A new ovine model of spine and chest wall deformity at birth with alteration of respiratory system mechanics and lung development: a feasibility study

Purpose To develop an animal model of spine and chest wall deformity (CWD) at birth and to evaluate its effects on respiratory system mechanics and lung development. Methods A spine and CWD was created in utero between 70 and 75 days of gestation in six ovine fetuses by resection of the seventh and...

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Veröffentlicht in:European spine journal 2019-01, Vol.28 (1), p.114-120
Hauptverfasser: Parent, Stefan, Samson, Nathalie, Shen, Jesse, Gutman, Gabriel, Bouchard, Sarah, Piedboeuf, Bruno, Praud, Jean-Paul
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container_end_page 120
container_issue 1
container_start_page 114
container_title European spine journal
container_volume 28
creator Parent, Stefan
Samson, Nathalie
Shen, Jesse
Gutman, Gabriel
Bouchard, Sarah
Piedboeuf, Bruno
Praud, Jean-Paul
description Purpose To develop an animal model of spine and chest wall deformity (CWD) at birth and to evaluate its effects on respiratory system mechanics and lung development. Methods A spine and CWD was created in utero between 70 and 75 days of gestation in six ovine fetuses by resection of the seventh and eighth left ribs. Two days after birth, respiratory system mechanics was assessed in anesthetized lambs using the flexiVent apparatus, followed by postmortem measurement of lung mechanics as well as histological lung analysis. Results A range of severity of CWD was found (Cobb angle from 0° to 48°) with a mean decrease in compliance of 47% and in inspiratory capacity of 39% compared to control lambs. Proof-of-concept histological analysis in one lamb showed marked lung hypoplasia. Conclusion Our ovine model represents a pilot proof-of-concept study evaluating the impact of a spine and CWD present at birth on lung respiratory mechanics and development. This study lays down the groundwork for future studies evaluating the impact of these deformities on lung development and potential treatments. Graphical abstract These slides can be retrieved under Electronic Supplementary Material.
doi_str_mv 10.1007/s00586-018-5818-3
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Methods A spine and CWD was created in utero between 70 and 75 days of gestation in six ovine fetuses by resection of the seventh and eighth left ribs. Two days after birth, respiratory system mechanics was assessed in anesthetized lambs using the flexiVent apparatus, followed by postmortem measurement of lung mechanics as well as histological lung analysis. Results A range of severity of CWD was found (Cobb angle from 0° to 48°) with a mean decrease in compliance of 47% and in inspiratory capacity of 39% compared to control lambs. Proof-of-concept histological analysis in one lamb showed marked lung hypoplasia. Conclusion Our ovine model represents a pilot proof-of-concept study evaluating the impact of a spine and CWD present at birth on lung respiratory mechanics and development. This study lays down the groundwork for future studies evaluating the impact of these deformities on lung development and potential treatments. Graphical abstract These slides can be retrieved under Electronic Supplementary Material.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-018-5818-3</identifier><identifier>PMID: 30498959</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Animals ; Birth ; Chest ; Disease Models, Animal ; Feasibility studies ; Female ; Fetus - abnormalities ; Fetus - physiopathology ; Fetuses ; Gestation ; Hypoplasia ; Lungs ; Mechanics ; Medicine ; Medicine &amp; Public Health ; Musculoskeletal Abnormalities - physiopathology ; Neurosurgery ; Original Article ; Pregnancy ; Range of Motion, Articular ; Respiration ; Respiratory Mechanics ; Respiratory system ; Sheep ; Spine ; Spine - abnormalities ; Spine - physiopathology ; Surgical Orthopedics ; Thoracic Wall - abnormalities ; Thoracic Wall - physiopathology</subject><ispartof>European spine journal, 2019-01, Vol.28 (1), p.114-120</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2018</rights><rights>European Spine Journal is a copyright of Springer, (2018). 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Methods A spine and CWD was created in utero between 70 and 75 days of gestation in six ovine fetuses by resection of the seventh and eighth left ribs. Two days after birth, respiratory system mechanics was assessed in anesthetized lambs using the flexiVent apparatus, followed by postmortem measurement of lung mechanics as well as histological lung analysis. Results A range of severity of CWD was found (Cobb angle from 0° to 48°) with a mean decrease in compliance of 47% and in inspiratory capacity of 39% compared to control lambs. Proof-of-concept histological analysis in one lamb showed marked lung hypoplasia. Conclusion Our ovine model represents a pilot proof-of-concept study evaluating the impact of a spine and CWD present at birth on lung respiratory mechanics and development. This study lays down the groundwork for future studies evaluating the impact of these deformities on lung development and potential treatments. 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Methods A spine and CWD was created in utero between 70 and 75 days of gestation in six ovine fetuses by resection of the seventh and eighth left ribs. Two days after birth, respiratory system mechanics was assessed in anesthetized lambs using the flexiVent apparatus, followed by postmortem measurement of lung mechanics as well as histological lung analysis. Results A range of severity of CWD was found (Cobb angle from 0° to 48°) with a mean decrease in compliance of 47% and in inspiratory capacity of 39% compared to control lambs. Proof-of-concept histological analysis in one lamb showed marked lung hypoplasia. Conclusion Our ovine model represents a pilot proof-of-concept study evaluating the impact of a spine and CWD present at birth on lung respiratory mechanics and development. This study lays down the groundwork for future studies evaluating the impact of these deformities on lung development and potential treatments. 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source MEDLINE; SpringerLink Journals
subjects Animals
Birth
Chest
Disease Models, Animal
Feasibility studies
Female
Fetus - abnormalities
Fetus - physiopathology
Fetuses
Gestation
Hypoplasia
Lungs
Mechanics
Medicine
Medicine & Public Health
Musculoskeletal Abnormalities - physiopathology
Neurosurgery
Original Article
Pregnancy
Range of Motion, Articular
Respiration
Respiratory Mechanics
Respiratory system
Sheep
Spine
Spine - abnormalities
Spine - physiopathology
Surgical Orthopedics
Thoracic Wall - abnormalities
Thoracic Wall - physiopathology
title A new ovine model of spine and chest wall deformity at birth with alteration of respiratory system mechanics and lung development: a feasibility study
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