Академический Документы
Профессиональный Документы
Культура Документы
Grotberg
J Appl Physiol 87:415-427, 1999.
This article cites 41 articles, 15 of which you can access free at:
http://jap.physiology.org/cgi/content/full/87/1/415#BIBL
This article has been cited by 6 other HighWire hosted articles, the first 5 are:
Acid aspiration-induced airways hyperresponsiveness in mice
G. B. Allen, T. R. Leclair, J. von Reyn, Y. C. Larrabee, M. E. Cloutier, C. G. Irvin and J. H. T.
Bates
J Appl Physiol, December 1, 2009; 107 (6): 1763-1770.
[Abstract] [Full Text] [PDF]
Modeling the dynamics of recruitment and derecruitment in mice with acute lung injury
C. B. Massa, G. B. Allen and J. H. T. Bates
J Appl Physiol, December 1, 2008; 105 (6): 1813-1821.
[Abstract] [Full Text] [PDF]
Updated information and services including high-resolution figures, can be found at:
http://jap.physiology.org/cgi/content/full/87/1/415
Additional material and information about Journal of Applied Physiology can be found at:
http://www.the-aps.org/publications/jappl
Journal of Applied Physiology publishes original papers that deal with diverse areas of research in applied physiology, especially
those papers emphasizing adaptive and integrative mechanisms. It is published 12 times a year (monthly) by the American
Physiological Society, 9650 Rockville Pike, Bethesda MD 20814-3991. Copyright © 2005 by the American Physiological Society.
ISSN: 8750-7587, ESSN: 1522-1601. Visit our website at http://www.the-aps.org/.
Surfactant effects in model airway closure experiments
K. J. CASSIDY,1 D. HALPERN,2 B. G. RESSLER,1 AND J. B. GROTBERG3
1Department of Biomedical Engineering, Northwestern University, Evanston, Illinois 60208;
2Department of Mathematics, University of Alabama, Tuscaloosa, Alabama 35487; and
3Department of Biomedical Engineering, University of Michigan, Ann Arbor, Michigan 48109
Cassidy, K. J., D. Halpern, B. G. Ressler, and J. B. distribution within the lung, which may be caused by a
Grotberg. Surfactant effects in model airway closure experi- number of normal and pathological conditions (6).
ments. J. Appl. Physiol. 87(1): 415–427, 1999.—The capillary Surfactants tend to stabilize the lining from closure, as
instability that occurs on an annular film lining a tube is has been shown qualitatively (31).
studied as a model of airway closure. Small waves in the film There are likely several contributing forces that lead
can amplify and form a plug across the tube. This dynamical to airway closure. Studies by Halpern and Grotberg
behavior is studied using theoretical models and bench-top
(20, 21) have modeled closure, including the effects of a
experiments. Our model predicts the initial growth rate of the
instability and its dependence on surfactant effects. In experi-
flexible wall. We focus on modeling closure of smaller
ments, an annular film is formed by infusion of water into an airways, typically beyond and including generation 16,
initially oil-filled glass capillary tube. The thickness of the oil in which gravitational effects are small. Our present
film varies with the infusion flow rate. The instability growth study investigates one of the key mechanisms believed
rate and closure time are measured for a range of film to cause airway closure: a surface tension-driven insta-
thicknesses. Our theory predicts that a thinner film and bility. By isolating the experimental system from gravi-
higher surfactant activity enhance stability; surfactant can tational and flexible-wall effects, we are able to focus on
⑀crit Critical dimensionless film thickness caused by the surfactant polar molecules. Saline lung
⑀f Functional value of ⑀crit (taken at tc ⫽ 2 ⫻ 104 ) lavage in isolated rat lungs reduces the endogenous
g Gravitational constant surfactant concentration, causing an increase in air-
⌫* Surface concentration of surfactant way resistance due to rapid plug formation (7, 8).
⌫*m Mean surface concentration of surfactant However, instillation of exogenous calf lung surfactant
⌫ ⌫*/⌫*m ⫽ 1 ⫹ ⑀2⌫ extract after the lavage can increase the duration of
⌫ Variation of surface concentration from the unobstructed airway time by a factor of 3 (8) to 7 (7),
mean determined by measuring resistance via airway pres-
⌫ˆ ⑀2⌫ sure. It would be interesting to examine the airway
h*0 Undisturbed film thickness closure and film amplification for a range of initial film
h* Amplitude of the film disturbance thicknesses and compare behavior before and after
h h*/⑀a addition of exogenous surfactant.
h1 Initial amplitude (perturbation parameter) From the engineering literature, the study of capil-
k* 2/*, wave number of the disturbance lary instabilities, such as the breakup of a cylindrical
k k*a column of fluid or a thin film coating a rigid tube,
K k*b continues to be an area of ongoing investigation. Pla-
k*1 Surfactant adsorption constant teau (37) considered the static stability of a cylindrical
k*2 Surfactant desorption constant column of fluid with undisturbed radius b. He proved,
* Wavelength of the disturbance
using energy arguments, that a perturbation to the
*/a
interface is unstable if its wavelength (*) exceeds the
µcore Viscosity of the core fluid
accelerates. Also, the closure times (tc ) of the two liquid system than in an air-liquid system, allowing the
sample experiments can be depicted from this graph. film dynamics to be viewed and recorded in real time.
The ⑀ must be larger than a critical value (⑀crit ) for Then we report the experimental results of tc, q, and
closure to occur. Disturbance waves in a film that is ⑀crit; we also report inflow results of the annular film
thinner than ⑀crit may amplify to form undulate collars formation. Next we outline our theoretical model for
spaced throughout the tube. However, not enough the initial growth rate in a system containing surfac-
liquid volume is present for the collars to bridge the tant and show theoretical results. Then we discuss
tube. Everett and Haynes (9) found that a collar of some observed behavior, compare the experimental
surfactant-free fluid wetting a rigid tube would un- data with theory, and make conclusions about the
dergo a topological transformation to a liquid plug, effects of surfactant on film formation and stability.
provided the collar volume exceeds 5.47a3 enclosed
within one axial wavelength. Similar results were also EXPERIMENTS
obtained by Kamm and Schroter (28), who conducted
experiments where oil is dripped into small vertical Materials. Four fluid systems are used in these sets of
rigid tubes. By assuming an initial film thickness of 10 experiments (Table 1). We use high-viscosity oils as the film
fluid and water as the core fluid. In systems 1 and 2, the oil
µm at total lung capacity (TLC), they estimated that used for the annular film is LB-1715 (Union Carbide Chemi-
airway closure first occurs in the terminal bronchioles cal, South Charleston, WV), which is a propylene glycol
(about generations 16–17) at a lung volume of 23% monobutyl ether. System 1 is surfactant free, and system 2
TLC. For an initial film thickness of 5 µm, airway contains a small amount of the surfactant 1-palmitoyl-2-
closure first occurs at 12% TLC (28). These closing lauroyl-sn-glycero-3-phosphocholine (Avanti Polar Lipids, Ala-
volumes are commonly seen in pulmonary function baster, AL; PLPC). It is an asymmetric fatty acid that is
Table 2. Dimensionless parameters for the pulmonary system and the experimental models
Dimensionless Parameter Description Normal Lung (at generation 16) Experiments
formed with ⑀ ⬃0.12–0.36. It is necessary to record ⑀ before Closure time and minimum film thickness. Figure 4
waves develop. Measurements of ⑀ are taken at several indicates how tc decreases as ⑀ increases and how the
locations between about two and five tube diameters from the presence of surfactant delays closure. In Fig. 4A, the
leading meniscus of the infused core fluid, then averaged. addition of PLPC to this system increases tc by up to a
Once the uniform film is established throughout the tube, the factor of 3.8 (the value at ⑀ ⫽ 0.19). Note that for
inflow is stopped and the downstream end of the tube is
plugged. The tube is then scanned to search for small waves
increasingly thick films, the difference between the
at the interface with use of a finely controlled micromanipula- surfactant-free and the surfactant data becomes less
tor, and wave amplification (Fig. 2C) is viewed and recorded. significant. In Fig. 4B, the addition of Tween 20 causes
Figure 3 shows six photographs taken from a sample an increase in tc by up to a factor of 3.0 (at ⑀ ⫽ 0.24).
experiment in its entirety; Fig. 3, A and B, are from the inflow The thinnest films we found to close were at ⑀ ⫽ 0.123
part; Fig. 3, C–F, correspond to the film instability. We use for system 1, at ⑀ ⫽ 0.154 for system 2, at ⑀ ⫽ 0.143 for
Targa-Plus software and Frame-Grabber PC board. In Fig. 3A system 3, and at ⑀ ⫽ 0.156 for system 4.
the film fluid is displaced by a finger of the core fluid, which The solid lines in Fig. 4 are computed from the
leaves a uniform annular film, as shown in Fig. 3B. The surfactant-free theory of Halpern and Grotberg (20) in
infusion flow is shut off, then a small disturbance is located the rigid-tube limit. The dashed lines are computed
(Fig. 3C), which then amplifies (Fig. 3D). Measurements of from the theory of Halpern and Grotberg (21) that
the film interface evolution are taken at the longitudinal
predicts closure in a system containing surfactant.
position where the radius of the interface is the smallest.
Interface positions are recorded periodically, and the time at We simultaneously solve their Eq. A1 numerically.
closure is noted. We see the film as it amplifies just before Values are chosen for the surface activity (␦ ⫽ 8) and
3
closure in Fig. 3E, then just after closure in Fig. 3F. The for the disturbance wavelength ( ⫽ 2 ⁄2) correspond-
Fig. 3. Photographs of experimental procedure. Inflow begins (A) and a uniform film is established (B); then inflow
is stopped, a small disturbance is located (C), and disturbance amplifies (D). E: just before closure. F: just after
closure.
422 SURFACTANT EFFECTS IN MODEL AIRWAY CLOSURE EXPERIMENTS
冑 31
bance amplifies, it draws fluid from the thinning region
5 2 46
2
k2 3 27 near the wall into the bulge of the film. For thin films
q̂ ⫽ 1 ⫺ 3␦ˆ ⫺ k2 ⫹ k ⫹ ␦ˆ ⫺ 1 ⫹
2
␦ˆ 2 (4) where ⑀ is just slightly larger than ⑀crit (Fig. 8B;
6 2 4
⑀ ⫽ 0.131, predicted ⑀crit ⫽ 0.13), the disturbance ampli-
If ␦ˆ ⫽ 0, the constant surface tension result is recovered fies until there is very little fluid at the wall from which
to draw, so the disturbance then slows but eventually
k2 closes. For thinner films where ⑀ ⬍ ⑀crit (Fig. 8C;
q̂ ⫽ (1 ⫺ k2) (5)
3 ⑀ ⫽ 0.118, predicted ⑀crit ⫽ 0.12), the disturbance starts
424 SURFACTANT EFFECTS IN MODEL AIRWAY CLOSURE EXPERIMENTS
rate is constant until h ⬎ 1.0. This appears to be for these experiments, but our theory appears to pre-
consistent with behavior of experiments by Goldsmith dict a decrease in q with surfactant by an appropriate
and Mason (Fig. 7 in Ref. 15). Data recorded of the order of magnitude. We find a decrease in q from system
small-amplitude disturbance [ln (h) ⬍ ⫺2.0 in Fig. 8B] 1 to system 2 to drop to as little as 21% of the
confirm the validity of our method determining the surfactant-free value compared with the theoretical
start time of the perturbation. drop to 25% for an interface saturated with surfactant.
Comparison of data with theory. The experimental Experimental growth rates for systems 3 and 4 are
results support predictions that the closure time in- shown in Fig. 5B. System 3 data match our surfactant-
creases when surfactant is added to a system and free theory fairly well for ⑀ ⬍ 0.2. For thin films, Goren’s
decreases for a larger film thickness. Experimental theory overpredicts q but matches well for ⑀ ⱖ 0.2.
closure times for our surfactant-free system 1 match System 4 data fit our theory for ⑀ ⱕ 0.2, and Fig. 5B
theory well (20) for thin films (⑀ ⬍ 0.20) and are slightly suggests that the surfactant activity of this Tween 20
underpredicted for thicker films (Fig. 4A). System 2 system falls within 0.1 ⬍ ␦ˆ ⬍ 1.0. Our theory appears to
closure times match the surfactant theory well (21) for predict q well for systems 3 and 4 for thinner films. We
⑀ ⬍ 0.20 and are slightly overpredicted for thicker films. find a decrease in q from system 3 to system 4 to drop to
The addition of the surfactant PLPC to this system as little as 24% of the surfactant-free value.
increases the closure time by up to a factor of 3.8 Figure 6 shows how the experimental ⑀ increases
compared with the theoretical factor 4.0 for an inter- with Ca. Results for systems 1 and 2 are shown in Fig.
face saturated with surfactant (21). As ⑀ increases, the 6A and for systems 3 and 4 in Fig. 6B. Generally, we find
discrepancy between the surfactant-free and the surfac- that the difference in film thickness formed between a
tant data is less than the theories predict. We speculate surfactant-free and a surfactant system is within the
pressure requiring a larger-than-normal percentage of [⌫(z, t̂)] are derived from conservation of fluid mass and
O2 in the breathing gas. It is well known that a surfactant, based on a lubrication theory model of Halpern
higher-than-normal percentage of O2, if breathed long and Grotberg (21), and are given by
enough, will promote airway closure and collapse of
alveoli (atelectasis), because portions of the lung distal Fz 1 1
to the closed airway can become ‘‘degassed’’ by rapid hˆt ⫹ ⫽ 0, F ⫽ (1 ⫺ h)3pz ⫺ (1 ⫺ h)2 z
1 ⫹ ⑀(h ⫺ 1) 3 2
absorption of the O2. In a setting of more uniform (A1)
32 (1 ⫺ h) p ⫺ (1 ⫺ h) 4 ⌫
closure, this becomes a potentially significant issue for 1
⌫ˆt ⫹ fz ⫽ 0, f ⫽ 2
z z
limited gas exchange for the astronaut. West and
co-workers (19, 38, 39) measured lung function before,
during (intravehicular), and after the 9-day flight of
where F is the flux of fluid, f the flux of surfactant, p is the
Spacelab Space Life Sciences-1. All seven crewmem-
fluid pressure, z is the axial coordinate, and is the variation
bers performed pulmonary function tests which showed of surface tension from the mean, which we assume to be
that they experienced airway closure. Hence, gravity is small. The jump in pressure across the air-liquid interface,
not the sole contributor to airway closure phenomena nondimensionalized with respect to (⑀*/a), is proportional to
that may depend more on local mechanical phenomena, the curvature of the interface and is given by p ⫽ hzz ⫹
as examined in the present study. h(1 ⫺ ⑀)⫺1 [1 ⫹ ⑀(h ⫺ 1)]⫺1. A linear equation of state, relating
As a technologically related example, there are two the surface tension to the surfactant concentration is used:
air-liquid surfaces in annular extrusion methods for ⫽ ⫺␦ˆ ⌫ˆ , where ⌫ˆ ⫽ ⌫ ⫺ 1 and ␦ˆ ⫽ ␦/⑀2. The first terms in the
manufacturing small hollow fibers. An important prob- expressions for the fluxes in Eq. A1 represent capillarity
lem in coextrusion is to have a smooth interface be- effects, which are destabilizing; the second terms are stabiliz-
7. Enhorning, G., L. C. Duffy, and R. C. Welliver. Pulmonary 28. Kamm, R. D., and R. C. Schroter. Is airway closure caused by a
surfactant maintains patency of conducting airways in the rat. thin liquid instability? Respir. Physiol. 75: 141–156, 1989.
Am. J. Respir. Crit. Care Med. 151: 554–556, 1995. 29. Lee, M. M., S. Schurch, S. H. Roth, X. Jiang, S. Cheng, S.
8. Enhorning, G., A. Yarussi, P. Rao, and I. Vargas. Increased Bjarnason, and F. H. Green. Effects of acid aerosol exposure on
airway resistance due to surfactant dysfunction can be alleviated the surface properties of airway mucus. Exp. Lung Res. 21:
with aerosol surfactant. Can. J. Physiol. Pharmacol. 74: 687– 835–851, 1995.
691, 1996. 30. Liechty, E. A., E. Donovan, D. Purohit, J. Gilhooly, B.
9. Everett, D. H., and J. M. Haynes. Model studies of capillary Feldman, A. Noguchi, S. E. Denson, S. S. Sehgal, I. Gross, D.
condensation. 1. Cylindrical pore model with zero contact angle. Stevens, et al. Reduction of neonatal mortality after multiple
J. Colloid Interface Sci. 38: 125–137, 1972. doses of bovine surfactant in low-birth-weight neonates with
10. Fairbrother, F., and A. E. Stubbs. Studies in electro- respiratory distress syndrome. Pediatrics 88: 19–28, 1991.
endosmosis. VI. The ‘‘bubble-tube’’ method of measurement. J. 31. Liu, M., L. Wang, E. Li, and G. Enhorning. Pulmonary
Chem. Soc. 527–529, 1935. surfactant will secure free airflow through a narrow tube. J.
11. Farstad, T., and D. Bratlid. Pulmonary effects after surfactant Appl. Physiol. 71: 742–748, 1991.
treatment in premature infants with severe respiratory distress 32. Macklem, P. T., D. F. Proctor, and J. C. Hogg. The stability of
syndrome. Biol. Neonate 68: 246–253, 1995. peripheral airways. Respir. Physiol. 8: 191–203, 1970.
12. Gauglitz, P. A., and C. J. Radke. An extended evolution 33. Martinez, M. J., and K. S. Udell. Boundary integral analysis of
equation for liquid film breakup in cylindrical capillaries. Chem. the creeping flow of long bubbles in capillaries. J. Appl. Mech. 56:
Eng. Sci. 43: 1457–1465, 1988. 211–217, 1989.
13. Gaver, D. P., D. M. Halpern, O. E. Jensen, and J. B. 34. Naureckas, E. T., C. A. Dawson, B. S. Gerber, D. P. Gaver,
Grotberg. The steady motion of a semi-infinite bubble through a H. L. Gerber, J. H. Linehan, J. Solway, and R. W. Samsel.
flexible-walled channel. J. Fluid Mech. 319: 25–65, 1996.
Airway reopening pressure in isolated rat lungs. J. Appl. Physiol.
14. Goerke, J., and J. A. Clements. Alveolar surface tension and
76: 1372–1377, 1994.
lung surfactant. In: Handbook of Physiology. The Respiratory
35. Otis, D. R., Jr., M. Johnson, T. J. Pedley, and R. D. Kamm.
System. Mechanics of Breathing. Bethesda, MD: Am. Physiol.
Role of pulmonary surfactant in airway closure: a computational