INDIANAPOLIS -- Like the multiple branches of a large, sprawling tree,
the arteries, capillaries and bronchioles in the lungs weave a beautiful
and useful pattern. But, unlike a tree, the human system of branches is
much more complicated and interdependent.
Halt blood flow to or from the lungs and the system can collapse. The
same goes for oxygen.
"The body uses red blood cells to carry carbon dioxide to the capillaries
in the lungs where it is exchanged for oxygen," explained Wiltz Wagner,
Ph.D., during the March 6 session of Indiana University School of Medicine
Mini Medical School. "Oxygenating the body through the cardiovascular
system is the main function of the lungs."
Dr. Wagner, who is the V.K. Stoelting Professor of Anesthesia and a professor
of physiology, biophysics and pediatrics at the IU School of Medicine,
studies the mechanisms that control the human lungs.
The workhorse of the lung is air sacs called alveoli and more than 300
million of them are involved with the process of introducing oxygen into
the body.
"The lung has to be stretchy, like a rubber glove," explained Dr. Wagner.
"When you take a breath you stretch the rubber, and when you exhale the
elastic tissue contracts. Inhaling creates negative pressure."
Diseases, such as black lung, or trauma, such as a puncture wound, reduce
the elasticity so the lung cannot take in enough oxygen to support the
body.
There is much that researchers understand about the physiology of the
lung, but there is much that remains a mystery.
Dr. Wagner and a team of researchers, including Robb W. Glenny, MD,
a physiology professor at the University of Washington, have dispelled
the principle that blood flow in the lung is governed by only gravity.
Instead, the researchers have shown pulmonary circulation is not solely
dependent on gravity. Dr. Wagner said the tree-like structure of the lung's
arterial circulatory system is another major determinant of how blood
flows in the lungs.
Their initial findings were the result of a cooperative experiment with
NASA in a jet appropriately named the "Vomit Comet." The plane, a KC-135,
gives its passengers the experience of weightlessness at zero gravity
with intermittent plunges toward Earth that create two times the force
of gravity. Severe nausea is frequently the result. During several of
these flights on which Dr. Wagner was a passenger, the researchers studied
the effect of weightlessness on the lung's circulation in a pig.
Dr. Wagner and his team believe the study shows that gravity may account
for only a minor portion of the blood flow in the lung and that the tree-like
structure of the lung's circulatory system accounts for the remainder.
This discordant finding remains a focus of Dr. Wagner's research.
The IU Medical Group and Indianapolis radio station WIBC sponsor Mini
Medical School, which is offered by the Indiana University School of Medicine
Faculty Community Relations Committee through the IUPUI Division of Continuing
Studies.