airways were

histologically bronchi or bronchioles, whereas the distal airways were almost entirely respiratory bronchioles. In the rat, this histological verification was not possible, because the proximal and distal airways in the rat appear similar until the terminal bronchiole. Although airway lumenal size does not correlate well with airway generation, in general, the distal airways were smaller than the proximal airways, as would be expected. With regard to the lobes, we picked the lobe from each species that would provide the straightest axial airway. In the monkey, the accessory lobe axial airway curves sharply at first, then straightens out and divides in a monopodial fashion until, in the final onefourth of the lobe, it begins to divide dichotomously. In the rat, the infracardiac lobe airway has a less sharp curve proximally and remains monopodial throughout the lobe. A large axial airway throughout the lobe probably explains why the distal airways of the rats were larger than those of the monkey, despite coming from the same relative section of the lobe. Other potential methodological concerns in the between-species comparisons are differences in drugs used at necropsy (heparin in the rat and ketamine in the monkey) and viability. With regard to the differences in drugs at necropsy, the vasculature was cleared of drug by buffer-perfusing the rats and exsanguinating the monkeys. The slices were then washed 8 times for a total of at least 40 min before the study. We do not believe that residual drug remained in the tissues with this procedure. Finally we believe all airways were viable. The proximal airways of both species and the distal airways of the rat all

JAP-00415-2001.R4 16 closed by at least 40% to methacholine, suggesting that they were viable. Although some of the distal airways of monkey did not show as much response to methacholine, these slices were handled identically. Further evidence of viability of the tissue is that on histological evaluation the epithelium was intact, without blebbing, vacuolization, or sloughing. Videomicrometry is a useful tool to study differences in airway physiology. Recently, Martin et al. (16) used videomicrometry elegantly to show that enthothelin-1 affects small and large airways in the rat to the same extent, whereas a thromboxane agonist was ten-fold more potent in contracting small airways compared with large airways.

Our present work demonstrates that this technique of studying the

responsiveness of a distinct airway can be coupled with evaluating the wall structure of that same airway. This attribute of our videomicrometry method will also make it useful in studying toxicological, allergic, and infectious influences that differ by airway generation. Such site-specific differences among airways have been shown following exposure to ozone on airway epithelial cell injury (11), as well as glutathione levels (6). Furthermore, within a generation, there may be focal injury (20). Thus, combining airway physiology with histology in the same slice will allow for studying such airway changes. In conclusion, we have shown that videomicrometry is a powerful tool for evaluating responsiveness of individual intrapulmonary airways. This is especially true for the smaller distal airways, which are difficult to study by other techniques. Furthermore, this technique allows for selective study and comparison of proximal and distal airways.

More specifically, in the present study, we have shown that the

JAP-00415-2001.R4 17 respiratory bronchioles of the monkey were less responsive, and the distal bronchioles of the rat were more responsive, than the proximal airways of either species. In the monkey, both proximal and distal airways were more responsive in younger than in 3-year-old animals. We have shown that heterogeneity in airways is less than previously thought except for maximum closure of respiratory bronchioles. Most importantly, we have shown that respiratory bronchioles can be studied as distinct airways, that they are responsive to methacholine, and that they differ in their responsiveness from that of the most distal airway of the rat. This adds to the evidence that the monkey is a better experimental model for human airway responsiveness. Using videomicrometry methods in combination with histological evaluation will greatly facilitate our understanding of the constitutive function of the airways and allow for better investigation of effects of toxins and allergens on specific airway generations.

JAP-00415-2001.R4 18

ACKNOWLEDGMENTS The authors thank Daniel Hung, Toufou Yang, Xiaomu Zheng Mu, Janine Low, and Judy Stewart for their excellent technical assistance. This research was supported by grants from the Tobacco-Related Disease Research program (6RT-0327 and 7RT-0118), NIEHS ES00628, R5707 and RR00169, and EPA G9M10848).

JAP-00415-2001.R4 19 REFERENCES 1. Bates, J. H. T., T. F. Schuessler, C. Dolman, and D. H. Eidelman. Temporal dynamics of acute isovolume bronchoconstriction in the rat. J.Appl.Physiol. 82: 5562, 1997.

2. Brown, R. H., W. Mitzner, Y. Bulut, and E. M. Wagner. Effect of lung inflation in vivo on airways with smooth muscle tone or edema. J.Appl.Physiol 82: 491-499, 1997.

3. Busse, W. W., S. P. Banks-Schlegel, and G. L. Larsen. Effects of growth and development on lung function - Models for study of childhood asthma. Am.J.Respir.Crit.Care Med. 156: 314-319, 1997.

4. Dandurand, R. J., C. G. Wang, S. Laberge, J. G. Martin, and D. H. Eidelman. In vitro allergic bronchoconstriction in the brown Norway rat. Am.J.Respir.Crit Care Med. 149: 1499-1505, 1994.

5. Dandurand, R. J., C. G. Wang, N. C. Phillips, and D. H. Eidelman. Responsiveness of individual airways to methacholine in adult rat lung explants. J.Appl.Physiol 75: 364-372, 1993.

6. Duan, X., A. R. Buckpitt, K. E. Pinkerton, C. Ji, and C. G. Plopper. Ozone-induced alterations in glutathione in lung subcompartments of rats and monkeys. Am.J.Respir.Cell Mol.Biol. 14: 70-75, 1996.

JAP-00415-2001.R4 20 7. Fayon, M., A. Ben-Jebria, C. Elleau, D. Carles, J.-L. Demarquez, J.-P. Savineau, and R. Marthan. Human airway smooth muscle responsiveness in neonatal lung specimens. Am.J.Physiol.Lung Cell.Mol.Physiol. 267: L180-L186, 1994.

8. Galens, S., N. M. Munoz, K. F. Rabe, A. Herrnreiter, D. Mayer, B. Morton, K. McAllister, and A. R. Leff. Assessment of agonist- and cell-mediated responses in airway microsections by computerized-videomicrometry. Am.J.Physiol 268: L519L525, 1995.

9. Gunst, S. J., J. Q. Stropp, and J. Service. Mechanical modulation of pressurevolume characteristics of contracted canine airways in vitro. J.Appl.Physiol 68: 2223-2229, 1990.

10. Jiang, H. and N. L. Stephens. Contractile properties of bronchial smooth muscle with and without cartilage. J.Appl.Physiol 69: 120-126, 1990.

11. Joad, J. P., J. M. Bric, A. J. Weir, L. Putney, D. M. Hyde, E. M. Postlethwait, and C. G. Plopper. Effect of Respiratory Pattern on Ozone Injury to the Airways of Isolated Rat Lungs. Toxicol.Appl.Pharmacol. 169: 26-32, 2000.

12. Joad, J. P., K. E. Pinkerton, and J. M. Bric. Effects of sidestream smoke exposure and age on pulmonary function and airway reactivity in developing rats. Pediatr.Pulmonol. 16: 281-288, 1993.

JAP-00415-2001.R4 21 13. Kaczka, D. W., E. P. Ingenito, B. Suki, and K. R. Lutchen. Partitioning airway and lung tissue resistances in humans: effects of bronchoconstriction. J.Appl.Physiol 82: 1531-1541, 1997.

14. Le Souëf, P. N., M. R. Sears, and D. Sherrill. The effect of size and age of subject on airway responsiveness in children. Am.J.Respir.Crit.Care Med. 152: 576-579, 1995.

15. Martin, C., S. Uhlig, and V. Ullrich. Videomicroscopy of methacholine-induced contraction of individual airways in precision-cut lung slices. Eur.Respir.J. 9: 24792487, 1996.

16. Martin, C., V. Ullrich, and S. Uhlig. Effects of the thromboxane receptor agonist U46619 and endothelin-1 on large and small airways. Eur.Respir.J. 16: 316-323, 2000.

17. Minshall, E., C. G. Wang, R. Dandurand, and D. Eidelman. Heterogeneity of responsiveness of individual airways in cultured lung explants. Can.J.Physiol Pharmacol. 75: 911-916, 1997.

18. Mitchell, H. W. and M. P. Sparrow. Increased responsiveness to cholinergic stimulation of small compared to large diameter cartilaginous bronchi. Eur.Respir.J. 7: 298-305, 1994.

JAP-00415-2001.R4 22 19. Mitchell, R. W., E. Ruhlmann, H. Magnussen, N. M. Munoz, A. R. Leff, and K. F. Rabe. Conservation of bronchiolar wall area during constriction and dilation of human airways. J.Appl.Physiol 82: 954-958, 1997.

20. Paige, R. C. and C. G. Plopper.Acute and chronic effects of ozone in animal models. In Holgate, S. T., J. M. Samet, H. S. Koren, and R. L. Maynard, eds., Air Pollution and Health. San Diego, CA, Academic Press. 1999, 531-557.

21. Seow, C. Y., L. Wang, and P. D. Pare. Airway narrowing and internal structural constraints. J.Appl.Physiol 88: 527-533, 2000.

22. Shen, X., V. Bhargava, G. R. Wodicka, C. M. Doerschuk, S. J. Gunst, and R. S. Tepper. Greater airway narrowing in immature than in mature rabbits during methacholine challenge. J.Appl.Physiol. 81: 2637-2643, 1996.

23. Tyler, N. K. and C. G. Plopper. Morphology of the distal conducting airways in rhesus monkey lungs. Anat.Rec. 211: 295-303, 1985.

24. Wiggs, B. R., C. A. Hrousis, J. M. Drazen, and R. D. Kamm. On the mechanism of mucosal folding in normal and asthmatic airways. J.Appl.Physiol 83: 1814-1821, 1997.

25. Wohlsen, A., S. Uhlig, and C. Martin. Immediate allergic response in small airways. Am.J.Respir.Crit Care Med. 163: 1462-1469, 2001.

JAP-00415-2001.R4 23 26. Yeh, H. C., G. M. Schum, and M. T. Duggan. Anatomic models of the tracheobronchial and pulmonary regions of the rat. Anat.Rec. 195: 483-492, 1979.

JAP-00415-2001.R4 24

FIGURE LEGENDS

Figure 1. Example of the captured images (upper panel, numbers represent log molar concentrations of methacholine) and corresponding concentration response curve (graph) from an axial airway in a proximal lung slice from the accessory lobe of a monkey. Increasing concentrations of methacholine were applied to the airway, and the lumenal area was determined using NIH Image software.

Figure 2.

Effect of cutting an airway obliquely on airway responsiveness to

methacholine. A. An example of an obliquely cut distal airway from a rat. An airway was defined as obliquely cut if 20% or more of the long diameter (line a+b) of the airway lumen included exposed inner airway wall (line b). B. An example of a cross-sectionally cut distal airway from a rat. C. Comparison of responsiveness to methacholine in obliquely vs. cross-sectionally cut distal airways in the rat. Increasing concentrations of methacholine were applied to the airways, and the lumenal area was determined using NIH Image software. Values are means + SEM. The obliquely cut airways appeared to be less reactive to methacholine and closed less completely (P = 0.0001, n=6 oblique, n=13 cross-section).

Figure 3. Examples of A) rat proximal airway, B) rat distal airway, C) monkey proximal airway, and D) monkey distal airway. observed (see text).

The expected histological differences were

JAP-00415-2001.R4 25 Figure 4. Methacholine responsiveness of rat and monkey proximal and distal airways. Increasing concentrations of methacholine were applied to proximal and distal airways of 7-week-old rats and 6-month-old monkeys, and the lumenal area was determined using NIH Image software. Values are means + SEM. Rat (n=8 slices, 6 rats) and monkey (n=17 slices, 8 monkeys) proximal airways were equally responsive (P=0.40), whereas rat distal airways (n=13 slices, 4 rats) were more responsive (P=0.0003) than monkey distal airways (n=9 slices, 5 monkeys). Within each animal species, rat distal airways were more responsive than their proximal airways (P=0.04), whereas monkey distal airways were less responsive than their proximal airways (P=0.01).

Figure 5. Effect of age on airway responsiveness in monkeys. Increasing concentrations of methacholine were applied to proximal and distal airways from monkeys 6-months-old and younger and from monkeys 3-years-old. The lumenal area was determined using NIH Image software. Values are means + SEM. The proximal airways (top panel) from the 6-months-old and younger monkeys (n=39 slices, 22 monkeys) were more responsive to methacholine than the proximal airways of the 3-year-old monkeys (n=11 slices, 6 monkeys P=0.0005, interaction, 2-way ANOVA). The distal airways (lower panel) from the 6-months-old and younger monkeys (n=29 slices, 18 monkeys) were also more responsive to methacholine than the distal airways of the 3-year-old monkeys (n=12 slices, 6 monkeys, P=0.004, interaction, 2-way ANOVA).

JAP-00415-2001.R4 26 Figure 6. Intra-animal heterogeneity of airway responsiveness to methacholine in young monkeys. If at least 2 airways from the same region (proximal or distal) in the same animal were available, the EC50 (the concentration in log molar units of methacholine that produced 50% of the maximal response) and the maximal response were determined. Each open circle represents the data from one airway slice. Left panel. Frequency distribution of EC50 in proximal (n=13 animals) and distal airways (n=11 animals). Right panel. Frequency distribution of the maximum response in the proximal and distal airways. One hundred represents the original lumenal area and zero represents an airway that is completely closed. Whereas the variances of the EC50 within each animal did not differ between proximal and distal airways, the variances of the maximal response was less in the proximal than in the distal airways (P=0.02).

JAP-00415-2001.R4 27 TABLE. Comparison of rat and monkey airway slice morphology/histology.

Rat

Monkey

Age

Seven weeks

Six months

Body weight

182 ± 9.95 g (n=6)

1.89 kg ± 41 (n=8)

n=8 slices, 6 rats

n=17 slices, 8 monkeys

Airway type

Bronchiole

Bronchi

Lumen diameter

665 ± 65 µm

610 ± 60 µm

Epithelium

Simple columner/cuboidal

Pseudostratified columnar

Goblet cells

Absent

Present

Submucosal glands

Absent

Present

Smooth muscle

Present, interrupted

Present, interrupted

(tight spiral; i.e., approaching

(tight spiral; i.e., approaching

circumferential)

circumferential)

Absent

Present

n=13 slices, 4 rats

n=9 slices, 5 monkeys

Airway type

Bronchiole

Respiratory bronchiole

Lumen diameter

484 ± 20 µm

355 ± 40 µm*

Airway wall

Not interrupted

Interrupted by alveoli

Proximal Airways

Cartilage

Distal Airways

Smooth muscle

Present, interrupted (loose spiral) *Significantly smaller than rat distal bronchioles (P