Modelo experimental de enfisema pulmonar em ratos induzido por papaína

objective: the reproduction of an experimental emphysema model in rats by intratracheal instillation of papain was proposed for the evaluation of lung volume reduction surgeries. method: the study used orotracheal instillation of papain (20 mg/kg) dissolved in 0.9% saline solution. forty days after instillation, animals underwent mechanical ventilation. elastance and resistance of the respiratory system were measured, and the rats were sacrificed by having their lungs removed. the pulmonary tissue of the animals was qualitatively analyzed with hematoxylin-eosin staining and submitted to morphometric analysis for the measurement of the mean alveolar diameter. the pulmonary tissue was also subjected to resorcin-fuchsin staining for the identification of elastic fibers, which were quantified in alveolar septa by digital imaging. results: in the animals instilled with papain, the histological analysis of the lungs showed pan-acinar emphysema, with rupture of alveolar septa and hyperdistention. morphometric analysis showed higher mean values for mean alveolar diameter in the lungs of the animals submitted to papain (149.08 mm and 100.56 mm) as compared to the group receiving saline solution (64.08 mm and 75.90 mm). the quantification of elastic fibers of alveolar septa of papain-treated animals was 70% lower than in the animals receiving saline solution. mechanic ventilation did not show differences in respiratory system resistance of animals receiving papain or saline solution. respiratory system elastance was lower in the group receiving papain than in the group receiving saline solution, showing a functional status compatible with pulmonary emphysema, with decreased elasticity of the pulmonary tissue. conclusion: the reproduction of an experimental model of pan-acinar pulmonary emphysema in rats was achieved by papain instillation through the respiratory tree with functional and morphologic evidences.