2002
DOI: 10.1073/pnas.122352499
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Smaller is better—but not too small: A physical scale for the design of the mammalian pulmonary acinus

Abstract: The transfer of oxygen from air to blood in the lung involves three processes: ventilation through the airways, diffusion of oxygen in the air phase to the alveolar surface, and finally diffusion through tissue into the capillary blood. The latter two steps occur in the acinus, where the alveolar gas-exchange surface is arranged along the last few generations of airway branching. For the acinus to work efficiently, oxygen must reach the last branches of acinar airways, even though some of it is absorbed along … Show more

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Cited by 194 publications
(200 citation statements)
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“…However, considering also the structure of the pulmonary acinar airways that distribute O 2 to the alveolar surface, one finds that the scaling of the membrane conductance is tightly associated with that of V O ∑ max , both with exponents of 0.9. The effect of O 2 screening in the acinar airways reduces the effective conductance at rest to scale with 0.735, similar to the scaling of basal metabolic rate (Sapoval et al, 2002).…”
Section: The Scaling Of the O 2 Supply Cascadementioning
confidence: 68%
“…However, considering also the structure of the pulmonary acinar airways that distribute O 2 to the alveolar surface, one finds that the scaling of the membrane conductance is tightly associated with that of V O ∑ max , both with exponents of 0.9. The effect of O 2 screening in the acinar airways reduces the effective conductance at rest to scale with 0.735, similar to the scaling of basal metabolic rate (Sapoval et al, 2002).…”
Section: The Scaling Of the O 2 Supply Cascadementioning
confidence: 68%
“…As was pointed out by SAPOVAL et al [39], efficient gas exchange depends crucially on ensuring adequate oxygen supply to all capillary gas exchange units within the acinus, whether they are centrally located near the entrance or deep at the periphery of the acinus. As oxygen diffuses along the acinar airways, it is progressively extracted at the gas exchange surface along the longitudinal diffusion path, resulting in a progressive decrease of the oxygen partial pressure in a process referred to as screening [39]. Addition of new alveoli at the lung periphery increases the fraction of gas exchange area exposed to low oxygen partial pressure.…”
Section: Discussionmentioning
confidence: 98%
“…In particular, low Reynolds alveolar flows can be extremely complex due to the unique alveolated duct structures and their time dependent motion. While convective acinar flows may not affect diffusive gas (oxygen) transport [9], alveolar flow patterns are, however, of significant relevance for aerosol kinematics and deposition of inhaled particles [10,11].…”
Section: Introductionmentioning
confidence: 99%