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Biomedical subjects

P Camner

Publications and source records attributed to P Camner.

At least 109 records · Page 6Linked to original sources
PubMed1983

Rabbit lung after inhalation of soluble nickel. II. Effects on lung tissue and phospholipids.

Rabbits were exposed to soluble nickel chloride, about 0.3 mg/m3 as nickel, for about 1 month (5 days/week, 6 hr/day). The upper lobe in the left lung was examined with light microscopy and samples from the left lower lobe with electron microscopy. Nodular accumulation of macrophages and laminated structures occurred in alveoli of all exposed rabbits, but otherwise no inflammatory reactions. Volume density of the alveolar epithelial type II cells was doubled due to increased cell number as well as cell volume. The tissue content of phospholipids, determined in the lower lobe of the left lung, had increased by about 40%, mainly due to elevated disaturated phosphatidylcholines. The effect pattern was almost identical to that seen earlier in inhalation experiments with metallic nickel dust, strongly indicating that nickel ions are responsible also for the changes seen after exposure to metallic nickel. This suggests that all nickel compounds may produce the pathological condition, which is similar to that seen in the disease pulmonary alveolar proteinosis.

Aerosols↗
PubMed1983

Rabbit lungs after long-term exposure to low nickel dust concentration. I. Effects on phospholipid concentration and surfactant activity.

Rabbits were exposed for 4 or 8 months (5 days/week, 6 hr/day) to 0.13 +/- 0.05 mg/m3 (mean +/- SD) of metallic nickel dust. After exposure the left lung was homogenized and its content of phospholipids as well as the concentration and composition of the phosphatidylcholines were estimated. The right lung was lavaged and the surface tension of the lavage fluid was studied with a pulsating bubble technique. Both exposed groups showed a similar increase in total phospholipids, about 20% in the upper lobe and 30% in the lower lobe. The increase was mainly, possibly totally, due to an elevated level of phosphatidylcholines, especially disaturated species. Surface tension was significantly lower in exposed rabbits after 4 months of exposure but it was similar to that of the controls after 8 months.

Animals↗
PubMed1983

Rabbit lung after inhalation of soluble nickel. I. Effects on alveolar macrophages.

Alveolar macrophages from eight rabbits, exposed for about 1 month (5 days/week, 6 hr/day) to an aerosol of nickel chloride, 0.3 mg/m3 (as Ni), were studied. The number of macrophages in the lavage fluid and the variance of the cell diameter increased. The macrophages contained laminated structures and most cells had an active cell surface. A few macrophages had a large number of laminated structures and a smooth cell surface. The capacity of the macrophages to reduce nitroblue tetrazolium (NBT) tended to be increased at rest and was significantly increased after stimulation with Escherichia coli. The bactericidal capacity of the macrophages was decreased. The effects were similar to those earlier described after exposure of rabbits for 1 month to about 1 mg/m3 of metallic nickel dust. After exposure both to metallic and soluble nickel the effects are probably caused by an increased amount of surfactant produced by the type II cells in response to nickel ions.

Animals↗
PubMed1983

Rabbit lungs after long-term exposure to low nickel dust concentration. II. Effects on morphology and function.

For 4 and 8 months (5 days/week, 6 hr/day) rabbits were exposed to 0.13 +/- 0.05 (mean +/- SD) mg/m3 of metallic nickel dust. Volume density of alveolar type II cells was estimated with electron microscopy. Lavaged alveolar macrophages were studied with light and electron microscopy and their abilities to reduce nitroblue tetrazolium (NBT) and to phagocytize particles were tested. The effects seemed to be similar after 4 and 8 months of exposure and when the exposed animals were combined, volume density of type II cells was increased and also significantly correlated with concentration of disaturated phosphatidylcholines in the lung. The macrophages had an active surface. Their NBT activity at rest was increased but a further increase during stimulation with E. coli was low, suggesting an impaired function. Phagocytic activity, however, was not significantly changed.

Animals↗
PubMed1983

Acquired ciliary defects compared to those seen in the immotile-cilia syndrome.

An attempt is made to characterize injured cilia and ciliary mutants separately with particular emphasis on human conditions. The usefulness of electron microscopical investigations is stressed. An injury to a ciliated epithelium may very well be restricted to one site in the body and may appear at any stage of life. Typical ciliary mutants, such as are seen in the immotile-cilia syndrome, represent a generalized condition and will be found from the beginning of life. Some types of ciliary defects are relatively unspecific and found after various kinds of insult to the cilia also in the immotile-cilia syndrome; these are: compound cilia, supernumerary microtubules in the axoneme, and loss of cilia or of ciliated cells. Other kinds of ciliary defect seem to be typical of the ciliary mutants: absence of dynein arms, absence of spokes and central sheath, transposition of one of the central microtubules and short central microtubules.

Anesthetics, Local↗
PubMed1983

The immotile-cilia syndrome compared to other obstructive lung diseases: a clue to their pathogenesis.

Twentyfour adults, aged 19-47 years, with congenitally nonfunctioning cilia were investigated by clinical examination, radiography, spirometry, and in most cases by tracheobronchial clearance measurements and ultrastructural examination of respiratory tract cilia and/or sperm tails. They all suffered from chronic bronchitis, rhinitis and sinusitis, and most of them had bronchiectasis and a history of otitis. Most had spirometrically overt obstructive lung disease and four radiological signs of emphysema. Clinical profile, lung function and mucociliary clearance data were compared to corresponding data from samples of patients with other obstructive lung diseases. These comparisons indicate that a long-standing impairment of mucociliary clearance is of pathogenetic importance in common chronic obstructive lung disease associated with chronic bronchitis, but not in emphysema associated with severe alpha 1-antitrypsin deficiency without chronic bronchitis, and not in asthma. In cystic fibrosis and in hypogammaglobulinemia an impaired clearance is not of primary pathogenetic significance but may contribute to the development of obstructive lung disease.

Adult↗
PubMed1983

Measurements of tracheobronchial clearance in patients with immotile-cilia syndrome and its value in differential diagnosis.

Tracheobronchial clearance was studied in twenty patients who fulfilled suggested criteria of the immotile-cilia syndrome and in eight other patients suspected of suffering from the syndrome, but who did not fulfill the criteria. Clearance was studied using 6 micrometers teflon aerosol particles tagged with 99mTc and external measurement of the radioactivity. The criteria were based on combinations of a typical history of bronchitis, rhinitis and sinusitis since childhood, hereditary data, situs inversus, sperm immotility and characteristic defects of respiratory tract cilia and sperm tails. All patients who fulfilled the criteria had an extremely slow, probably no, tracheobronchial mucociliary clearance, whereas all those who did not fulfill the criteria had some clearance. Evidently the diagnosis immotile-cilia syndrome can be obtained without clearance measurements in typical cases, but such measurements are of value in atypical cases, especially for excluding the syndrome.

Adult↗
PubMed1983

Tracheobronchial clearance after flexible fiberoptic bronchoscopy.

As the tracheobronchial mucosa is vulnerable to mechanical trauma it is important to investigate whether examination with a flexible fiberoptic bronchoscope (FFB) damages the respiratory mucosa. In 12 subjects, tracheobronchial clearance was measured 1 day before and 1 day after FFB performed under topical anaesthesia. Mucociliary transport was studied by having the patients inhale 6 micron teflon particles tagged with 99mTc, and by external measurements of the radioactivity retained in the lungs. Most of the patients had a similar clearance on both days. A marked impairment after FFB was only seen in one patient. This study suggests that the tracheobronchial clearance system has a large reserve against mechanical trauma. FFB may possibly change mucociliary clearance in some patients, and this can be of practical significance in patients unable to cough.

Adult↗
PubMed1982

Mucociliary clearance in patients with immunoglobulin deficiency.

Tracheobronchial mucociliary clearance was studied in six patients with immunoglobulin deficiency. They inhaled a test aerosol of 6 microns teflon particles tagged with 99mTc, after which external measurements of the retention of test particles in the lungs were made during 2 h. Four younger patients with common variable immunodeficiency and severe symptoms of airway infections all had a markedly slow clearance. In one of these cases clearance was measured again after 6 months of adequate medical treatment and was found much improved. Two older patients with less severe immunoglobulin deficiency (one with selective IgA deficiency and one with transient hypogammaglobulinemia), and with a history of less severe airway infections, had normal clearance. The results indicate that chronic infection of the airways, if severe enough, will damage the mucociliary transport system, but that this damage is not necessarily irreversible. Ciliary ultrastructure was investigated by electron microscopy in two of the younger patients with slow clearance, and was found to be normal.

Adult↗
PubMed1981

Intercomparison of regional deposition of aerosol particles in the human respiratory tract and their long-term elimination.

Human chest clearance of Teflon particles with an aerodynamic diameter of 4.7 micrometers tagged with 198Au or 111In was studied with two apparatuses and two gamma-ray spectrometers for the external detection of the activity deposited in the respiratory tract. Approximately the same chest retention function was measured with two gamma-ray spectrometers when the subjects inhaled equal aerosols under equal breathing conditions. The long-term clearance rate following the short-term elimination of particles from ciliated airways was slower for Teflon particles (mean half-time 105 days for 111In-labeled particles and 128 days for 198Au-labeled particles) than for iron oxide particles of the same size (mean half-time about 60 days). It is suggested that insoluble particles of this size studied are cleared with a half-time of about 120 days within the first 2 weeks after completion of mucociliary clearance. Regional deposition did not differ between the iron oxide and Teflon particles.

Adult↗
PubMed1981

Clearance by voluntary coughing and its relationship to subjective assessment and effect of intravenous bromhexine.

The elimination of 6 micrometers radioactively tagged teflon particles by 1-2 min of voluntary coughing was studied by profile scanning in 12 patients with tracheobronchial hypersecretion. The patients were tested on 2 different days 40-50 min after receiving 8 mg bromhexine (4 mg in two patients) and placebo intravenously according to a double blind cross-over design. Bromhexine did not influence the elimination of test particles in the nine patients in whom the measurements were technically satisfactory. When asked to identify the day they received bromhexine, the patients failed to do so. However, eight of the nine patients, in whom clearance measurements could be performed, believed they had received bromhexine on the day when most particles were eliminated (P less than 0.01), which coincided with the day on which coughing was easiest. It is suggested that self-assessment of the efficacy of coughing might be a simple, yet reliable technique for studying the short-term influence of drugs on tracheobronchial clearance by coughing.

Adult↗