Abstract
Analysis of respiratory mechanics under mechanical ventilation is crucial for a lung-protective ventilation setting. However, under the conditions of mechanostimulation caused by mechanical ventilation, only the global components of mechanical impedance can be determined. These include the airflow resistance, compliance, and inertance. Whereas in the case of conventionalmechanical ventilation, the organ integrity of the lung is certainly preserved, it is practically impossible to obtain quantitative information about the local pulmonary mechanics, for instance at the alveolar level. Analysis of pulmonary mechanics at a local level requires sophisticated experimental techniques for the mechanostimulation of anatomical subunits of the lung. In this chapter, we summarize our investigations in the field of experimental mechanostimulation and mechanics analysis of lung cells, lung tissue and entire lung organ.
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References
Adkins, J.E., Rivlin, R.S.: Large Elastic Deformations of Isotropic Materials. IX. The Deformation of Thin Shells. Phil Trans. R. Soc. Lond. A 244(888), 505–531 (1952)
Allen, G.B., Pavone, L.A., DiRocco, J.D., Bates, J.H., Nieman, G.F.: Pulmonary impedance and alveolar instability during injurious ventilation in rats. J. Appl. Physiol. 99(2), 723–730 (2005)
Armbruster, C., Schneider, M., Schumann, S., Gamerdinger, K., Cuevas, M., Rausch, S., Baaken, G., Guttmann, J.: Characteristics of highly flexible PDMS membranes for long-term mechanostimulation of biological tissue. J. Biomed. Mater. Res. B. Appl. Biomater 91(2), 700–705 (2009)
Banes, A.J., Gilbert, J., Taylor, D., Monbureau, O.: A new vacuum-operated stress-providing instrument that applies static or variable duration cyclic tension or compression to cells in vitro. J. Cell Sci. 75, 35–42 (1985)
Bates, J.H., Irvin, C.G.: Time dependence of recruitment and derecruitment in the lung: a theoretical model. J. Appl. Physiol. 93(2), 705–713 (2002)
Bickenbach, J., Czaplik, M., Dembinski, R., Pelosi, P., Schroeder, W., Marx, G., Rossaint, R.: In vivo microscopy in a porcine model of acute lung injury. Respir. Physiol. Neurobiol. 172(3), 192–200 (2010)
Bickenbach, J., Dembinski, R., Czaplik, M., Meissner, S., Tabuchi, A., Mertens, M., Knels, L., Schroeder, W., Pelosi, P., Koch, E., Kuebler, W.M., Rossaint, R., Kuhlen, R.: Comparison of two in vivo microscopy techniques to visualize alveolar mechanics. J. Clin. Monit. Comput. 23(5), 323–332 (2009)
Brown, T.D., Bottlang, M., Pedersen, D.R., Banes, A.J.: Development and Experimental Validation of a Fluid/Structure-Interaction Finite Element Model of a Vacuum-Driven Cell Culture Mechanostimulus System. Comput. Methods Biomech. Biomed. Engin. 3(1), 65–78 (2000)
Carney, D.E., Bredenberg, C.E., Schiller, H.J., Picone, A.L., McCann, U.G., Gatto, L.A., Bailey, G., Fillinger, M., Nieman, G.F.: The Mechanism of Lung Volume Change during Mechanical Ventilation. Am. J. Respir. Crit. Care Med. 160(5), 1697–1702 (1999)
Chiumello, D., Carlesso, E., Cadringher, P., Caironi, P., Valenza, F., Polli, F., Tallarini, F., Cozzi, P., Cressoni, M., Colombo, A., Marini, J.J., Gattinoni, L.: Lung stress and strain during mechanical ventilation for acute respiratory distress syndrome. Am. J. Respir. Crit. Care Med. 178(4), 346–355 (2008)
Daly, B.D., Norman, J.C.: Alveolar morphometrics. 3. Preliminary results with in vivo videomicroscopy. Chest 65(1), 67–68 (1974)
Daly, B.D., Parks, G.E., Edmonds, C.H., Hibbs, C.W., Norman, J.C.: Dynamic alveolar mechanics as studied by videomicroscopy. Respir. Physiol. 24(2), 217–232 (1975)
Dassow, C., Wiechert, L., Martin, C., Schumann, S., Müller-Newen, G., Pack, O., Guttmann, J., Wall, W.A., Uhlig, S.: Biaxial distension of precision-cut lung slices. J. Appl. Physiol. 108(3), 713–721 (2010)
DiRocco, J.D., Carney, D.E., Nieman, G.F.: Correlation between alveolar recruitment/derecruitment and inflection points on the pressure-volume curve. Intensive Care Med. 33(7), 1204–1211 (2007)
Dreyfuss, D., Soler, P., Basset, G., Saumon, G.: High inflation pressure pulmonary edema. Respective effects of high airway pressure, high tidal volume, and positive end-expiratory pressure. Am. Rev. Respir. Dis. 137(5), 1159–1164 (1988)
Fermor, B., Jeffcoat, D., Hennerbichler, A., Pisetsky, D.S., Weinberg, J.B., Guilak, F.: The effects of cyclic mechanical strain and tumor necrosis factor alpha on the response of cells of the meniscus. Osteoarthritis Cartilage 12(12), 956–962 (2004)
Fink, C., Fermor, B., Weinberg, J.B., Pisetsky, D.S., Misukonis, M.A., Guilak, F.: The effect of dynamic mechanical compression on nitric oxide production in the meniscus. Osteoarthritis Cartilage 9(5), 481–487 (2001)
Forrest, J.B.: The effect of changes in lung volume on the size and shape of alveoli. J. Physiol. 210(3), 533–547 (1970)
Garvin, J., Qi, J., Maloney, M., Banes, A.J.: Novel system for engineering bioartificial tendons and application of mechanical load. Tissue Eng. 9(5), 967–979 (2003)
Guttmann, J., Eberhard, L., Fabry, B., Zappe, D., Bernhard, H., Lichtwarck-Aschoff, M., Adolph, M., Wolff, G.: Determination of volume dependent respiratory sytem mechanics in mechanically ventilated patients using the new SLICE method. Technology and Health Care 2, 175–191 (1994)
Guttmann, J.: Analysis of respiratory mechanics during artificial ventilation. Biomed. Tech. 43(4), 107–115 (1998)
Haas, C.F.: Lung protective mechanical ventilation in acute respiratory distress syndrome. Respir. Care Clin. N. Am. 9(3), 363–396 (2003)
Haitsma, J.J., Lachmann, B.: Lung protective ventilation in ARDS: the open lung maneuver. Minerva Anestesiol. 72(3), 117–132 (2006)
Hsu, F.P.K., Schwab, C., Rigamonti, D., Humphrey, J.D.: Identification of response functions from axisymmetric membrane inflation tests: Implications for biomechanics. Internat J. Solids Structures 31, 3375–3386 (1994)
Klaesner, J.W., Commean, P.K., Hastings, M.K., Zou, D., Mueller, M.J.: Accuracy and reliability testing of a portable soft tissue indentor. IEEE Trans. Neural Syst. Rehabil. Eng. 9(2), 232–240 (2001)
Krahl, V.E.: A Method of Studying the Living Lung in the Closed Thorax, and Some Preliminary Observations. Angiology 14(4), 149–159 (1963)
Kumar, A., Falke, K.J., Geffin, B., Aldredge, C.F., Laver, M.B., Lowenstein, E., Pontoppidan, H.: Continuous positive-pressure ventilation in acute respiratory failure. N. Engl. J. Med. 283(26), 1430–1436 (1970)
Lakshmanan, V., Yang, T.H., Reuben, R.L., Hammer, J., Else, R.W.: Multi-scale techniques of measuring the dynamic properties of biological tissues. Technol. Health Care 14(4–5), 297–309 (2006)
Li, B., Chen, J., Wang, J.H.: RGD peptide-conjugated poly(dimethylsiloxane) promotes adhesion, proliferation, and collagen secretion of human fibroblasts. J. Biomed. Mater. Res. A 79(4), 989–998 (2006)
Liu, H., Stahl, C.A., Moeller, K., Schneider, M., Ganzert, S., Zhao, Z.Q., Tong, X.W., Guttmann, J.: Alveolar stability under different combinations of positive end-expiratory pressure and tidal volume: alveolar microscopy in isolated injured rat lungs. Chin. Med. J. (Engl.) 123(4), 406–411 (2010)
Lum, H., Huang, I., Mitzner, W.: Morphological evidence for alveolar recruitment during inflation at high transpulmonary pressure. J. Appl. Physiol. 68(6), 2280–2286 (1990)
Martin, C., Uhlig, S., Ullrich, V.: Videomicroscopy of methacholine-induced contraction of individual airways in precision-cut lung slices. Eur. Respir. J. 9(12), 2479–2487 (1996)
Matheson, L.A., Maksym, G.N., Santerre, J.P., Labow, R.S.: Cyclic biaxial strain affects U937 macrophage-like morphology and enzymatic activities. J. Biomed. Mater. Res. A 76(1), 52–62 (2006)
Matsumoto, T., Delafontaine, P., Schnetzer, K.J., Tong, B.C., Nerem, R.M.: Effect of uniaxial, cyclic stretch on the morphology of monocytes/macrophages in culture. J. Biomech. Eng. 118(3), 420–422 (1996)
McCann, U.G., Schiller, H.J., Gatto, L.A., Steinberg, J.M., Carney, D.E., Nieman, G.F.: Alveolar mechanics alter hypoxic pulmonary vasoconstriction. Crit. Care Med. 30(6), 1315–1321 (2002)
Mead, J., Takishima, T., Leith, D.: Stress distribution in lungs: a model of pulmonary elasticity. J. Appl. Physiol. 28(5), 596–608 (1970)
Meissner, S., Knels, L., Krueger, A., Koch, T., Koch, E.: Simultaneous three-dimensional optical coherence tomography and intravital microscopy for imaging subpleural pulmonary alveoli in isolated rabbit lungs. J. Biomed. Opt. 14(5), 054020 (2009)
Meissner, S., Knels, L., Schnabel, C., Koch, T., Koch, E.: Three-dimensional Fourier domain optical coherence tomography in vivo imaging of alveolar tissue in the intact thorax using the parietal pleura as a window. J. Biomed. Opt. 15(1), 016030 (2010)
Mertens, M., Tabuchi, A., Meissner, S., Krueger, A., Schirrmann, K., Kertzscher, U., Pries, A.R., Slutsky, A.S., Koch, E., Kuebler, W.M.: Alveolar dynamics in acute lung injury: heterogeneous distension rather than cyclic opening and collapse. Crit. Care Med. 37(9), 2604–2611 (2009)
Nieman, G.F., Bredenberg, C.E., Clark, W.R., West, N.R.: Alveolar function following surfactant deactivation. J. Appl. Physiol. 51(4), 895–904 (1981)
Parker, J.C., Hernandez, L.A., Peevy, K.J.: Mechanisms of ventilator-induced lung injury. Crit. Care Med. 21(1), 131–143 (1993)
Plataki, M., Hubmayr, R.D.: The physical basis of ventilator-induced lung injury. Expert Rev. Respir. Med. 4(3), 373–385 (2010)
Pugin, J., Dunn, I., Jolliet, P., Tassaux, D., Magnenat, J.L., Nicod, L.P., Chevrolet, J.C.: Activation of human macrophages by mechanical ventilation in vitro. Am. J. Physiol. 275(6 Pt 1), L1040–L1050 (1998)
Sanchez-Esteban, J., Cicchiello, L.A., Wang, Y., Tsai, S.W., Williams, L.K., Torday, J.S., Rubin, L.P.: Mechanical stretch promotes alveolar epithelial type II cell differentiation. J. Appl. Physiol. 91(2), 589–595 (2001)
Schumann, S., Stahl, C.A., Moeller, K., Schneider, M., Metzke, R., Wall, W.A., Priebe, H.J., Guttmann, J.: Contact-free determination of material characteristics using a newly developed pressure-operated strain-applying bioreactor. J. Biomed. Mater Res. B. Appl. Biomater 86B(2), 483–492 (2008)
Schumann, S., Dassow, C., Armbruster, C., Schneider, M., Uhlig, S., Guttmann, J.: Dynamic videomicroscopy reveals correspondence between mechanical characteristics of lung tissue and local morphology on alveolar scale. In: Proceedings of ECIFMBE IFMBE, vol. 22, pp. 2023–2026 (2008)
Schumann, S., Burcza, B., Haberthür, C., Lichtwarck-Aschoff, M., Guttmann, J.: Estimating intratidal nonlinearity of respiratory system mechanics: a model study using the enhanced gliding-SLICE method. Physiol. Meas. 30(12), 1341–1356 (2009)
Schumann, S., Burcza, B., Haberthür, C., Lichtwarck-Aschoff, M., Guttmann, J.: Low pulmonary artery flush perfusion pressure combined with high positive end-expiratory pressure reduces oedema formation in isolated porcine lungs. Physiol. Meas. 31(2), 261–272 (2010)
Schwenninger, D., Moeller, K., Liu, H., Guttmann, J.: Classification of alveolar microscopy videos with respect to alveolar stability. In: 4th European Conference of the International Federation for Medical and Biological Engineering (2009), doi:10.1007/978-3-540-89208-3_151
Schwenninger, D., Moeller, K., Liu, H., Guttmann, J.: Automated analysis of intratidal dynamics of alveolar geometry from microscopic endoscopy. IEEE Trans. Biomed. Eng. 57(2), 415–421 (2010)
Schwenninger, D., Schumann, S., Guttmann, J.: In vivo characterization of mechanical tissue properties using endoscopic microscopy and inverse finite element analysis. J. Biomech. (2010) (under review)
Scott, J.E., Yang, S.Y., Stanik, E., Anderson, J.E.: Influence of strain on [3H]thymidine incorporation, surfactant-related phospholipid synthesis, and cAMP levels in fetal type II alveolar cells. Am. J. Respir. Cell Mol. Biol. 8(3), 258–265 (1993)
Selby, J.C., Shannon, M.A.: Apparatus for measuring the finite load-deformation behavior of a sheet of epithelial cells cultured on a mesoscopic freestanding elastomer membrane. Rev. Sci. Instrum. 78(9), 094301 (2007)
Stahl, C.A., Schumann, S., Knorpp, H., Schneider, M., Moeller, K., Guttmann, J.: Intravital endo-microscopy of alveoli: a new method to visualize alveolar dynamics. J. Biomech. 39, S598 (2006)
Stefaniak, M.S., Krumdiek, C.L., Spall, R.D., Gandolfi, A.J., Brendel, K.: Biochemical and histological characterization of agar-filled precision cut rat lung slices in dynamic organ culture as an in vitro tool. In: Vitro. Toxicol., vol. 5(1), pp. 7–20 (1992)
Tabuchi, A., Mertens, M., Kuppe, H., Pries, A.R., Kuebler, W.M.: Intravital microscopy of the murine pulmonary microcirculation. J. Appl. Physiol. 104(2), 338–346 (2008)
Tremblay, L., Valenza, F., Ribeiro, S.P., Li, J., Slutsky, A.S.: Injurious ventilatory strategies increase cytokines and c-fos m-RNA expression in an isolated rat lung model. J. Clin. Invest. 99(5), 944–952 (1997)
Trzewik, J., Ates, M., Artmann, G.M.: A novel method to quantify mechanical tension in cell monolayers. Biomed. Tech. (Berl.) 47(Suppl 1), 379–381 (2002)
Vande Geest, J.P., Di Martino, E.S., Vorp, D.A.: An analysis of the complete strain field within Flexercell membranes. J. Biomech. 37(12), 1923–1928 (2004)
Vlahakis, N.E., Valenza, F., Ribeiro, S.P., Li, J., Slutsky, A.S.: Stretch induces cytokine release by alveolar epithelial cells in vitro. Am. J. Physiol. 277(1 Pt 1), L167–L173 (1999)
Webb, H.H., Tierney, D.F.: Experimental pulmonary edema due to intermittent positive pressure ventilation with high inflation pressures. Protection by positive end-expiratory pressure. Am. Rev. Respir. Dis. 110(5), 556–565 (1974)
Wineman, A., Wilson, D., Melvin, J.W.: Material identification of soft tissue using membrane inflation. J. Biomech. 12(11), 841–850 (1979)
Xu, C., Prince, J.L.: Snakes, shapes, and gradient vector flow. IEEE Trans. Image Process. 7(3), 359–369 (1998)
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Schumann, S., Gamerdinger, K., Armbruster, C., Dassow, C., Schwenninger, D., Guttmann, J. (2011). Mechanostimulation and Mechanics Analysis of Lung Cells, Lung Tissue and the Entire Lung Organ. In: Klaas, M., Koch, E., Schröder, W. (eds) Fundamental Medical and Engineering Investigations on Protective Artificial Respiration. Notes on Numerical Fluid Mechanics and Multidisciplinary Design, vol 116. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-20326-8_8
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