1998
DOI: 10.3109/08941939809032192
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An Animal Model for Lung Volume Reduction Therapy of Pulmonary Emphysema

Abstract: Stapled lung volume reduction surgery (LVRS) has recently been described for treatment of emphysema. Many questions arise regarding physiologic mechanisms of response from surgical treatment of emphysema. The objective of this study was to develop an animal model for the study of lung volume reduction surgery in diffuse heterogeneous emphysema. We hypothesized that elastic recoil would increase, static respiratory system compliance would decrease, and expiratory flows would increase after lung volume reduction… Show more

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Cited by 9 publications
(8 citation statements)
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“…This model is used to induce inflammatory responses to initiate and perpetuate the inflammatory response seen in COPD [12, 87, 88]. The major advantages of the elastase model are the technical ease of inducing the disease by a single instillation of the enzyme in the lung and the ability to control the disease severity by adjusting the amount of enzyme [9, 16, 89, 90]. However, the disadvantage of the elastase model is that the function of elastase in COPD emphysema depends on several pathophysiological mechanisms which again brings up the number of clinical events [12, 91, 92].…”
Section: Elastasementioning
confidence: 99%
“…This model is used to induce inflammatory responses to initiate and perpetuate the inflammatory response seen in COPD [12, 87, 88]. The major advantages of the elastase model are the technical ease of inducing the disease by a single instillation of the enzyme in the lung and the ability to control the disease severity by adjusting the amount of enzyme [9, 16, 89, 90]. However, the disadvantage of the elastase model is that the function of elastase in COPD emphysema depends on several pathophysiological mechanisms which again brings up the number of clinical events [12, 91, 92].…”
Section: Elastasementioning
confidence: 99%
“…Disease severity can be controlled by selection of enzyme dose. As opposed to smoke-induced emphysema, it is relatively easy to produce severe emphysema with elastase instillation, and this facilitates detection of pulmonary function abnormalities, particularly when evaluating the effects of an inhibitor or intervention such as lung volume reduction surgery or abnormalities in connective tissue elasticity (15,51). Biochemical and in situ hybridization studies have shown that over time there is increased synthesis of elastin and to a lesser extent collagen (77), making the model a candidate for studies on alveolar repair and regeneration [however, studies using all trans retinoic acid and/or bone marrow cell instillation or various colony-stimulating factors to attempt to drive repair are contradictory (49,50,76,102,164)].…”
Section: Elastase Emphysema Modelmentioning
confidence: 99%
“…To evaluate the method's effectiveness in improving respiratory function, Chen et al 12 induced pulmonary emphysema in a rabbit model using aerosolized porcine elastase and performed stapled lung volume reduction. They observed that the static compliance decreased significantly immediately after the operation, and thereafter returned to its preoperative value at 1 week postoperatively; however, they also noted an increase in forced expiratory flow and a decrease in expiratory resistance.…”
Section: Discussionmentioning
confidence: 99%