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Biomedical subjects

L Reid

Publications and source records attributed to L Reid.

At least 37 records · Page 2Linked to original sources

Bronchial mucosal cells.

The eight epithelial cell types and their features are described--the basal, Kultschitzsky, intermediate, brush, ciliated, serous, Clara, and mucous cell. In the irritated airway the separate secretory cell types are able to change, through transitional cell types, from the Clara and the serous to the mucous cell. Each type of epithelial cell may be associated with intraepithelial nerves, including sensory and motor, some adrenergic, some cholinergic. The epithelial surface is covered with a periciliary fluid layer in which the cilia beat. Turnover time of the epithelial cell population is faster in the young animal than old, in male than female, and in extrapulmonary than intrapulmonary airways. The epithelium responds differently to the first single exposure to tobacco smoke--in extrapulmonary airways a 'discharge' effect causes a fall in the apparent number of secretory cells while in intrapulmonary airways secretory cell number increases. Further exposures increase the secretory cell number to its maximum more rapidly in extrapulmonary than intrapulmonary airways. Differences between the response of the secretory cell population to isoproterenol and salbutamol indicate differences in the beta-adrenergic receptors in different airway regions.

Animals

Animal models in clinical disease.

Hypersecretion of mucus is a feature of several clinical diseases and in some is associated with mucous gland hypertrophy and goblet cell increase. In a variety of species these changes have been produced by irritants, by infection, or by administration of drugs. While the end result may appear the same, differences emerge in the type and amount of glycoprotein secreted and in the amount retained within the cell. Organ culture can be used to ascertain functional activity. The use of animal models has not only established that these environmental changes cause hypertrophy but indicated some of the intracellular events associated with their development. When new types of granules appear within a cell, they appear first at the apex: a flow chart is offered of the way of which individual cells change and hence the population. The nature of glycoprotein elaborated by a secretory cell can change within hours. A Clara or serous cell can develop into a mucus-secreting or goblet cell. The pattern of reversibility is emerging.

Animals

The relationship of head size to alpha frequency with implications to a brain wave model.

Analogies between brain waves and waves in physical systems suggest that EEG frequency may be partly determined by cortical surface area. Since a number of other physiological and anatomical parameters probably influence EEG frequency, only a weak correlation is to be expected. A study was made of 159 subjects, some of whom had either very large or very small heads. A single number representing head size was determined as the cube root of three linear measurements. Several characteristic EEG frequencies were determined for each subject by means of Fourier analysis. The data indicate that alpha frequency is significantly correlated with head size: larger heads tend to produce slower alpha rhythms. It was also shown that alpha frequency tends to be lower in all subjects above roughly age 60. Subjects above produced significantly less alpha rhythm than the younger group. It is suggested that analogies between brain waves and physical waves may explain a number of phenomena which are typical of EEG.

Adolescent

Bronchial atresia: a recognizable entity in the pediatric age group.

Bronchial atresia, a congenital lesion that develops after the 16th wk of fetal life, may be more common than previously believed, and this probably explains some cases of so-called congenital lobar emphysema. It may produce symptoms of pulmonary infection, wheezing, and respiratory distress severe enough to justify elective resection of that part of the lung distal to the atresia. The roentgenographic features that make this a recognizable entity are the following: (1) There is localized hyperinflation of lung in a segmental or lobar distribution, with a circular or oval parahilar radiodensity. Bronchography will demonstrate that there is no filling of the bronchus supplying this part of the lung. (2) The occasional neonate with this condition may present with an intrathoracic mass suggesting retained fetal lung fluid in lobar distribution. Bronchography will demonstrate that there is no filling of the bronchus to that part of the lung. (3) A plug of desquamated tissue and mucus in the cyst-like bronchus just distal to the point of atresia appears to be an unvarying component of the syndrome. It most commonly presents as a round or oval density, but in some cases it may be shaped like a rod or tree and rarely contains an air-fluid level.

Adolescent

A morphometric study of regional variation in lung structure in infants with pulmonary hypertension and congenital cardiac defect. A justification of lung biopsy.

The structure of the pulmonary circulation throughout the lung has been analysed by morphometric techniques in 4 infants dying with ventricular septal defect and pulmonary hypertension. Failure of the intra-acinar pulmonary circulation to develop normally is shown by a reduction in arterial size and number, and an increase in muscularity is judged by the degree of medial hypertrophy and by extension of muscle further along the arterial pathway than is normal. For these features, one section of lung tissue, 1 cm square, proved to be representative of the entire pulmonary vascular bed, and also gave satisfactory assessment of lung growth and development. Lung biopsy can help in the clinical management of children with congenital cardiac defects and pulmonary hypertension if, in selecting tissue at biopsy, allowance is made for any regional differences in pulmonary blood flow.

Anthropometry

Pus, deoxyribonucleic acid, and sputum viscosity.

On 100 sputum specimens selected from patients suffering from chronic bronchitis, bronchiectasis, asthma, and cystic fibrosis total deoxyribonucleic acid (DNA) content has been related to macroscopic type, to total dry weight yield, and to the apparent viscosity of the secretion at 1350 s-1: since DNA may be present, either as fibres or within cells, in one-third of the specimens the contribution of each form to the apparent viscosity was assessed. The effect on sputum viscosity of the addition of DNA in vitro has also been studied. Whereas between mucoid, mucopurulent, and purulent macroscopic types a significant difference in total DNA and dry weight yield has been found, viscosity was not significantly correlated with purulence. Similarly, the concentration of either cells or fibres correlated significantly with total DNA but not with viscosity. The in vitro addition of DNA to sputum caused a significant increase in its viscosity, and reasons for the differences between the iv vivo and in vitro effect are discussed. Certain constituents of purulent sputum tend to increase viscosity and others to reduce it, and the influence of these varies in the several diseases studied.

Adolescent

Growth of pulmonary circulation in normal pig--structural analysis and cardiopulmonary function.

Morphometric analysis of the postnatal development of the pig lung, with emphasis on alveoli and vessels, shows features of growth similar to man, but occurring at a much faster rate in the pig, which telescopes in the first 3 mo the changes seen in human childhood and adolescence. During the first weeks, arteries (birth to 2 wk) and alveoli (1--12 wk) increase in number, whereas increase in size continues until adulthood. Wall thickness decreases soon after birth in arteries 15--200 micrometer, and by 8 wk in those 200-1,000 micrometer. At this age the adult left ventricular predominance in weight is already present. Throughout growth the venous wall thickness does not change. Cardiopulmonary function studies in pigs, from 2 to 16 wk, show that, during the period of rapid postnatal lung growth, there is no change in tidal volume, dynamic compliance, and thoracic gas volume as related to body weight; right ventricular and pulmonary arterial pressures also remain unchanged, whereas pulmonary vascular resistance decreases during the 1st mo.

Animals

Chemical markers of mucous and serum glycoproteins and their relation to viscosity in mucoid and purulent sputum from various hypersecretory diseases.

Mucus and serum are always present in sputum. The concentrations of their markers were measured in mucoid and purulent sputum from patients with chronic bronchitis, asthma, cystic fibrosis, or bronchiectasis. Differences in the concentrations of both mucous and serum glycoproteins were greater among different macroscopic types of sputum than among diseases for the same macroscopic type. Comparison between diseases showed that sputum from patients with asthma had the widest variation in concentrations of markers of mucous glycoprotein and dry macromolecular weight. When the asthma group was further analyzed, it became apparent that patients with extrinsic asthma without chronic bronchitis represented a homogeneous group, whereas those with intrinsic asthma, with or without chronic bronchitis, were responsible for the wide variation. The concentrations of markers of mucous and serum glycoproteins in a sputum sample were correlated with the apparent viscosity of the sputum to establish the relative contribution of the glycoproteins to the viscosity of sputum. In mucoid sputum, the mucous glycoprotein was most important in determining the viscosity, whereas when in infected sputum, both mucous and serum components contributed to the viscosity.

Asthma

The effect of continued hypoxia on rat pulmonary arterial circulation. An ultrastructural study.

Hypoxia is known to cause pulmonary hypertension with an increase in arterial muscle-both hypertrophy of the medial coat of the normally muscular arteries and development of new muscle more peripherally than is normal--and a decrease in the number of small arteries. The present study descirbes the ultrastructural features of these changes. Pulmonary arteries less than 100 microgram. in diameter after distension and including alveolar capillaries and the muscular arter at the hilum were examined after exposure to 380 torr for between 1 and 52 days. The earliest change, detected from day 2, is the appearance of new muscle in the nonmuscular regions of artery. The position of the new muscle internal to the single elastic lamina and immediately subjacent to endothelium distinguished it from normal muscle. Ultrastructural examination shows not an "extension" of muscle along a pathway, but differentiation to form new muscle, by preexisting cells--by the pericyte in the nonmuscular arteries and by the intermediate cell in the partially muscular. The veins are spared. Endothelial cells also change significantly from day 3. In the normally nonmuscular regions of artery and in the alveolar capillaries, they are thickened. In the nonmuscular regions of artery, although the endothelial cells appear edematous, the number of Weibel-Palade bodies is increased and new muscle appears subjacent. Elsewhere the Weibel-Palade bodies show normal distribution. The extreme narrowing of the lumen caused by thickened endothelial cells and by encroachment of new muscle as well as the finding of capillaries that are no longer patent doubtless explain the reduction in small peripheral areteries.

Animals

Pulmonary arteries of the normal rat: the thick walled oblique muscle segment.

The structure and certain metrical features of the pulmonary arterial tree in the normal rat have been studied in detail by both light and electron microscopy after its distension by injection. In the parts of the tree where the muscle wall is complete a segment with oblique muscle has been identified. The wall of this segment is thick, and is composed largely of obliquely orientated, closely packed smooth muscle cells with little intervening connective tissue, while it lacks a complete external elastic lamina. Both the axial pathway and its side branches have such oblique segments. Proximal and distal to an oblique segment there are transitional regions where obliquely arranged muscle fibres spiral external to the circularly arranged fibres usually described in muscular arteries. The existence of thick walled oblique muscle segments in the pulmonary arterial tree of the normal rat is important since this animal is frequently used in experimental studies, and the thick segments could be taken as evidence of induced hypertrophy.

Animals

Normal structure and dimensions of the pulmonary arteries in the rat.

The normal structure and pattern of branching of the pulmonary arteries of the rat have been described and quantified, using precise morphometric techniques, after injection of the pulmonary arteries with a radio-opaque medium. Rats of the same strain from three different sources have been compared, and similarities between rat and man have been assessed. In rat, as in man, the pulmonary artery accompanies the airway and branches with it and, in addition, there are extra arterial branches. Most arteries within the rat lung are muscular and have no more than two central elastic laminae. The percentage wall thickness of the muscular arteries is between 1 and 3%, similar to that found in adult human lungs. At the periphery of the arterial tree there is a mixed population of muscular, partially muscular and non-muscular arteries. The distribution by size is similar in man and rat, but there are few wholly muscular arteries within the acinar region in the rat. The similarity of the features of the pulmonary arteries of rat and man makes the rat a suitable experimental animal for study of changes in pulmonary hypertension. However, any change must be interpreted in relation to arterial structure in normal rat lungs from the same source, since some significant differences have been found between rats from different sources in respect of wall thickness and number of vessels.

Animals

The effect of isoprenaline and pilocarpine on mitotic index and goblet cell number in rat respiratory epithelium.

The effect of both isoprenaline (IPN) and pilocarpine (PCP) on mitotic activity and goblet cell number has been studied at 5 levels of the bronchial tree in male and female animals. While both drugs increased mitotic index and goblet cell number at most of the airway levels studied, differences in their effect were detected. After both drugs, nuclei in division were more often superficial within the epithelium than basal but IPN caused a greater increase in mitotic index than PCP. IPN increased goblet cell number at all levels, PCP only in the trachea and larger intrapulmonary airways. The types of goblet cell increased by IPN were particularly those containing acid glycoprotein, whereas PCP increased all types of goblet cell, that is, both those containing neutral and acid glycoprotein. After the drugs, the concentration of cells per unit length of airway epithelium was higher than normal. This is the first study demonstrating the effect of these two drugs on both goblet cell number and cell division. While the two drugs differ in their pharmacological action, the result of their stimulation of airway epithelium is similar. The way in which each effect is produced is discussed.

Animals