TY - JOUR
T1 - Fatty diabetic lung
T2 - Functional impairment in a model of metabolic syndrome
AU - Yilmaz, Cuneyt
AU - Ravikumar, Priya
AU - Bellotto, Dennis J.
AU - Unger, Roger H
AU - Hsia, Connie C
PY - 2010/12
Y1 - 2010/12
N2 - The Zucker diabetic fatty (ZDF fa/fa) rat with genetic leptin insensitivity develops obesity and Type 2 diabetes mellitus (T2DM) with age accompanied by hyperplastic changes in the distal lung (Am J Physiol Lung Cell Mol Physiol 298: L392-L403, 2010). To determine the functional consequences of structural changes, we developed arebreathing (RB) technique to simultaneously measure lung volume, pulmonary blood flow, lung diffusing capacity (DlCo), membrane diffusing capacity (DmCo), pulmonary capillary blood volume (Vc), and septal tissue volume in anesthetized tracheostomized male ZDF fa/fa and matched lean (+/+) control animals at 4, 8, and 12 mo of age. Results obtained by RB technique were compared with that measured by a singlebreath (SB) technique and to that expected in a wide range of species. In fa/fa animals compared with +/+, lung volumes and compliance were 13-35% lower at different ages, and the normal age-related increase in lung compliance was no longer evident. Mean pulmonary blood flow declined with age in fa/fa but not in +/+ animals. Dlco measured at a given pulmonary blood flow was 20-43% lower at different ages due to reductions in both Dmco and Vc. Septal tissue volume was also reduced in older fa/fa rats. We conclude that obese rats with T2DM develop significant restrictive pulmonary defects with diffusion impairment in a pattern similar to that previously reported in obese human subjects with T2DM. Functional impairment became exaggerated with age and duration of T2DM. In both fa/fa and +/+ animals, Dlco measured by RB was systematically higher than by SB technique whereas lung volume was similar, a finding consistent with heterogeneous distribution of ventilation in the rat lung. Copyright
AB - The Zucker diabetic fatty (ZDF fa/fa) rat with genetic leptin insensitivity develops obesity and Type 2 diabetes mellitus (T2DM) with age accompanied by hyperplastic changes in the distal lung (Am J Physiol Lung Cell Mol Physiol 298: L392-L403, 2010). To determine the functional consequences of structural changes, we developed arebreathing (RB) technique to simultaneously measure lung volume, pulmonary blood flow, lung diffusing capacity (DlCo), membrane diffusing capacity (DmCo), pulmonary capillary blood volume (Vc), and septal tissue volume in anesthetized tracheostomized male ZDF fa/fa and matched lean (+/+) control animals at 4, 8, and 12 mo of age. Results obtained by RB technique were compared with that measured by a singlebreath (SB) technique and to that expected in a wide range of species. In fa/fa animals compared with +/+, lung volumes and compliance were 13-35% lower at different ages, and the normal age-related increase in lung compliance was no longer evident. Mean pulmonary blood flow declined with age in fa/fa but not in +/+ animals. Dlco measured at a given pulmonary blood flow was 20-43% lower at different ages due to reductions in both Dmco and Vc. Septal tissue volume was also reduced in older fa/fa rats. We conclude that obese rats with T2DM develop significant restrictive pulmonary defects with diffusion impairment in a pattern similar to that previously reported in obese human subjects with T2DM. Functional impairment became exaggerated with age and duration of T2DM. In both fa/fa and +/+ animals, Dlco measured by RB was systematically higher than by SB technique whereas lung volume was similar, a finding consistent with heterogeneous distribution of ventilation in the rat lung. Copyright
KW - Cardiac output
KW - Lung diffusing capacity
KW - Lung volume
KW - Membrane diffusing capacity
KW - Obesity
KW - Pulmonary blood flow
KW - Pulmonary capillary blood volume
KW - Rats
KW - Rebreathing
KW - Single breath
KW - Type 2 diabetes mellitus
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U2 - 10.1152/japplphysiol.00549.2010
DO - 10.1152/japplphysiol.00549.2010
M3 - Article
C2 - 20798271
AN - SCOPUS:78651269456
SN - 8750-7587
VL - 109
SP - 1913
EP - 1919
JO - Journal of applied physiology
JF - Journal of applied physiology
IS - 6
ER -