Observational Study
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Sep 26, 2016; 8(9): 553-558
Published online Sep 26, 2016. doi: 10.4330/wjc.v8.i9.553
Characterization of optimal resting tension in human pulmonary arteries
Azar Hussain, Robert T Bennett, Mubarak A Chaudhry, Syed S Qadri, Mike Cowen, Alyn H Morice, Mahmoud Loubani
Azar Hussain, Robert T Bennett, Mubarak A Chaudhry, Syed S Qadri, Mike Cowen, Mahmoud Loubani, Department of Cardiothoracic Surgery, Castle Hill Hospital, Cottingham HU16 5JQ, United Kingdom
Alyn H Morice, Centre for Cardiovascular and Metabolic Research, Hull York Medical School, Castle Hill Hospital, Cottingham HU16 5JQ, United Kingdom
Author contributions: Hussain A was the principal investigator and was responsible for the design and conduct of the study; Hussain A was responsible for the acquisition, analysis and interpretation of the data and initial draft of the manuscript; Bennett RT, Chaudhry MA, Qadri SS, Cowen M, Morice AH and Loubani M supervised the study and critically reviewed the article.
Institutional review board statement: The study was reviewed and approved by the Local Research Ethics Committee and local research and development department.
Informed consent statement: All patients were consulted and consented for resected lung tissue to be studied for our research prior to their operation at the time of their consent for surgery.
Conflict-of-interest statement: There are no conflicts of interest to report.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Azar Hussain, MBBS, MRCS (Ed), Clinical Research Fellow, Department of Cardiothoracic Surgery, Castle Hill Hospital, Castle Road, Cottingham HU16 5JQ, United Kingdom. dr_azarhussain@hotmail.com
Telephone: +44-77-48019242
Received: May 16, 2016
Peer-review started: May 16, 2016
First decision: July 5, 2016
Revised: July 15, 2016
Accepted: July 29, 2016
Article in press: August 1, 2016
Published online: September 26, 2016
Processing time: 127 Days and 13.1 Hours
Abstract
AIM

To determine the optimum resting tension (ORT) for in vitro human pulmonary artery (PA) ring preparations.

METHODS

Pulmonary arteries were dissected from disease free sections of the resected lung in the operating theatre and tissue samples were directly sent to the laboratory in Krebs-Henseleit solution (Krebs). The pulmonary arteries were then cut into 2 mm long rings. PA rings were mounted in 25 mL organ baths or 8 mL myograph chambers containing Krebs compound (37 °C, bubbled with 21% O2: 5% CO2) to measure changes in isometric tension. The resting tension was set at 1-gram force (gf) with vessels being left static to equilibrate for duration of one hour. Baseline contractile reactions to 40 mmol/L KCl were obtained from a resting tension of 1 gf. Contractile reactions to 40 mmol/L KCl were then obtained from stepwise increases in resting tension (1.2, 1.4, 1.6, 1.8 and 2.0 gf).

RESULTS

Twenty PA rings of internal diameter between 2-4 mm were prepared from 4 patients. In human PA rings incrementing the tension during rest stance by 0.6 gf, up to 1.6 gf significantly augmented the 40 mmol/L KCl stimulated tension. Further enhancement of active tension by 0.4 gf, up to 2.0 gf mitigate the 40 mmol/L KCl stimulated reaction. Both Myograph and the organ bath demonstrated identical conclusions, supporting that the radial optimal resting tension for human PA ring was 1.61 g.

CONCLUSION

The radial optimal resting tension in our experiment is 1.61 gf (15.78 mN) for human PA rings.

Keywords: Pulmonary hypertension; Pulmonary artery; Optimal resting tension; Pulmonary artery rings; Human

Core tip: Pulmonary artery (PA) vasoconstriction is an important physiological process to regulate blood flow in the lungs but it also manifests in pathological conditions. Different models have been implemented to assess the baseline molecular and cellular functions of pulmonary ailments. However, a great deal of the research was undertaken on animals with little similarity to human tissue. Isolation of human PA and measurement of pulmonary vascular tension are vital to understand the pathophysiology of human pulmonary vessels. The objective behind this research is to assess the underlying resting tension for undertaking studies of the PA rings in humans.