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Lung Connective Tissue: Location, Metabolisn1, and Response to lnj ury Editor: John A. Pickrell, D.V.M., Ph.D. Scientist Department of Pathobiology Lovelace Inhalation Toxicology Research Institute Albuquerque, New Mexico Boca Raton London New York CRC Press is an imprint of the Taylor & Francis Group, an informa business CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 Reissued 2019 by CRC Press © 1981 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an lnforma business No claim to original U.S. Government works This book contains information obtained from authentic and highly regarded sources. Reasonable efforts have been made to publish reliable data and information, but the author and publisher cannot assume responsibility for the validity of all materials or the consequences of their use. The authors and publishers have attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law. no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www. copyright.com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. A Library of Congress record exists under LC control number: Publisher's Note The publisher has gone to great lengths to ensure the quality of this reprint but points out that some imperfections in the original copies may be apparent. Disclaimer The publisher has made every effort to trace copyright holders and welcomes correspondence from those they have been unable to contact. ISBN 13: 978-0-367-22300-7 (hbk) ISBN 13: 978-0-429-27434-3 (ebk) Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com PREFACE Our understanding of pulmonary interaction with the environment has progressed dramatically over the past years. The importance of pulmonary connective tissue in this interaction has become increasingly evident. Many of the tools and even the facts necessary to understand the role of pulmonary connective tissue in health and disease exist or are being gathered. The need to think about these diverse facts, collate them, and form them into cohesive patterns describing pulmonary interactions for the benefit of the pulmonary patient are becoming increasingly apparent. It is the purpose of this book to consider each fact carefully in each facet of lung connective tissue, structure, metabolism, and response to injury. Following this consideration of what is known the authors will speculate to varying degrees as to how this set of facts relates to the particular aspect of pulmonary biology or pathology. This book presupposes some basic knowledge of biology, medicine, biochemistry, and immunology which have been discussed at length in many fine books or monographs on the subjects. However, the relevance to each aspect of the lung is discussed in some detail. The authors hope that this volume serves the purpose of collating facts and ideas concerning pulmonary connective tissue and its interaction with other lung elements in health and disease. It would certainly be presumptuous to claim that all or even a large part of the answers are contained herein. We do hope that these facts and ideas may provide the basis upon which further progress can be made in this new but rapidly developing field. Finally, we hope that such progress will be reflected in improved health of patients, not only in therapeutic manipulation, but in prevention of lung disease. John A. Pickrell Albuquerque, New Mexico THE EDITOR John A. Pickrell, D.V.M., Ph.D., is a Scientist in the Department of Pathobiology at The Inhalation Toxicology Research Institute in Albuquerque, New Mexico. He formerly held an NIH post-professional fellowship at the University of Illinois, Ur- bana, Illinois. He graduated in 1965 with a D.V.M. degree from The University of Illinois, and obtained his Ph.D. degree in Veterinary Medicine Science with a sole minor in biochemistry from the same institution in 1968. Dr. Pickrell is a member of The American Physiological Society and The Federation of American Societies for Experimental Biology. Membership in other professional societies include: Phi Zeta, Phi Kappa Phi, American Veterinary Medical Association, American Society of Veterinary Clinical Pathologists, American Society of Veterinary Physiologists and Pharmacologists, American Association of Clinical Chemists, Amer- ican Thoracic Society, American Association for Advancement of Science, Society for Experimental Biology and Medicine, and Toastmasters International. Dr. Pickrell has given more than 30 scientific presentations or invited lectures and published more than 30 research papers. His major research interests include pulmonary connective tissue pathobiology and clinical pathology. ACKNOWLEDGMENTS In early 1975, our director, Dr. R. O. McClellan, the associate director, Dr. Robert K. Jones, and my project coordinator, Dr. David O. Slauson, made me "an offer I couldn't refuse'' and convinced me to begin work on an in-depth review article con- cerning lung connective tissue in health and disease. None of us had any idea of the nature of such an undertaking, nor of its value to me. I am grateful for being convinced to stick with the project long enough to realize its scientific value to me. I must thank the response of our library staff during this time span, Ms. Joan Stod- dart, Lynn Merritt, Susan Small, and Frank Kellerman, who so enthusiastically and magnificently responded to my request of everything on connective tissue that I soon had collected several hundred references. Mr. Frank Kellerman verified references used in the text. This extensive task was greatly appreciated. I could see that this effort was beginning to resemble a monograph, book, or very long review article. Thanks go to the critical comments and intellectual stimulation of my colleagues who reviewed parts of the manuscript: Drs. Charles Mitchell and Bob Carpenter (struc- ture), Drs. Rogene Henderson and Ray Pfleger (metabolism), and Dr. Hartwig Muhle, Joe Mauderly, and Ron Wolff (diseases and parts of the rest). A special note of thanks to Dr. F. F. Hahn for his work on the pathology aspects of the disease chapters is given. Thanks are also due to the nameless reviewers solicited by CRC Press who gave me several ideas. The typing by Ms. Elsie Spencer was invaluable; her reading of the "sanskrit" of the principal author was noteworthy and done under trying circumstan- ces. Thanks go also to Ms. Carol Garcia, Tanna Callaway, and Victoria Gonzales, who typed portions of the manuscript. We appreciate the efforts of Ms. Judy Miller in coordinating production and assembly of the final manuscript. The graphics and illustration of Mr. E. E. Goff are gratefully acknowledged. The principal author especially wishes to acknowledge the superb technical assist- ance of those people performing work in his laboratory which was cited in this book: Mr. J. J. Belasich, Ms. Patricia Lynn Bryant, Ms. Dorothy Harris, Mr. Gary Jones, Dr. Catherine Lustgarten, Mr. David McCamey, Mr. Ralph Rodriquez, Ms. Kathy Sass, Ms. Janette Shafer, Ms. Carol T. Schnizlein, Ms. Karen Servilla, Ms. Frances Straus, Ms. Débora Villa, Mr. David Wesselman, and Ms. Susan Wilson. Without you there would have been little to report. Thanks for the intellectual stimulation provided over the years. Thanks especially for the enthusiastic encouragement of Ms. Frances Straus and Kathy Sass in this and associated projects. A special note of thanks goes to my family, Bonnie, Debbie, and Greg, for their understanding, encouragement, and interest. My belated apologies to them for many lost evenings, some days, and an occasional weekend. Thanks, Bonnie and Deb, for your help in collating and checking references. Thanks to all of the people who helped me in this project. Without your help there would not have been a book. Finally, the editorial assistance provided by CRC Press is recognized and sincerely appreciated. Research was supported in part by the U.S. Department of Energy Con- tract Number EY-76-C-04-1013 in facilities accredited by the American Association for Accreditation of Laboratory Animal Care. DEDICATION To Bonnie, Debbie and Greg and to Frances and Kathy CONTRIBUTORS Robert Burrell, Ph.D. Research Institute Professor of Microbiology Albuquerque, New Mexico West Virginia University Morgantown, West Virginia John A. Pickrell, D.V.M., Ph.D. Scientist Joseph O.Hill, Ph.D. Department of Pathobiology Microbiologist Lovelace Inhalation Toxicology Lovelace Inhalation Toxicology Research Institute Research Institute Albuquerque, New Mexico Albuquerque, New Mexico Ron Wolff, Ph.D. Joe L. Mauderly, D.V.M. Associate Scientist Physiologist Lovelace Inhalation Toxicology Lovelace Inhalation Toxicology Research Institute Albuquerque, New Mexico TABLE OF CONTENTS Chapter 1 Introduction 1 J. A. Pickrell Chapter 2 Collagen Structure 5 J. A. Pickrell Chapter 3 Elastin Location and Structure 19 J. A. Pickrell Chapter 4 Proteoglycans and Mucoproteins 27 J. A. Pickrell Chapter 5 Collagen Biosynthesis 33 J. A. Pickrell Chapter 6 Collagen Degradation 61 J. A. Pickrell Chapter 7 Elastin Metabolism 71 J. A. Pickrell Chapter 8 Metabolism of Proteoglycans and Mucoproteins 79 J. A. Pickrell Chapter 9 Lung Cell Types and Their Kinetics 85 J. A. Pickrell Chapter 10 Interaction of Mesenchymal Cells with the Extracellular Matrix — A Speculative Model 101 J. A. Pickrell Chapter 11 Immunologic Mechanisms of Pulmonary Connective Tissue Injury 109 R.Burrell and J. O.Hill Chapter 12 Sequence of Events in Pulmonary Injury 123 J. A. Pickrell Chapter 13 Pulmonary Fibrosis 132 J. A. Pickrell and J. L. Mauderly Chapter 14 Pulmonary Emphysema 157 J. A. Pickrell and J. L. Mauderly Chapter 15 Chronic Bronchitis and Asthma: Biochemistry, Rheology, and Mucociliary Clear- ance 169 R. K. Wolff, J. L. Mauderly, and J. A. Pickrell Chapter 16 Pulmonary Neoplasia 185 J. A. Pickrell Chapter 17 Summary 193 J. A. Pickrell Index 199

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