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The abundance of air pollutants over the last few years, including the concentration of microplastics, has become an alarming concern across the world. Initially discovered in marine life, these toxic and inflammatory particles have recently been found in human lung tissues. When inhaled, these harmful particles settle down in the lung airways and, over time, lead to respiratory failures. A recent study analyzed the microplastic transport behavior in the mouth–throat airways. However, the knowledge of the microplastic migration in bifurcating tracheobronchial airways is missing in the literature. Therefore, this first-ever study analyzes in detail the transport behavior and settling patterns of microplastic particles of different sizes and shapes at different respiratory intensities in the tracheobronchial lung airways. A numerical technique based on discrete phase modeling is employed to simulate the flow of microplastic particles in a three-dimensional realistic lung geometry. The numerical model results indicate low velocity and turbulence intensity magnitudes with smooth flow in the trachea compared to the airways of left and right lobes, which experience higher velocities and generate secondary vortices. Lower lung lobes are the deposition hotspots for the harmful microplastic particles at a lower flow rate. These hotspots shift to upper lung lobes at a higher flow rate for the same particle size. Moreover, microplastic particle size and shape influence the overall deposition rate in the tracheobronchial lung airways. The results of the current study, including microplastic accumulation regions at different breathing intensities, will contribute to the updated knowledge of pollutant inhalation and facilitate relevant treatment measures. [ABSTRACT FROM AUTHOR]

The efficient generation of high concentrations of fine-particle, pure surfactant aerosols provides the possibility of new, rapid, and effective treatment modalities for Acute Respiratory Distress Syndrome (ARDS). SUPRAER-CATM is a patented technology by Kaer BiotherapeuticsTM, which is a new class of efficient aerosol drug generation and delivery system using Compressor Air (CA). SUPRAER-CA is capable of aerosolizing relatively viscous solutions or suspensions of proteins and surfactants and of delivering them as pure fine particle dry aerosols. In this Computational Fluid Dynamics (CFD) study, we select a number of sites within the upper 17 generations of the human respiratory tract for calculation of the deposition of dry pulmonary surfactant aerosol particles. We predict the percentage of inhaled dry pulmonary surfactant aerosol arriving from the respiratory bronchioles to the terminal alveolar sacs. The dry pulmonary surfactant aerosols, with a Mass Median Aerodynamic Diameter (MMAD) of 2.6 µm and standard deviation of 1.9 µm, are injected into the respiratory tract at a dry surfactant aerosol flow rate of 163 mg/min to be used in the CFD study at an air inhalation flow rate of 44 L/min. This CFD study in the upper 17th generation of a male adult lung has shown computationally that the penetration fraction (PF) is approximately 25% for the inhaled surfactant aerosols. In conclusion, an ARDS patient might receive approximately one gram of inspired dry surfactant aerosol during an administration period of one hour as a possible means of further inflating partly collapsed alveoli. [ABSTRACT FROM AUTHOR]

Smokers are at a higher risk of laryngeal cancer, which is a type of head and neck cancer in which cancer cells proliferate and can metastasize to other tissues after a tumor has formed. Cigarette smoke greatly reduces the inhaled air quality and can also lead to laryngeal cancer. In this study, the upper airway of a 70-year-old smoker with laryngeal cancer was reconstructed by taking a CT scan using Mimics software. To solve the governing equations, computational fluid dynamics (CFD) with a pressure base approach was used with the help of Ansys 2021 R1 software. As a result, the maximum turbulence intensity occurred in the larynx. At 13 L/min, 55 L/min, and 100 L/min, the maximum turbulence intensity was 1.1, 3.5, and 6.1, respectively. The turbulence intensity in the respiratory system is crucial because it demonstrates the ability to transfer energy. The maximum wall shear stress (WSS) also occurred in the larynx. At 13 L/min, 55 L/min, and 100 L/min, the maximum WSS was 0.62 Pa, 5.4 Pa, and 12.4 Pa, respectively. The WSS index cannot be calculated in vivo and should be calculated in vitro. Excessive WSS in the epiglottis is inappropriate and can lead to an airway obstruction. Furthermore, real mathematical modeling outcomes provide an approach for future prevention, treatment, and management planning by forecasting the zones prone to an acceleration of disease progression. In this regard, accurate computational modeling leads to pre-visualization in surgical planning to define the best reformative techniques to determine the most probable patient condition consequences. [ABSTRACT FROM AUTHOR]

The recent outbreak of the SARS CoV-2 virus has had a significant effect on human respiratory health around the world. The contagious disease infected a large proportion of the world population, resulting in long-term health issues and an excessive mortality rate. The SARS CoV-2 virus can spread as small aerosols and enters the respiratory systems through the oral (nose or mouth) airway. The SARS CoV-2 particle transport to the mouth–throat and upper airways is analyzed by the available literature. Due to the tiny size, the virus can travel to the terminal airways of the respiratory system and form a severe health hazard. There is a gap in the understanding of the SARS CoV-2 particle transport to the terminal airways. The present study investigated the SARS CoV-2 virus particle transport and deposition to the terminal airways in a complex 17-generation lung model. This first-ever study demonstrates how far SARS CoV-2 particles can travel in the respiratory system. ANSYS Fluent solver was used to simulate the virus particle transport during sleep and light and heavy activity conditions. Numerical results demonstrate that a higher percentage of the virus particles are trapped at the upper airways when sleeping and in a light activity condition. More virus particles have lung contact in the right lung than the left lung. A comprehensive lobe specific deposition and deposition concentration study was performed. The results of this study provide a precise knowledge of the SARs CoV-2 particle transport to the lower branches and could help the lung health risk assessment system. [ABSTRACT FROM AUTHOR]

Understanding transportation and deposition (TD) of aerosol particles in the human respiratory system can help clinical treatment of lung diseases using medicines. The lung airway diameters and the breathing capacity of human lungs normally increase with age until the age of 30. Many studies have analyzed the particle TD in the human lung airways. However, the knowledge of the nanoparticle TD in airways of infants and children with varying inhalation flow rates is still limited in the literature. This study investigates nanoparticle (5 nm ≤ dp ≤ 500 nm) TD in the lungs of infants, children, and adults. The inhalation air flow rates corresponding to three ages are considered as Q in = 3.22   L / min (infant), 8.09   L / min (Child), and Q in = 14   L / min (adult). It is found that less particles are deposited in upper lung airways (G0–G3) than in lower airways (G12–G15) in the lungs of all the three age groups. The results suggest that the particle deposition efficiency in lung airways increases with the decrease of particle size due to the Brownian diffusion mechanism. About 3% of 500 nm particles are deposited in airways G12–G15 for the three age groups. As the particle size is decreased to 5 nm, the deposition rate in G12–G15 is increased to over 95%. The present findings can help medical therapy by individually simulating the distribution of drug-aerosol for the patient-specific lung. [ABSTRACT FROM AUTHOR]

Aerosolized drug inhalation plays an important role in the treatment of respiratory diseases. All of the published in silico, in vivo, and in vitro studies have improved the knowledge of aerosol delivery in the human respiratory system. However, aerosolized magnetic nano-particle (MNP) transport and deposition (TD) for the specific position of the human lung are still unavailable in the literature. Therefore, this study is aimed to provide an understanding of the magnetic nano-particle TD in the targeted region by imposing an external magnetic field for the development of future therapeutics. Uniform aerosolized nano-particle TD in the specific position of the lung airways will be modelled by adopting turbulence k–ω low Reynolds number simulation. The Euler–Lagrange (E–L) approach and the magneto hydrodynamics (MHD) model are incorporated in the ANSYS fluent (18.0) solver to investigate the targeted nano-particle TD. The human physical activity conditions of sleeping, resting, light activity and fast breathing are considered in this study. The aerosolized drug particles are navigated to the targeted position under the influence of external magnetic force (EMF), which is applied in two different positions of the two-generation lung airways. A numerical particle tracing model is also developed to predict the magnetic drug targeting behavior in the lung. The numerical results reveal that nano-particle deposition efficiency (DE) in two different magnetic field position is different for various physical activities, which could be helpful for targeted drug delivery to a specific region of the lung after extensive clinical trials. This process will also be cost-effective and will minimize unwanted side effects due to systemic drug distribution in the lung. [ABSTRACT FROM AUTHOR]

For respiratory health risk assessment, it is essential to evaluate the transportation and deposition (TD) of pollutant particles in human lung airways, which are responsible for lung diseases. Studies to date improved the knowledge of the particle TD in airways. However, the understanding of the TD of different pollutant particles in realistic airways has not been fully understood. This study investigates TD of three types of pollutant particles: traffic, smoke and dust, with various sizes ranging from nano- to micro-scales in the mouth–throat and tracheobronchial lung airways of a human lung using computational fluid dynamics (CFD). Three different physical activities are considered: sleeping, resting, and intense breathing, corresponding to inhalation flow rates of Q in = 15, 30 and 60 L/min, respectively. Nearly 99.8% of 10-μm traffic particles are deposited in the upper lung airways considered here. However, the TD efficiency of 10-μm dust particles is reduced to 64.28% due to the reduction in particle density. Nanoparticles have a much smaller deposition efficiency than microparticles because impaction effect of microparticles is stronger. Only less than 10% of 5-nm traffic particles are deposited in the airways for all three flow rates, allowing over 90% of particles to reach the deep lung. An important finding is that the effects of density on the particle TD of nanoparticles are much weaker than that of microparticles. At 15 L/min flow rate, the difference between the deposition efficiencies of the heaviest traffic particles and the lightest dust particles is only 3.5%. The effects of particle density on the deposition efficiencies of nano- and micro-particles are different from each other because impaction and diffusion dominate the TD of nano- and micro-particles, respectively. Density only affects impaction significantly but has little effect on diffusion. [Display omitted] • Particle density only affects impaction significantly but has little effect on diffusion. • Particle density affects particle TD of nanoparticles much less than that of microparticles. • Nanoparticles have a much smaller deposition efficiency than microparticles because impaction effect of microparticles is stronger. • The deposited nanoparticles are more evenly distributed in airways than microparticles. • More particles enter the left than the right side of lung, regardless of particle size and density. [ABSTRACT FROM AUTHOR]

[Display omitted] • Two phase breathing dynamics has been studied in realistic lower airways. • Flow analysis is carried out and deposition/distribution patterns are depicted. • Majority of particles enter right lung while deposition is higher in left lung. • Distribution of particles to upper lobes reduces due to inertial impaction. • Right upper, left lower and right lower lobes are regions with highest deposition. Targeted drug delivery is an advanced method discussed in the literature for optimized treatment of diseases. However, the data for a precise understanding of pharmaceutical aerosol transport to the desired positions in the airways is not sufficient in the literature. Hence, in this work the transport and deposition of particles have been studied numerically in a realistic model of the respiratory system. The model was reconstructed based on CT-scan images of a healthy 28-year-old male and the commercial code ANSYS Fluent was used for analysis. After validation, distribution and deposition patterns of particles have been presented along with analysis of flow field dynamics. It was found that majority of particles enter the right lung while deposition is higher in the left lung and that the left lower lobe, left upper lobe and right lower lobe have the highest rate of lobar deposition. It was also observed that inertial impaction plays the dominant role in deposition of larger diameter particles at higher flow rates at the upper airways. The present findings improve our insight toward regional distribution and deposition of particles and assists in more accurate prediction of particle transport for drug delivery. [ABSTRACT FROM AUTHOR]