Chronic obstructive pulmonary disease (COPD) is one of the serious causative diseases in death of aging people.1) Emphysema, one of COPD, is characterized as destruction of airway wall and small airway inflammation.1) An imbalance between elastinolytic proteases and their natural inhibitors is thought to play a role in the pathogenesis of emphysema. One animal model of emphysema is made by administrating of elastase into the lungs.2-4) Cigarette smoke-induced emphysema is another common model of emphysema. A study of elastase-deficient mice has revealed that elastase is also critical in smoke-induced emphysema.5) As several months are required to establish cigarette smoke-induced emphysema, the elastase-induced model is more convenient for assessing drug effects.To quantitatively assess the murine model of emphysema, historical assessment using mean linear intercept (Lm) has been used. 6) Because the elastase-induced destruction of airway wall is not homogenous, random several views are taken to estimate the destruction.The non-homogenous region of the disease is also applicable for human. In human, noninvasive computed tomography (CT) is commonly used for diagnosis and disease staging by assessing areas of low attenuation.1,7) The primary benefits of CT monitoring are the ability to assess the lungs in their entirety and the ability to follow the same mice over time.Micro-computed tomography has been developed, resulting in low-noise CT images in a small animal. CT images are used to follow-up tumor growth in the lung.8) High respiration rates of mice cause difficulty for high quality of images of the lung. Although invasive methods using tracheostomy enable high quality images, 9,10) we employed free-breathing method to take the images serially in a deeply-anesthetized condition, in which respiration rates were reduced. The purpose of present study is to clarify whether the kinetics of a murine elastase-induced emphysema model can be assessed using CT and to compare the results with morphological analysis.
MATERIALS AND METHODSAdministration of Elastase C57BL/6N mice were obtained from Charles River Japan (Kanagawa, Japan) and bred in the animal facilities of Musashino University School of Medicine under specific pathogen-free (SPF) conditions. Care and use of animals followed the guidelines of the "Principles of Laboratory Animal Care" formulated by the National Society for Medical Research.Four cycles of sequential CT analysis were performed using 26 mice, six of which were also under histological examination at the end points. For histological analysis only, 12 mice were used for each time points, and in 8 different time points were examined. Another six mice were employed under CT and histological analysis once at the same day.Mice were anesthetized with ether or intraperitoneal injection of ketamine (90 mg/kg) and xylazine (1 mg/kg) and given intranasal administration of 0.3 or 1.2 units of porcine pancreatic elastase (Sigma-Aldrich, St. Louis, MO, U.S.A.) in 30 ml saline solution. Control mice were intra...