Compliance, hysteresis, and collapsibility of human small airways

Am J Respir Crit Care Med. 1999 Oct;160(4):1110-8. doi: 10.1164/ajrccm.160.4.9709004.


We tested the hypothesis that airway wall dimensions are important determinants for the mechanical properties of airways. Lung tissue was obtained from 31 smokers with different degrees of chronic obstructive pulmonary disease (COPD) who were operated on for a solitary lung lesion. Segments of small airways (n = 35) were mounted on cannulas in an organ bath and inflated and deflated cyclically between +15 and -15 cm H(2)O. For each airway this was done at baseline, after methacholine, and after isoprenaline. Specific compliance (sCdyn), specific hysteresis (seta), and pressure at which the airways collapsed (Pcol) were calculated from each recording. Airway wall dimensions were measured morphometrically. Lung function parameters of airflow obstruction were correlated to sCdyn, seta, and Pcol. At baseline, after methacholine, and after isoprenaline sCdyn was 0.059, 0.052, and 0. 085 cm H(2)O(-)(1), seta was 13.5, 12.9, and 7.1%, and Pcol was -3.4, -3.5, and -1.9 cm H(2)O, respectively. Differences between sCdyn, seta, and Pcol after methacholine and after isoprenaline were highly significant (p < 0.001). Of all dimensions studied, smooth muscle area, but not total wall area, was the most important determinant for sCdyn and for seta after methacholine. Specific hysteresis at baseline correlated to residual volume as a fraction of total lung capacity (RV/TLC) (r = 0.5, p = 0.05) and, in the presence of methacholine, to FEV(1)/FVC (r = -0.68, p = 0.02) and RV/TLC (r = 0. 5, p = 0.05). We conclude that, in this study, smooth muscle area and smooth muscle tone, but not total wall area, are determinants for compliance, hysteresis, and collapsibility of isolated airways obtained from smokers.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Biomechanical Phenomena
  • Bronchi / drug effects
  • Bronchi / pathology
  • Bronchi / physiopathology*
  • Bronchoconstrictor Agents / pharmacology
  • Bronchodilator Agents / pharmacology
  • Compliance
  • Female
  • Forced Expiratory Volume
  • Humans
  • In Vitro Techniques
  • Isoproterenol / pharmacology
  • Lung Diseases, Obstructive / pathology
  • Lung Diseases, Obstructive / physiopathology*
  • Male
  • Methacholine Chloride / pharmacology
  • Middle Aged
  • Muscle Relaxation
  • Muscle, Smooth / drug effects
  • Muscle, Smooth / physiology
  • Pressure
  • Residual Volume
  • Total Lung Capacity
  • Vital Capacity


  • Bronchoconstrictor Agents
  • Bronchodilator Agents
  • Methacholine Chloride
  • Isoproterenol