Study of the ciliary epitelium function in the patients with CF and COPD by lifetime television microscopy
Abstract
25 patients with CF and 20 with others of COPD were examinated. Ciliary beat was measured by a lifetime TV microscopy of bioptates of respiratory mucous. Material was obtained with the help of brush biopsy during fiberoptic bronchoscopy. The image of ciliary beat from a light microscope was recorded on the hard disk of the personal computer. The specially created program estimated ciliary beat frequency (CBF) and amplitude of ciliary beating. CBF into bronchi of the CF patients have made at impact phase – 6.3+0.33 Hz, raising phase – 5.7+0.36 Hz; in the patients with COPD: 6.5+0.32 Hz and 6.2+0.33 Hz accordingly. The precise tendency to a drop of CBF and amplitude of ciliary beating in the patients with CF on a comparison with the patients with COPD and literary datas was marked. Also, the drop of indexes of beating in the patients with Ps.aeruginosae mucoid were marked.
About the Authors
A. G. TchermenskyRussian Federation
T. E. Gembitskaya
Russian Federation
T. S. Sologub
Russian Federation
A. V. Orlov
Russian Federation
E. N. Mitkina
Russian Federation
L. A. Jelenina
Russian Federation
M. E. Faustova
Russian Federation
V. V. Shabalin
Russian Federation
References
1. Бирюкова Р.Н. Статистика в клинических исследованиях. М.: Медицина; 1964. 98—99.
2. Гублер В.В. Вычислительные методы анализа и распознавание патологических процессов. Л.: Медицина; 1978; гл.4: 68—91.
3. Захарова Г.П., Шабалин В.В., Ланцов А.А. Современные методы оценки нарушений мукоцилиарного транспорта в диагностике хронических риносинуситов. Вестн. оторинолар. 1998; 4: 53—55.
4. Alberty J., Stoll W. The effect of antiallergic intranasal formulations on ciliary beat frequency of human nasal epithelium in vitro. Allergy 1998; 53: 986—989.
5. Bennett W.D., Olivier K.N., Zeman K.L. et al. Effect of uridine 5’-triphosphate plus amiloride on mucociliary clearance in adult cystic fibrosis. Am. J. Respir. Crit. Care Med. 1996; 153 (6, pt 1): 1796—1801.
6. Clary-Meinesz C., Mouroux J., Huitorel P. et al. Ciliary beat frequency in human bronchi and bronchioles. Chest 1997; 111: 692—697.
7. Donovan B.Y., Lid B., Wong Hua Mao. Mucociliary dysfunction: real and potential pathogenic mechanisms in mucus, ciliary activity and mucociliary interaction. Pediatr. Pulmonol. 1997; suppl.14: 108.
8. Hafner B., Davris S., Riechelmann H. et al. Endonasal sinus surgery improves mucociliary transport in severe chronic sinusitis. Am. J. Rhinol. 1997; 11 (4): 271—274.
9. Jorissen М., Willems Т., Van der Schueren B. Nasal ciliary beat frequency is age independent. Laryngoscope 1998; 108 (7): 1042—1047.
10. Kollberg H., Mossberg B., Afzelius B.A. et al. Cystic fibrosis compared with the immotile-cilia syndrome. A study of mucociliary clearance, ciliary ultrastructure, clinical picture and ventilatory function. Scand. J. Respir. Dis. 1978; 59 (6): 297—306.
11. Lindberg S., Cervin A., Runer Т., Thomasson L. Recording of mucociliary activity in vivo: benefit of fast Fourier transformation of the photoelectric signal. Ann. Otol. (St.Louis) 1996; 105 (9): 734—745.
12. Nuessleih T.G., Brechmann Т., Ruch S. et al. Formoterol increases ciliary beat frequency in nasal epithelium of cystic fibrosis patients. Eur. Respir. J. 1997; 10 (suppl.25): 269.
13. Rayner C.F., Rutman A., Dewar A. et al. Ciliary disorientation in patients with chronic upper respiratory tract. Am. J. Respir. Crit. Care Med. 1995; 151 (3, pt 1): 800—804.
14. Regnis I.A., Robinson М., Bailey D.L. et al. Mucociliary clearance in patients with cystic fibrosis and in normal subjects. Ibid. 1994; 150 (1): 66—71.
15. Sanchis J., Dolovich М., Rossman C., Wilson W. Pulmonary mucociliary clearance in cystic fibrosis. N. Engl. J. Med. 1973; 288: 651—654.
16. Seybold Z.V., Abraham W.M., Gazeroglu H., Wanner A. Impairment of airway mucociliary transport by Pseudomonas aeruginosa products. Am. Rev. Respir. Dis. 1992; 146: 1173—1176.
17. Spock A., Heich H.M.C., Cress H. Abnormal serum factor in patients with cystic fibrosis of the pancreas. Pediatr. Res. 1967; 7: 173.
18. Taussig L.M. Cystic fibrosis. New York: Thieme-Stratton Inc.; 1984.
19. Tsang K.W.T., Ho P.L., Sun J. et al. Sputum microbiology in steady active bronchiectasis. Eur. Respir. J. 1997; 10 (suppl. 25): 147.
20. Wanner A., Salathe М., O'Riordan T.G. Mucocilyary clearance in the airways. Am. J. Respir. Crit. Care Med. 1996; 154: 1868—1902.
21. Wilson G.В., Fudenberg H.H., PariseM.T., Floyd E. Cystic fibrosis ciliary dyskinesia substances on neutrophil movement in vitro. J. ciliary dyskinesia substances and pulmonary disease. Effects of Clin. Invest. 1981; 68 (1): 171—183.
Review
For citations:
Tchermensky A.G., Gembitskaya T.E., Sologub T.S., Orlov A.V., Mitkina E.N., Jelenina L.A., Faustova M.E., Shabalin V.V. Study of the ciliary epitelium function in the patients with CF and COPD by lifetime television microscopy. PULMONOLOGIYA. 2001;(3):53-57. (In Russ.)