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CO concentration-dependent changes in pulmonary diffusing capacity in humans

A Sybert, R Ayash, M Chatham

    Journal of Applied Physiology: Respiratory, Environmental and Exercise Physiology
    |August 1, 1982
    PubMed
    Summary
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    Pulmonary diffusing capacity for carbon monoxide (DLCO) in humans shows saturation kinetics, peaking at 100 ppm CO. This suggests carrier-mediated transport of CO in the lungs, similar to findings in dogs.

    Area of Science:

    • Physiology
    • Respiratory Medicine
    • Biophysics

    Background:

    • Pulmonary diffusing capacity for carbon monoxide (DLCO) is a key measure of lung function.
    • Understanding the transport mechanisms of carbon monoxide (CO) in the lungs is crucial for respiratory physiology.
    • Previous studies suggested carrier-mediated transport, but further evidence in humans during exercise was needed.

    Purpose of the Study:

    • To investigate the relationship between inspired CO concentration and DLCO during light exercise in humans.
    • To determine if CO transport in the human lung exhibits saturation kinetics.
    • To provide evidence for or against carrier-mediated transport of CO in human lungs.

    Main Methods:

    • Steady-state DLCO was measured in eight participants (seven males, one female) during light treadmill exercise.

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  • Inspired CO concentrations were varied.
  • End-tidal CO concentrations were monitored.
  • Main Results:

    • DLCO increased with rising inspired CO concentrations, reaching a maximum at approximately 100 ppm end-tidal CO.
    • At peak levels, DLCO was up to twice as high as at a high inspired CO concentration (approx. 1,780 ppm).
    • The observed relationship between DLCO and CO concentration is consistent with saturation kinetics.

    Conclusions:

    • Human lung CO transport exhibits saturation kinetics, supporting carrier-mediated transport.
    • These findings in humans align with previous observations in mechanically ventilated dogs.
    • Evidence suggests a carrier-mediated mechanism for CO transport in both human and canine lungs.