PMID- 20798271 OWN - NLM STAT- MEDLINE DCOM- 20110325 LR - 20211020 IS - 1522-1601 (Electronic) IS - 8750-7587 (Print) IS - 0161-7567 (Linking) VI - 109 IP - 6 DP - 2010 Dec TI - Fatty diabetic lung: functional impairment in a model of metabolic syndrome. PG - 1913-9 LID - 10.1152/japplphysiol.00549.2010 [doi] AB - The Zucker diabetic fatty (ZDF fa/fa) rat with genetic leptin insensitivity develops obesity and Type 2 diabetes mellitus (T2DM) with age accompanied by hyperplastic changes in the distal lung (Am J Physiol Lung Cell Mol Physiol 298: L392-L403, 2010). To determine the functional consequences of structural changes, we developed a rebreathing (RB) technique to simultaneously measure lung volume, pulmonary blood flow, lung diffusing capacity (Dl(CO)), membrane diffusing capacity (Dm(CO)), pulmonary capillary blood volume (Vc), and septal tissue volume in anesthetized tracheostomized male ZDF fa/fa and matched lean (+/+) control animals at 4, 8, and 12 mo of age. Results obtained by RB technique were compared with that measured by a single-breath (SB) technique and to that expected in a wide range of species. In fa/fa animals compared with +/+, lung volumes and compliance were 13-35% lower at different ages, and the normal age-related increase in lung compliance was no longer evident. Mean pulmonary blood flow declined with age in fa/fa but not in +/+ animals. Dl(CO) measured at a given pulmonary blood flow was 20-43% lower at different ages due to reductions in both Dm(CO) and Vc. Septal tissue volume was also reduced in older fa/fa rats. We conclude that obese rats with T2DM develop significant restrictive pulmonary defects with diffusion impairment in a pattern similar to that previously reported in obese human subjects with T2DM. Functional impairment became exaggerated with age and duration of T2DM. In both fa/fa and +/+ animals, Dl(CO) measured by RB was systematically higher than by SB technique whereas lung volume was similar, a finding consistent with heterogeneous distribution of ventilation in the rat lung. FAU - Yilmaz, Cuneyt AU - Yilmaz C AD - Department of Internal Medicine, Pulmonary and Critical Care Medicine, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9034, USA. FAU - Ravikumar, Priya AU - Ravikumar P FAU - Bellotto, Dennis J AU - Bellotto DJ FAU - Unger, Roger H AU - Unger RH FAU - Hsia, Connie C W AU - Hsia CC LA - eng GR - R01 DK063242/DK/NIDDK NIH HHS/United States GR - DK-063242/DK/NIDDK NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20100826 PL - United States TA - J Appl Physiol (1985) JT - Journal of applied physiology (Bethesda, Md. : 1985) JID - 8502536 SB - IM MH - Age Factors MH - Aging MH - Animals MH - Diabetes Mellitus, Type 2/*etiology/genetics MH - Disease Models, Animal MH - Hyperplasia MH - Lung/blood supply/pathology/*physiopathology MH - Lung Diseases/*etiology/genetics/pathology/physiopathology MH - Lung Volume Measurements MH - Male MH - Metabolic Syndrome/*etiology/genetics/pathology/physiopathology MH - Microcirculation MH - Obesity/*complications/genetics MH - Pulmonary Circulation MH - Pulmonary Diffusing Capacity MH - Rats MH - Rats, Zucker MH - Regional Blood Flow MH - Respiration, Artificial MH - Time Factors MH - Tracheostomy PMC - PMC3006414 EDAT- 2010/08/28 06:00 MHDA- 2011/03/26 06:00 PMCR- 2011/12/01 CRDT- 2010/08/28 06:00 PHST- 2010/08/28 06:00 [entrez] PHST- 2010/08/28 06:00 [pubmed] PHST- 2011/03/26 06:00 [medline] PHST- 2011/12/01 00:00 [pmc-release] AID - japplphysiol.00549.2010 [pii] AID - JAPPL-00549-2010 [pii] AID - 10.1152/japplphysiol.00549.2010 [doi] PST - ppublish SO - J Appl Physiol (1985). 2010 Dec;109(6):1913-9. doi: 10.1152/japplphysiol.00549.2010. Epub 2010 Aug 26.