journal article·2025-03Open access

Bioimpedance measurements of fibrotic and acutely injured lung tissues

Mohammad Mir, Jiawen Chen, Aneri Patel, Meghan R. Pinezich, Maria R. Hudock, Alexander Yoon, Mohamed Diane, John O'Neill, Matthew Bacchetta, Gordana Vunjak-Novakovic, Jinho Kim

Acta Biomaterialia· Volume 194

Abstract

In injured and diseased tissues, changes in molecular and cellular compositions, as well as tissue architecture, lead to alterations in both physiological and physical characteristics. Notably, the electrical properties of tissues, which can be characterized as bioelectrical impedance (bioimpedance), are closely linked to the health and pathological conditions of the tissues. This highlights the significant role of quantitatively characterizing these electrical properties in improving the accuracy and speed of diagnosis and prognosis. In this study, we investigate how diseases, injuries, and physical conditions can affect the electrical properties of lung tissues, using both rat and human lung tissue samples. Results showed that rat lung and trachea tissues exhibit a frequency-dependent behavior to alternating current (AC) across the frequency range of 0.1-300 kHz. The bioimpedance of the lung tissue increased with the level of aeration of the lung, which was manipulated by altering alveolar pressure (PALV: 1-15 cmH2O; bioimpedance level: 1.2-2.8 kΩ; AC frequency: 2 kHz). This increase is mainly because air is electrically nonconductive. The bioimpedance of rat lungs injured via intratracheal aspiration of hydrochloric acid (HCl; volume: 1 mL; AC frequency: 2 kHz) decreased by at least 82 % compared to that of healthy control lungs due to accumulation of fluids inside the airspace of the injured lungs. Moreover, using decellularized lung tissues, we determined the contributions of cellular components and tissue extracellular matrix (ECM) on the electrical characteristics of the lung tissues. Specifically, we observed a considerable increase in bioimpedance in fibrotic human lung tissues due to excessive ECM deposition (healthy: 70.8 Ω ± 10.2 Ω, fibrotic: 132.1 Ω ± 15.8 Ω, frequency: 2 kHz). Overall, the findings of this study can enhance our understanding of the correlation between electrical properties and pathological lung conditions, thereby improving diagnostic and prognostic capabilities and aiding in the treatment of lung diseases and injuries. STATEMENT OF SIGNIFICANCE: The bioelectrical properties of tissue are closely linked to both its physiological and physical characteristics. This underscores the importance of quantitatively characterizing these properties to improve the accuracy and speed of diagnosis and prognosis. In this study, we investigate how the bioelectrical properties of lung tissues are affected by different physical states and pathological conditions using rat and human lung tissues. As the burden of lung diseases continues to increase, our findings can contribute to improved treatment outcomes by enabling accurate and rapid assessment of lung tissue conditions.
Source: europepmc · Quality: candidate unverified · Source record ↗

Research context

OpenAlex topics: Body Composition Measurement Techniques · Electrical and Bioimpedance Tomography · Hemodynamic Monitoring and Therapy

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

References (100+)

Show source-provided references
1. Imaging-guided bioreactor for de-epithelialization and long-term cultivation of ex vivo rat trachea10.1039/D1LC01105G ↗
2. Invited review: human air-liquid-interface organotypic airway tissue models derived from primary tracheobronchial epithelial cells—Overview and perspectives10.1007/s11626-020-00517-7 ↗
3. Asthma and chronic obstructive pulmonary disease10.1164/rccm.201011-1796PP ↗
4. Extracellular matrix structure10.1016/j.addr.2015.11.001 ↗
5. Opto-electromechanical quantification of epithelial barrier function in injured and healthy airway tissues10.1063/5.0123127 ↗
6. Alveolar epithelial type II cells as drivers of lung fibrosis in idiopathic pulmonary fibrosis10.3390/ijms21072269 ↗
7. Idiopathic pulmonary fibrosis: disease mechanisms and drug development10.1016/j.pharmthera.2020.107798 ↗
8. Idiopathic pulmonary fibrosis: state of the art for 2023
9. Pulmonary surfactant in adult ARDS: current perspectives and future directions10.3390/diagnostics13182964 ↗
10. The global burden of lung cancer: current status and future trends10.1038/s41571-023-00798-3 ↗
11. Concepts of extracellular matrix remodelling in tumour progression and metastasis10.1038/s41467-020-18794-x ↗
12. Current and future development in lung cancer diagnosis10.3390/ijms22168661 ↗
13. Modern diagnostic imaging technique applications and risk factors in the medical field: a review10.1155/2022/5164970 ↗
14. Diagnosis and management of interstitial lung disease10.1186/2213-0802-2-4 ↗
15. Idiopathic pulmonary fibrosis: current and future treatment10.1111/crj.13466 ↗
16. New and emerging technologies for the diagnosis and monitoring of chronic obstructive pulmonary disease: a horizon scanning review10.1177/1479972316636994 ↗
17. Bioelectrical impedance and the frequency dependent current conduction through biological tissues: a short review
18. Electrical impedance characterization of normal and cancerous human hepatic tissue10.1088/0967-3334/31/7/009 ↗
19. In vivo electrical conductivity of hepatic tumours10.1088/0967-3334/24/2/302 ↗
20. Electrical impedance-based characterization of hepatic tissue with early-stage fibrosis10.3390/bios12020116 ↗
21. Bioimpedance changes in rats with CCl4-induced liver fibrosis10.5369/JSST.2011.20.2.71 ↗
22. Bioelectrical impedance analysis for the evaluation of hepatic fibrosis in patients with chronic hepatitis C infection10.1007/s10620-007-0071-3 ↗
23. Bioelectrical impedance spectroscopy for monitoring mammalian cells and tissues under different frequency domains: a review10.1021/acsmeasuresciau.2c00033 ↗
24. Bioelectrical impedance methods for noninvasive health monitoring: a review10.1155/2014/381251 ↗
25. Applications of bioimpedance measurement techniques in tissue engineering10.2478/joeb-2018-0019 ↗
26. Impedance spectroscopy of adherent mammalian cell culture for biochemical applications: a review10.1109/JSEN.2020.3041708 ↗
27. Bioelectrical impedance analysis—Part I: review of principles and methods10.1016/j.clnu.2004.06.004 ↗
28. Bioelectrical impedance analysis—Part II: utilization in clinical practice10.1016/j.clnu.2004.09.012 ↗
29. The bioelectrical impedance analysis (BIA) international database: aims, scope, and call for data10.1038/s41430-023-01310-x ↗
30. Bioelectric impedance analysis for body composition measurement and other potential clinical applications in critical illness10.1097/MCC.0000000000000840 ↗
31. Microchip with single-cell impedance measurements for monitoring osteogenic differentiation of mesenchymal stem cells under electrical stimulation10.1021/acs.analchem.0c02556 ↗
32. In vitro differentiation of human cardiac fibroblasts into myofibroblasts: characterization using electrical impedance10.1088/2057-1976/ac12e1 ↗
33. Impedance-based real-time monitoring of neural stem cell differentiation10.2478/joeb-2021-0006 ↗
34. Detection of tumor necrosis factor (TNF-α) in cell culture medium with label free electrochemical impedance spectroscopy10.1016/j.snb.2013.02.019 ↗
35. Real-time sensing of epithelial cell-cell and cell-substrate interactions by impedance spectroscopy on porous substrates10.1063/1.4927215 ↗
36. An In-depth analysis of electric cell−substrate impedance sensing to study the attachment and spreading of mammalian cells10.1021/ac011104a ↗
37. Label-free sensing of cell viability using a low-cost impedance cytometry device
38. Microfluidic chip with integrated electrical cell-impedance sensing for monitoring single cancer cell migration in three-dimensional matrixes10.1021/ac402761s ↗
39. Impedimetric quantification of migration speed of cancer cells migrating along a Matrigel-filled microchannel10.1016/j.aca.2020.05.005 ↗
40. Bedside electrical impedance tomography (EIT) for early assessment of lung function in liver transplantation10.1093/qjmed/hcad174 ↗
41. Lung monitoring with electrical impedance tomography: technical considerations and clinical applications
42. Electrical impedance tomography (EIT) in applications related to lung and ventilation: a review of experimental and clinical activities10.1088/0967-3334/21/2/201 ↗
43. A narrative review of electrical impedance tomography in lung diseases with flow limitation and hyperinflation: methodologies and applications10.21037/atm-20-4984 ↗
44. The research progress of electrical impedance tomography for lung monitoring10.3389/fbioe.2021.726652 ↗
45. Bedside personalized methods based on electrical impedance tomography or respiratory mechanics to set PEEP in ARDS and recruitment-to-inflation ratio: a physiologic study10.1186/s13613-023-01228-4 ↗
46. The incidence and interpretation of large differences in EIT-based measures for PEEP titration in ARDS patients10.1007/s10877-019-00396-8 ↗
47. A unified approach for EIT imaging of regional overdistension and atelectasis in acute lung injury10.1109/TMI.2012.2183641 ↗
48. Regional intratidal gas distribution in acute lung injury and acute respiratory distress syndrome assessed by electric impedance tomography
49. Regional expiratory time constants in severe respiratory failure estimated by electrical impedance tomography: a feasibility study10.1186/s13054-018-2137-3 ↗
50. Early diagnosis and real-time monitoring of regional lung function changes to prevent chronic obstructive pulmonary disease progression to severe emphysema10.3390/jcm10245811 ↗
51. Global and regional lung function in cystic fibrosis measured by electrical impedance tomography10.1002/ppul.23444 ↗
52. Monitoring of lobectomy in cystic fibrosis with electrical impedance tomography – a new diagnostic tool10.1515/bmt-2014-0019 ↗
53. Regional lung function determined by electrical impedance tomography during bronchodilator reversibility testing in patients with asthma10.1088/0967-3334/37/6/698 ↗
54. Electrical impedance tomography in pulmonary arterial hypertension10.1371/journal.pone.0248214 ↗
55. Characteristic pattern of pleural effusion in electrical impedance tomography images of critically ill patients10.1016/j.bja.2018.02.030 ↗
56. Towards intraoperative surgical margin assessment: validation of an electrical impedance-based probe with ex vivo bovine tissue
57. Bioreactor for the long-term culture of lung tissue10.3727/096368910X544933 ↗
58. Design and validation of a clinical-scale bioreactor for long-term isolated lung culture10.1016/j.biomaterials.2015.02.016 ↗
59. Critical role of mitochondrial oxidative stress in acid aspiration induced ALI in mice10.1080/15376516.2019.1710888 ↗
60. Evaluation of exogenous surfactant in HCL-induced lung injury10.1164/ajrccm.163.5.2004049 ↗
61. Hook artifact correction of localized electrical bioimpedance for improved agreement between different device measurements10.1088/2057-1976/aa971b ↗
62. Modeling and experimental validation of parasitic capacitance effects on emulated bioimpedance measurements with high-impedance residuals10.1002/cta.2773 ↗
63. Cole-impedance parameters representing biceps tissue bioimpedance in healthy adults and their alterations following eccentric exercise10.1016/j.jare.2020.05.016 ↗
64. In vivo detection of liver steatosis in rats based on impedance spectroscopy10.1088/0967-3334/28/8/005 ↗
65. Bioimpedance of soft tissue under compression10.1088/0967-3334/33/6/1095 ↗
66. Minimally invasive silicon probe for electrical impedance measurements in small animals10.1016/S0956-5663(03)00204-5 ↗
67. Electrical impedance spectroscopy study of biological tissues10.1016/j.elstat.2007.11.005 ↗
68. Discrimination of different cell monolayers before and after exposure to nanosecond pulsed electric fields based on Cole–Cole and multivariate analysis10.1088/1361-6463/ab40d7 ↗
69. Understanding the thermal conductivity and lorenz number in tungsten from first principles10.1103/PhysRevB.99.020305 ↗
70. https://itis.swiss/virtual-population/tissue-properties/database/dielectric-properties/.
71. Geometric factors in four point resistivity measurement
72. Independently driven four-tip probes for conductivity measurements in ultrahigh vacuum10.1016/S0039-6028(01)01276-6 ↗
73. Electrical properties of biological tissues - an impedance spectroscopy study
74. The 100th anniversary of the four-point probe technique: the role of probe geometries in isotropic and anisotropic systems
75. Ex-vivo biological tissue differentiation by the distribution of relaxation times method applied to electrical impedance spectroscopy10.1016/j.electacta.2018.04.167 ↗
76. Modeling of lung's electrical impedance using fractional calculus for analysis of heat generation during RF-ablation
77. Dielectric properties of lung tissue as a function of air content10.1088/0031-9155/38/6/005 ↗
78. Non-destructive vacuum-assisted measurement of lung elastic modulus10.1016/j.actbio.2021.06.037 ↗
79. Efficacy of surfactant therapy of ARDS induced by hydrochloric acid aspiration followed by ventilator-induced lung injury - an animal study10.33549/physiolres.935003 ↗
80. Animal models of acute lung injury10.1152/ajplung.00010.2008 ↗
81. Thromboxane A2 exacerbates acute lung injury via promoting edema formation10.1038/srep32109 ↗
82. Monitoring changes in lung air and liquid volumes with electrical impedance tomography10.1152/jappl.1997.83.5.1762 ↗
83. Regional pulmonary effects of bronchoalveolar lavage procedure determined by electrical impedance tomography10.1186/s40635-019-0225-6 ↗
84. Comparison of body water status and its distribution in patients with non-septic infection, patients with sepsis, and healthy controls10.15441/ceem.20.094 ↗
85. Effect of rigorous fluid management using monitoring of ECW ratio by bioelectrical impedance analysis in critically ill postoperative patients: a prospective, single-blind, randomized controlled study10.1016/j.clnu.2024.07.040 ↗
86. R.P. Downey, N.S. Samra, Anatomy, Thorax, Tracheobronchial Tree, (2020).
87. Using dielectric properties of solid fraction and water content to characterize tissues at different health and age conditions10.1109/JERM.2019.2952054 ↗
88. The dielectric properties of biological tissues: I. Literature survey10.1088/0031-9155/41/11/001 ↗
89. Dielectric measurement: error analysis and assessment of uncertainty10.1088/0031-9155/51/23/006 ↗
90. Histological features of complete tracheal rings in congenital tracheal stenosis10.1007/s00383-020-04803-z ↗
91. Impedimetric analysis of trabecular bone based on Cole and linear discriminant analysis10.3389/fphy.2020.576191 ↗
92. Use of bioelectrical impedance: general principles and overview
93. Relation between the tissue structure and protein permeability of decellularized porcine aorta10.1016/j.msec.2014.06.041 ↗
94. Bioimpedance: new approach to non-invasive detection of liver fibrosis-a pilot study10.1590/s0004-2803.201800000-02 ↗
95. The conductive function of biopolymer corrects myocardial scar conduction blockage and resynchronizes contraction to prevent heart failure10.1016/j.biomaterials.2020.120285 ↗
96. A pilot study of the impact of microwave ablation on the dielectric properties of breast tissue10.3390/s20195698 ↗
97. A minimally invasive robotic tissue palpation device
98. Causal contributors to tissue stiffness and clinical relevance in urology10.1038/s42003-021-02539-7 ↗
99. Substrate stiffness engineered to replicate disease conditions influence senescence and fibrotic responses in primary lung fibroblasts10.3389/fphar.2022.989169 ↗
100. Ameliorative effects of silymarin on HCl-induced acute lung injury in rats; role of the nrf-2/HO-1 pathway