2009
DOI: 10.1152/ajplung.90562.2008
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Influence of cytoskeletal structure and mechanics on epithelial cell injury during cyclic airway reopening

Abstract: Although patients with acute respiratory distress syndrome require mechanical ventilation, these ventilators often exacerbate the existing lung injury. For example, the cyclic closure and reopening of fluid-filled airways during ventilation can cause epithelial cell (EpC) necrosis and barrier disruption. Although much work has focused on minimizing the injurious mechanical forces generated during ventilation, an alternative approach is to make the EpC less susceptible to injury by altering the cell's intrinsic… Show more

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Cited by 46 publications
(73 citation statements)
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References 43 publications
(58 reference statements)
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“…This could fundamentally alter the force transmission and the effects of deforming stress on the PM-CSK interface. This may also explain why some authors have proposed that interventions that decrease cell stiffness may be cytoprotective (26).…”
Section: Discussionmentioning
confidence: 99%
“…This could fundamentally alter the force transmission and the effects of deforming stress on the PM-CSK interface. This may also explain why some authors have proposed that interventions that decrease cell stiffness may be cytoprotective (26).…”
Section: Discussionmentioning
confidence: 99%
“…Briefly, substrates with cultured A549 cells or HSAEpC were placed inside the FCS2 chamber, and silicone gaskets were used to create a parallel plate flow channel (35-mm length, 10-mm width, and 0.5-mm height). Similar to previous studies (47,48), this channel was then filled with a surfactant-deficient PBS fluid using a programmable PHD 2000 syringe pump (Harvard Apparatus, Holliston, MA). The fluid was then retracted from the channel at a flow rate (0.09 ml/min) to create an air bubble that propagated over the cell monolayer at a velocity of 0.3 mm/s (Fig.…”
Section: Fluid-filled Airway Reopening Simulationmentioning
confidence: 99%
“…Under these conditions, the closure and reopening of fluid-filled airways generates interfacial and microbubble flows that can significantly damage the lung epithelium. Specifically, several investigators have used computational (13,14,23,25,29) and in vitro experimental (3,30,47,48) techniques to demonstrate that this interfacial flow generates complex mechanical forces that cause cell necrosis/plasma membrane disruption and detachment of cells from their substrate. In addition, mechanical forces associate with atelectrauma can also activate inflammatory signaling pathways (27,28).…”
mentioning
confidence: 99%
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“…Several studies suggest that excessive mechanical stretch of lung epithelial cells can cause direct injury involving damage to cells 11,13,26,27 . This type of damage is difficult to capture without real-time imaging during the mechanical distention.…”
Section: Direct Epithelial Monolayer Damage Due To Stretchmentioning
confidence: 99%