Membrane-Diffusing Capacity and Pulmonary Capillary Blood Volume

Author(s):  
R. Georges ◽  
G. Saumon ◽  
J. -E. Lafosse ◽  
J. Turiaf
1985 ◽  
Vol 68 (1) ◽  
pp. 57-62 ◽  
Author(s):  
J. A. Wedzicha ◽  
F. E. Cotter ◽  
P. J. W. Wallis ◽  
A. C. Newland ◽  
D. W. Empey

1. The transfer factor for carbon monoxide and its subdivisions, the membrane diffusing capacity (Dm) and the pulmonary capillary blood volume (Vc), were measured in 16 patients with polycythaemia secondary to chronic hypoxic lung disease and in ten hypoxic non-polycythaemic control subjects. 2. The mean pulmonary capillary blood volume was significantly lower in the polycythaemic patients (31.6 ml, sd 11.2) compared with the control group (65.2 ml, sd 22.5) (P<0.001). 3. Erythrapheresis, as a method of isovolaemic haemodilution, was performed in 15 of the polycythaemic patients. The mean packed cell volume fell from 58 (sd 5)% to 47 (sd 5)% after treatment, with significant reductions in blood viscosity at both high and lower shear rates (P<0.001). 4. The mean pulmonary capillary blood volume increased from 32.3 ml (sd 11.3) before treatment to 48.7 ml (sd 18.7) after erythrapheresis (P<0.01), with no significant change in membrane diffusing capacity. 5. The rise in pulmonary capillary blood volume is another potential physiological advantage of the reduction of packed cell volume in patients with polycythaemia secondary to hypoxic lung disease.


1997 ◽  
Vol 82 (4) ◽  
pp. 1091-1097 ◽  
Author(s):  
Pierre Vaïda ◽  
Christian Kays ◽  
Daniel Rivière ◽  
Pierre Téchoueyres ◽  
Jean-Luc Lachaud

Vaı̈da, Pierre, Christian Kays, Daniel Rivière, Pierre Téchoueyres, and Jean-Luc Lachaud.Pulmonary diffusing capacity and pulmonary capillary blood volume during parabolic flights. J. Appl. Physiol. 82(4): 1091–1097, 1997.—Data from the Spacelab Life Sciences-1 (SLS-1) mission have shown sustained but moderate increase in pulmonary diffusing capacity (Dl). Because of the occupational constraints of the mission, data were only obtained after 24 h of exposure to microgravity. Parabolic flights are often used to study some effects of microgravity, and we measured changes in Dl occurring at the very onset of weightlessness. Measurements of Dl, membrane diffusing capacity, and pulmonary capillary blood volume were made in 10 male subjects during the 20-s 0-G phases of parabolic flights performed by the “zero-G” Caravelle aircraft. Using the standardized single-breath technique, we measured Dl for CO and nitric oxide simultaneously. We found significant increases indl for CO (62%), in membrane diffusing capacity for CO (47%), in Dl for nitric oxide (47%), and in pulmonary capillary blood volume (71%). We conclude that major changes in the alveolar membrane gas transfers and in the pulmonary capillary bed occur at the very onset of microgravity. Because these changes are much greater than those reported during sustained microgravity, the effects of rapid transition from hypergravity to microgravity during parabolic flights remain questionable.


2007 ◽  
Vol 103 (5) ◽  
pp. 1789-1795 ◽  
Author(s):  
Samar Farha ◽  
Kewal Asosingh ◽  
Daniel Laskowski ◽  
Lauren Licina ◽  
Haruki Sekigushi ◽  
...  

Gas transfer in the female lung varies over the menstrual cycle in parallel with the cyclic angiogenesis that occurs in the uterine endometrium. Given that vessels form and regress in the uterus under the control of hormones, angiogenic factors, and proangiogenic circulating bone marrow-derived progenitor cells, we tested the possibility that variation in pulmonary gas transfer over the menstrual cycle is related to a systemic cyclic proangiogenic state that influences lung vascularity. Women were evaluated over the menstrual cycle with weekly measures of lung diffusing capacity and its components, the pulmonary vascular capillary bed and membrane diffusing capacity, and their relation to circulating CD34+CD133+progenitor cells, hemoglobin, factors affecting hemoglobin binding affinity, and proangiogenic factors. Lung diffusing capacity varied over the menstrual cycle, reaching a nadir during the follicular phase following menses. The decline in lung diffusing capacity was accounted for by ∼25% decrease in pulmonary capillary blood volume. In parallel, circulating CD34+CD133+progenitor cells decreased by ∼24% and were directly related to angiogenic factors and to lung diffusing capacity and pulmonary capillary blood volume. The finding of a greater number of lung microvessels in ovariectomized female mice receiving estrogen compared with placebo verified that pulmonary vascularity is influenced by hormonal changes. These findings suggest that angiogenesis in the lungs may participate in the cyclic changes in gas transfer that occur over the menstrual cycle.


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