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. 1978 Jun;33(3):335–344. doi: 10.1136/thx.33.3.335

Structural basis for the changing physical properties of human pulmonary vessels with age.

E H Mackay, J Banks, B Sykes, G Lee
PMCID: PMC470893  PMID: 684670

Abstract

Circumferential strips of pulmonary vessel wall were obtained at necropsy from the major arterial and venous branches at the lung hilum in patients aged 7-87 years. The extensibility of these strips was measured using the tension balance method of Harris et al. (British Heart Journal, 1965, 27, 651-659). The vessels were then bisected, and half of each strip was submitted for structural analysis using morphometric methods on paraffin sections stained to show the collagen, elastin, and muscle content. The other halves of the formalin-fixed vessel strips were examined chemically to determine their collagen content by estimation of the total hydroxyproline content. The thickness of the vessel media was measured microscopically on all of the sections examined. Quantitative measurements were made on 42 arteries and 37 veins. Contrary to expectation, there was a steady fall in medial collagen content with increasing age in arteries and veins. The decrease in collagen content was similar in the morphometric and chemical studies and was statistically significant. The thickness of the vessel media did not change significantly with age. The pulmonary artery and vein strips were less extensible in the older age groups, the main change occurring in the elastic phase of the vascular stress/strain curves. It is suggested that changes in the elastic tissue at a molecular and lamellar level are responsible for the increasing stiffness of pulmonary vessels rather than changes in the medial collagen content.

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Selected References

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  1. BOSMAN A. R., HONOUR A. J., LEE G. D., MARSHALL R., STOTT F. D. A METHOD FOR MEASURING INSTANTANEOUS PULMONARY CAPILLARY BLOODFLOW AND RIGHT VENTRICULAR STROKE VOLUME IN MAN. Clin Sci. 1964 Apr;26:247–260. [PubMed] [Google Scholar]
  2. Bergman I., Loxley R. The determination of hydroxyproline in urine hydrolysates. Clin Chim Acta. 1970 Feb;27(2):347–349. doi: 10.1016/0009-8981(70)90355-4. [DOI] [PubMed] [Google Scholar]
  3. CARO C. G., SAFFMAN P. G. EXTENSIBILITY OF BLOOD VESSELS IN ISOLATED RABBIT LUNGS. J Physiol. 1965 May;178:193–210. doi: 10.1113/jphysiol.1965.sp007623. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Farrar J. F., Blomfield J., Reye R. D. The structure and composition of the maturing pulmonary circulation. J Pathol Bacteriol. 1965 Jul;90(1):83–96. doi: 10.1002/path.1700900109. [DOI] [PubMed] [Google Scholar]
  5. Gillespie W. J., Greene D. G., Karatzas N. B., Lee G. D. Effect of atrial systole on right ventricular stroke output in complete heart block. Br Med J. 1967 Jan 14;1(5532):75–79. doi: 10.1136/bmj.1.5532.75. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. HEATH D., WOOD E. H., DUSHANE J. W., EDWARDS J. E. The structure of the pulmonary trunk at different ages and in cases of pulmonary hypertension and pulmonary stenosis. J Pathol Bacteriol. 1959 Apr;77(2):443–456. doi: 10.1002/path.1700770216. [DOI] [PubMed] [Google Scholar]
  7. Harris P., Heath D., Apostolopoulos A. Extensibility of the human pulmonary trunk. Br Heart J. 1965 Sep;27(5):651–659. doi: 10.1136/hrt.27.5.651. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Karatzas N. B., Lee G. de J. Instantaneous lung capillary blood flow in patients with heart disease. Cardiovasc Res. 1970 Jul;4(3):265–273. doi: 10.1093/cvr/4.3.265. [DOI] [PubMed] [Google Scholar]
  9. LEE G. D., DUBOIS A. B. Pulmonary capillary blood flow in man. J Clin Invest. 1955 Sep;34(9):1380–1390. doi: 10.1172/JCI103187. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. MONTFORT I., PEREZ-TAMAYO R. The muscle-collagen ratio in normal and hypertrophic human hearts. Lab Invest. 1962 Jun;11:463–470. [PubMed] [Google Scholar]
  11. Naeye R. L., Dellinger W. S. Pulmonary arterial changes with age and smoking. Arch Pathol. 1971 Oct;92(4):284–288. [PubMed] [Google Scholar]
  12. Nathan H., Eliakim M. The junction between the left atrium and the pulmonary veins. An anatomic study of human hearts. Circulation. 1966 Sep;34(3):412–422. doi: 10.1161/01.cir.34.3.412. [DOI] [PubMed] [Google Scholar]
  13. PEASE D. C., PAULE W. J. Electron microscopy of elastic arteries; the thoracic aorta of the rat. J Ultrastruct Res. 1960 Jun;3:469–483. doi: 10.1016/s0022-5320(60)90023-x. [DOI] [PubMed] [Google Scholar]
  14. ROACH M. R., BURTON A. C. The reason for the shape of the distensibility curves of arteries. Can J Biochem Physiol. 1957 Aug;35(8):681–690. [PubMed] [Google Scholar]
  15. Reuben S. R. Compliance of the human pulmonary arterial system in disease. Circ Res. 1971 Jul;29(1):40–50. doi: 10.1161/01.res.29.1.40. [DOI] [PubMed] [Google Scholar]
  16. Reuben S. R., Gersh B. J., Swadling J. P., Lee G. de J. Measurement of pulmonary arterial distensibility in the dog. Cardiovasc Res. 1970 Oct;4(4):473–481. doi: 10.1093/cvr/4.4.473. [DOI] [PubMed] [Google Scholar]
  17. Reuben S. R., Swadling J. P., Gersh B. J., Lee G. de J. Impedance and transmission properties of the pulmonary arterial system. Cardiovasc Res. 1971 Jan;5(1):1–9. doi: 10.1093/cvr/5.1.1. [DOI] [PubMed] [Google Scholar]
  18. WOLINSKY H., GLAGOV S. STRUCTURAL BASIS FOR THE STATIC MECHANICAL PROPERTIES OF THE AORTIC MEDIA. Circ Res. 1964 May;14:400–413. doi: 10.1161/01.res.14.5.400. [DOI] [PubMed] [Google Scholar]

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