title: In situ pulmonary vascular perfusion for improved recovery of pulmonary intravascular macrophages.
abstract: The microcirculation contains mononuclear phagocytes, with features characteristic of macrophages, adhered to luminal capillary surfaces by intercellular adhesion plaques. These pulmonary intravascular macrophages may play an important role in regulating lung vascular tone and capillary permeability, and may modulate capillary endothelial cell growth and replication by the secretion of soluble mediators (i.e., arachidonate metabolites, cytokines). This study describes a technique which utilizes in situ lung perfusion to remove intravascular macrophages in large numbers from the microcirculation of porcine lung (n = 26). This technique yielded 3.8 +/- 0.5 x 10(8) (mean +/- SEM) mononuclear cells which were highly phagocytic toward particulate carbon (phagocytic index, 80 +/- 6%). Harvested mononuclear phagocytes reestablished intercellular adhesion plaques when placed on small vessel porcine pulmonary artery endothelial cell monolayers and exhibited histochemical characteristics typical of monocyte/macrophage lineage cells. Mononuclear cells obtained from lung microcirculation displayed size heterogeneity varying from 10.4 to 16.5 microns in diameter. Both large and small cell populations phagocytosed particulate carbon. Morphometric studies performed on collagenase-treated lung demonstrated that in situ perfusion removed significant numbers of intravascular macrophages in lung capillaries. The technique described permits the rapid removal of anchored mononuclear phagocytes from lung capillaries with minimal postmortem delay.
authors.affiliation: Department of Internal Medicine, Medical College of Virginia, Richmond 23298.
authors.forename: A A
authors.initials: AA
authors.lastname: Fowler
authors.forename: P D
authors.initials: PD
authors.lastname: Carey
authors.forename: C J
authors.initials: CJ
authors.lastname: Walsh
authors.forename: C N
authors.initials: CN
authors.lastname: Sessler
authors.forename: V R
authors.initials: VR
authors.lastname: Mumaw
authors.forename: D E
authors.initials: DE
authors.lastname: Bechard
authors.forename: S K
authors.initials: SK
authors.lastname: Leeper-Woodford
authors.forename: B J
authors.initials: BJ
authors.lastname: Fisher
authors.forename: C R
authors.initials: CR
authors.lastname: Blocher
authors.forename: T K
authors.initials: TK
authors.lastname: Byrne
mesh_terms: D000818:Animals; D002452:Cell Count; D002469:Cell Separation / Q000379:methods; D006651:Histocytochemistry; D008168:Lung / Q000098:blood supply* / Q000166:cytology / Q000187:drug effects; D008264:Macrophages / Q000737:chemistry / Q000502:physiology / Q000648:ultrastructure; D003012:Microbial Collagenase / Q000494:pharmacology; D008833:Microcirculation; D010477:Perfusion; D010587:Phagocytosis; D013552:Swine
chemical_list: D003012:Microbial Collagenase