This research develops a detailed, anatomically-based model of the human pulmonary circulatory system from the large scale arterial and venous vessels, to the microcirculatory alveolar-capillary unit. Flow is modelled through these networks enabling structure-function simulations to be conducted to increase our understanding of this complex system.Voronoi meshing is applied in a novel technique to represent the three-dimensional structure of the alveoli, and the corresponding capillary plexus intimately wrapped over the alveolar surface. This technique is used to create the alveolar-capillary structure of a single alveolar sac, closely representing the geometry measured in anatomical studies.A Poiseuille type flow solution technique is implemented within the capillary geometry. The solution procedure incorporates calculations of red and white blood cell transit time frequencies. Novel predictions of regional microcirculatory blood cell transit in the anatomically-realistic alveolar-capillary model compare well with experimental measures.An anatomically-based finite element model of the arterial and venous vessels, down to the level of their accompanying respiratory bronchioles, is created using a combination of imaging and computational algorithms, which includes generation of supernumerary vessels. Large arterial and venous vessels and lobar geometries are derived from multi-detector row x-ray computed tomography (MDCT) scans. From these MDCT vessel end points a volume-filling branching algorithm is used to generate the remaining blood vessels that accompany the airways into the MDCT-derived host volume. An empirically-based algorithm generates supernumerary blood vessels - unaccompanied by airways that branch to supply the closest parenchymal tissue. This new approach produces a model of pulmonary vascular geometry that is far more anatomically-realistic than previous models in the literature.A reduced form of the Navier-Stokes equations are solved within the vascular geometries to yield pressure, radius, and velocity distributions. Inclusion of a gravitational term in the governing equations allows application of the model in investigating the relative effects of gravity, structure, and posture on regional perfusion.Gravity is shown to have a lesser influence on blood flow distribution than suggested by earlier experimental studies, and by comparison between different model solutions the magnitude of the gravitational flow gradient is predicted. This study clearly demonstrates the significant role that symmetric vascular branching has in determining the distribution of blood flow. The influence of branching geometry is revealed by solution in symmetric, human, and ovine vascular models.

Diss. (sammanfattning) Uppsala : Uppsala universitet, 2009.

This research develops a detailed, anatomically-based model of the human pulmonary circulatory system from the large scale arterial and venous vessels, to the microcirculatory alveolar-capillary unit. Flow is modelled through these networks enabling structure-function simulations to be conducted to increase our understanding of this complex system.Voronoi meshing is applied in a novel technique to represent the three-dimensional structure of the alveoli, and the corresponding capillary plexus intimately wrapped over the alveolar surface. This technique is used to create the alveolar-capillary structure of a single alveolar sac, closely representing the geometry measured in anatomical studies.A Poiseuille type flow solution technique is implemented within the capillary geometry. The solution procedure incorporates calculations of red and white blood cell transit time frequencies. Novel predictions of regional microcirculatory blood cell transit in the anatomically-realistic alveolar-capillary model compare well with experimental measures.An anatomically-based finite element model of the arterial and venous vessels, down to the level of their accompanying respiratory bronchioles, is created using a combination of imaging and computational algorithms, which includes generation of supernumerary vessels. Large arterial and venous vessels and lobar geometries are derived from multi-detector row x-ray computed tomography (MDCT) scans. From these MDCT vessel end points a volume-filling branching algorithm is used to generate the remaining blood vessels that accompany the airways into the MDCT-derived host volume. An empirically-based algorithm generates supernumerary blood vessels - unaccompanied by airways that branch to supply the closest parenchymal tissue. This new approach produces a model of pulmonary vascular geometry that is far more anatomically-realistic than previous models in the literature.A reduced form of the Navier-Stokes equations are solved within the vascular geometries to yield pressure, radius, and velocity distributions. Inclusion of a gravitational term in the governing equations allows application of the model in investigating the relative effects of gravity, structure, and posture on regional perfusion.Gravity is shown to have a lesser influence on blood flow distribution than suggested by earlier experimental studies, and by comparison between different model solutions the magnitude of the gravitational flow gradient is predicted. This study clearly demonstrates the significant role that symmetric vascular branching has in determining the distribution of blood flow. The influence of branching geometry is revealed by solution in symmetric, human, and ovine vascular models.

The mammalian lung is an exquisitely designed organ with two structurally distinct compartments, one that comprises multiple generations of branched tubules to conduct and clean the air (airways) and another that consists of a vast network of thin-walled alveolar structures to allow gas exchange (alveoli). In the embryo these compartments arise from highly dynamic patterning events during branching morphogenesis that define two major domains, a proximal (Sox2+) and a distal (Sox9+), which ultimately form the airways and alveoli, respectively. Although the signaling pathways controlling branching morphogenesis are increasingly understood, the mechanisms that regulate the transition zone (TZ) between the proximal and distal domains are still elusive. The goals of this thesis are to identify markers and molecular regulators of the TZ, to examine the role of Hippo-Yap signaling in the establishment of the TZ and to investigate the evolutionary conservation of this process in the lung of the snake Pantherophis guttata, which lacks a branched airway tree. Using a combination of mouse genetics, single cell RNAseq, computational approaches and immunofluorescence-confocal analyses I show that Yap transcriptional activity and nucleocytoplasmic shuttling are essential for patterning of the lung by being pivotal for initiation of the events that give rise to the TZ, as well as for subsequent lineage differentiation of compartment-specific progenitors. I show that cytoplasmic sequestration of Yap in Sox2+ epithelial progenitors is a crucial mechanism to prevent the deleterious effects of maintaining nuclear Yap once airway progenitors are specified. Moreover, PISCES-inferred protein activity profiling identified Hspa8, Krt19, Btg2, Anxa2, Cldn10 and Icam1 in the TZ. Notably, analyses of Yap loss and gain function in mice revealed Icam1 as a key marker of the TZ and a downstream target of Yap. Lastly, I show that Sox2 and Sox9 are conserved markers of proximal (bronchiolar) and distal (respiratory) cell fate in the respiratory tract. However, in the snake Pantherophis guttata, the early proximal-distal event that specifies the Sox9+ compartment in the mouse appears delayed. I speculate that proximal-distal patterning in murine lung development actually represents a precocious specification event of respiratory identity, as well as that this ultimately enabled the incorporation of a program of branching morphogenesis in the ancestral program of lung development. Considering that in humans the primordial lungs are double Sox2+ Sox9+, this suggests an unsuspected heterogeneity in the early lung developmental events of human, mice, and reptiles. Altogether, the findings revealed by this work open new avenues of research to further understand the molecular mechanisms that drive lung development.

The research presented in this thesis focuses on understanding the biomechanical effects of various cranial features that are often ignored in finite element models (FEMs) because their size, position, and complex shapes make them difficult to model. Specifically, this work examines the effects of the alveoli (tooth sockets), periodontal ligament, and squamosal suture on the stress and strain distributions in a cranium under masticatory and dynamic tooth loads. Results from this research will help determine if these features have a significant effect on stress and strain patterns and will yield guidelines as to if or under what conditions they need to be modeled in future FE skull model analyses. As part of this research, three sets of FEMs were developed to address a hypothesis focusing on each cranial feature. The first set of models examined the effect of the tooth sockets on the stress and strain distributions in a cranium under static biting conditions to determine if improperly modeled sockets produce strong global effects in craniofacial regions. The second set of models were used to assess the effect of the PDL's material behavior on the stresses and strains in a cranium under static biting and dynamic tooth loading conditions to determine if the PDL plays an important role in reducing stresses and strains in a model. The final set of models were used to determine the effect of the squamosal suture size on the stresses and strain energies in a cranium under static biting conditions to see if an increase in suture size decreases the risk of separation of the temporal bone from the parietal bone. Results for all analyses indicate the effects of the cranial features are local (i.e. within the vicinity of the feature), with no meaningful global effects. This suggests the sockets, PDL, and squamosal suture do not play an important role in global stress and strain distributions in a cranium under masticatory and dynamic tooth loads. Therefore, it may be safe to ignore the sockets, PDLs, and squamosal sutures during the FE modeling process if the objective of the analysis is to understand global stress and strain patterns.

Mechanical ventilation has been a major therapy used by physicians in support of surgery as well as for treating patients with reduced lung function. Despite its many positive outcomes and ability to maintain life, in many cases, it has also led to increased injury of the lungs, further exacerbating the diseased state. Numerous studies have investigated the effects of long term ventilation with respect to lungs, however, the connection between the global deformation of the whole organ and the strains reaching the alveolar walls remains unclear. The walls of lung alveoli also called the alveolar septum are characterized as a multilayer heterogeneous biological tissue. In cases where damage to this parenchymal structure insist, alveolar overdistension occurs. Therefore, damage is most profound at the alveolar level and the deformation as a result of such mechanical forces must be investigated thoroughly. This study investigates a three-dimensional lung alveolar model from generations 22 (alveolar ducts) through 24 (alveoli sacs) in order to estimate the strain/stress levels under mechanical ventilation conditions. Additionally, a multilayer alveolar tissue model was generated to investigate localized damage at the alveolar wall. Using ANSYS, a commercial finite element software package, a fluid-structure interaction analysis (FSI) was performed on both models. Various cases were simulated that included a normal healthy lung, normal lung with structural changes to model disease and normal lung with mechanical property changes to model aging. In the alveolar tissue analysis, strains obtained from the aged lung alveolar analysis were applied as a boundary condition and used to obtain the mechanical forces exerted as a result. This work seeks to give both a qualitative and quantitative description of the stress/strain fields exerted at the alveolar region of the lungs. Regions of stress/strain concentration will be identified in order to gain perspective on where excess damage may occur. Such damage can lead to overdistension and possible collapse of a single alveolus. Furthermore, such regions of intensified stress/strain are translated to the cellular level and offset a signaling cascade. Hence, this work will provide distributions of mechanical forces across alveolar and tissue models as well as significant quantifications of damaging stresses and strains.

>Magister Scientiae - MSc / Tobacco consumption and exposure to tobacco smoke is one of the biggest contributing factors to a growing epidemic of non-communicable diseases (NCDs), primarily cancers, diabetes, cardiovascular and chronic lung diseases which account for 63% of all deaths worldwide (WHO, 2011). An increased concern is in pregnant women who smoke. They not only expose themselves to nicotine, but also their unborn child. Cigarette smoking during pregnancy is associated with many developmental and growth complications. There are critical periods within the “program” that directs normal growth and development, during which the fetus is vulnerable to the effects of external factors. During these critical periods of development the program can be changed to increase the susceptibility of the fetal organs to disease and increased risk of adverse health consequences in adulthood. Health care professionals have tried to reduce the consumption of tobacco smoke by prescribing nicotine replacement therapy (NRT) to pregnant females as an alternative to smoking, without considering the effects of nicotine on the developing embryo and the health risk that might arise after birth. It is known that nicotine induces oxidant formation with resulting oxidative effects. This induces an overload of oxidants in the fetus and a decrease in the antioxidant capacity thereof. This may interfere with normal lung development.

Introdução: O padrão de distribuição da lesão pulmonar na síndrome do desconforto respiratório agudo (SDRA) tem sido alvo de interesse de estudos com tomografia computadorizada. Entretanto, pouca informação é disponível quanto a distribuição e progressão histológica da lesão pulmonar na SDRA. Objetivos: Caracterizar a distribuição e progressão histológica da lesão pulmonar em modelo experimental de SDRA em suínos pela quantificação de parâmetros estruturais, inflamatórios e de remodelamento da matriz extracelular (MEC) e correlacioná-los com variáveis funcionais e de tomografia de impedância elétrica (TIE). Métodos: Vinte e três porcas da raça Landrace foram divididos em três grupos: 1) Sham (n=5): animais submetidos ao preparo e monitorização; 2) Lesão (n=9): animais submetidos ao protocolo de lesão e eutanasiados após 3 horas; 3) Lesão+MV: animais submetidos ao protocolo de lesão e eutanasiados após 40 horas de ventilação mecânica (VM) segundo a \"estratégia ARDSnet\". Os parâmetros histológicos foram mensurados por análise de imagem e incluíam: área alveolar, índice de espessamento septal, densidade neutrofílica, membrana hialina, hemorragia, edema intraalveolar e proporção de fibras colágenas. As medidas de cada parâmetro foram normalizadas pela mediana do grupo Sham. Expressão gênica de proteínas da MEC (colágeno tipo I e tipo III, versican, biglican e decorin) foram quantificados por PCR em tempo real. A ventilação regional foi mensurada por TIE. Foram analisadas regiões anteriores e posteriores do pulmão para cada variável. Resultados: A densidade neutrofílica foi menor no grupo Lesão+VM (p=0,02). A análise da área alveolar no grupo Lesão+VM mostrou que as regiões posteriores apresentaram menor área que as regiões anteriores (p=0,012). Entretanto, o espessamento septal foi maior no grupo Lesão+VM, especialmente nas regiões anteriores, quando comparado ao grupo Lesão (p <= 0,01). Em consonância com esses achados, as regiões anteriores exibiram maior índice de membrana hialina e de edema intraalveolar que as regiões posteriores em ambos os grupos (p < 0,03) e a expressão de colágeno tipo I foi maior na região anterior comparada à região posterior do grupo Lesão+VM (p=0,001). A análise da TIE mostrou que as regiões anteriores receberam maior volume corrente que as regiões posteriores no grupo Lesão (p < 0,001). Nestes animais, a ventilação regional foi correlacionada à densidade neutrofílica (r=0,48; p=0,04), ao índice de hemorragia (r=0,74; p=0,001) e ao índice de membrana hialina (r=0,56; p=0,016). No grupo Lesão+VM, a ventilação regional foi correlacionada à expressão de colágeno tipo I (r=0,494; p=0,05), colágeno tipo III (r=0,656; p=0,006) e versican (r=0,732; p=0,001). Conclusão: Esse estudo mostra a progressão histopatológica e apresentação regional da lesão pulmonar em um modelo de SDRA em suínos. Nesse modelo, o suporte com ventilação mecânica protetora foi eficiente para reduzir a inflamação parenquimatosa, mas não inibiu a progressão da lesão e a sinalização para o processo fibroproliferativo. No curso da lesão, após 40 horas, as regiões anteriores sofreram progressiva redução do lúmen alveolar associada à deposição de membrana hialina e espessamento septal. A lesão progrediu com sinalização difusa para o reparo tecidual, mas com predomínio de expressão de colágeno tipo I nas regiões anteriores. Contudo, a deposição de colágeno parece ser um evento mais tardio / Introduction: The pattern of lesion distribution in acute respiratory distress syndrome (ARDS) has been addressed in computed tomography studies. However, there is little information concerning the progression and distribution of histological lung injury in ARDS. Objectives: To characterize the histological progression and distribution of lung injury in a pig ARDS model by the quantification of structural, inflammatory and extracellular matrix (ECM) remodeling parameters and to correlate them with functional and electrical impedance tomography (EIT) variables . Methods: Twenty-three healthy female Landrace pigs were divided into three groups: 1) Sham (n=5): animals subjected to preparation and monitoring; 2) Injury (n=9): animals subjected to the injury protocol and euthanized after 3 hours. 3) Injury+MV (n=9): animals subjected to the injury protocol and euthanized after 40 hours of ARDSnet mechanical ventilation. Histological parameters measured by image analysis included: alveolar area, septal thickening index, neutrophils density, hyaline membrane, hemorrhage, alveolar edema and collagen fibers content. The parameters values were normalized by Sham group median values. Gene expression of ECM proteins (collagen type I and type III, versican, biglycan and decorin) was quantified by Real Time-PCR. Regional ventilation was measured by EIT. For each variable the anterior and posterior regions of the lung were analyzed. Results: Density neutrophil was lesser in the Injury+MV group (p=0.02). Alveolar area in the posterior regions of the Injury+MV group was lesser than the anterior regions (p=0.012). However, the septal thickening was higher in Injury+MV group, especially in the anterior regions, when compared to the Injury group (p <= 0.01). In consonance with such findings, the hyaline membrane and alveolar edema index in the anterior region was higher than the posterior region in both groups (p < 0.03) and the expression of collagen type I was significantly higher in the anterior region compared to the posterior region in lungs of Injury+MV (p=0.001). The EIT showed that the non-dependent regions (anterior) received more ventilator influx than the dependent regions (p<0.001) in the Injury group. In these animals, the regional ventilation was correlated to neutrophil density (r=0.48; p=0,04), hemorrhage index (r=0.74; p=0.001) and hyaline membrane index (r=0.56; p=0.016). In Injury+MV group, the regional ventilation was correlated to collagen type I (r=0.494; p=0.05), collagen type III (r=0.656; p=0.006) and versican (r=0.732; p=0.001) expressions. Conclusion: This study shows the histopathological progression and the regional presentation of the pulmonary lesion in the ARDS pig model. In our model, the support with protective ventilation was efficient to reduce parenchymal inflammation, but did not inhibit the injury progression and signaling to the fibroproliferative process. Animals ventilated for 40 hours, the anterior regions underwent a progressive reduction in the alveolar lumen associated with alveolar walls thickening and hyaline membrane deposition. The injury progressed with diffuse activation of tissue repair pathway, but with the predominance of collagen type I expression in anterior regions. However, in our study, the deposition of collagen rich matrix is a later event

Introdução: O padrão de distribuição da lesão pulmonar na síndrome do desconforto respiratório agudo (SDRA) tem sido alvo de interesse de estudos com tomografia computadorizada. Entretanto, pouca informação é disponível quanto a distribuição e progressão histológica da lesão pulmonar na SDRA. Objetivos: Caracterizar a distribuição e progressão histológica da lesão pulmonar em modelo experimental de SDRA em suínos pela quantificação de parâmetros estruturais, inflamatórios e de remodelamento da matriz extracelular (MEC) e correlacioná-los com variáveis funcionais e de tomografia de impedância elétrica (TIE). Métodos: Vinte e três porcas da raça Landrace foram divididos em três grupos: 1) Sham (n=5): animais submetidos ao preparo e monitorização; 2) Lesão (n=9): animais submetidos ao protocolo de lesão e eutanasiados após 3 horas; 3) Lesão+MV: animais submetidos ao protocolo de lesão e eutanasiados após 40 horas de ventilação mecânica (VM) segundo a \"estratégia ARDSnet\". Os parâmetros histológicos foram mensurados por análise de imagem e incluíam: área alveolar, índice de espessamento septal, densidade neutrofílica, membrana hialina, hemorragia, edema intraalveolar e proporção de fibras colágenas. As medidas de cada parâmetro foram normalizadas pela mediana do grupo Sham. Expressão gênica de proteínas da MEC (colágeno tipo I e tipo III, versican, biglican e decorin) foram quantificados por PCR em tempo real. A ventilação regional foi mensurada por TIE. Foram analisadas regiões anteriores e posteriores do pulmão para cada variável. Resultados: A densidade neutrofílica foi menor no grupo Lesão+VM (p=0,02). A análise da área alveolar no grupo Lesão+VM mostrou que as regiões posteriores apresentaram menor área que as regiões anteriores (p=0,012). Entretanto, o espessamento septal foi maior no grupo Lesão+VM, especialmente nas regiões anteriores, quando comparado ao grupo Lesão (p <= 0,01). Em consonância com esses achados, as regiões anteriores exibiram maior índice de membrana hialina e de edema intraalveolar que as regiões posteriores em ambos os grupos (p < 0,03) e a expressão de colágeno tipo I foi maior na região anterior comparada à região posterior do grupo Lesão+VM (p=0,001). A análise da TIE mostrou que as regiões anteriores receberam maior volume corrente que as regiões posteriores no grupo Lesão (p < 0,001). Nestes animais, a ventilação regional foi correlacionada à densidade neutrofílica (r=0,48; p=0,04), ao índice de hemorragia (r=0,74; p=0,001) e ao índice de membrana hialina (r=0,56; p=0,016). No grupo Lesão+VM, a ventilação regional foi correlacionada à expressão de colágeno tipo I (r=0,494; p=0,05), colágeno tipo III (r=0,656; p=0,006) e versican (r=0,732; p=0,001). Conclusão: Esse estudo mostra a progressão histopatológica e apresentação regional da lesão pulmonar em um modelo de SDRA em suínos. Nesse modelo, o suporte com ventilação mecânica protetora foi eficiente para reduzir a inflamação parenquimatosa, mas não inibiu a progressão da lesão e a sinalização para o processo fibroproliferativo. No curso da lesão, após 40 horas, as regiões anteriores sofreram progressiva redução do lúmen alveolar associada à deposição de membrana hialina e espessamento septal. A lesão progrediu com sinalização difusa para o reparo tecidual, mas com predomínio de expressão de colágeno tipo I nas regiões anteriores. Contudo, a deposição de colágeno parece ser um evento mais tardio / Introduction: The pattern of lesion distribution in acute respiratory distress syndrome (ARDS) has been addressed in computed tomography studies. However, there is little information concerning the progression and distribution of histological lung injury in ARDS. Objectives: To characterize the histological progression and distribution of lung injury in a pig ARDS model by the quantification of structural, inflammatory and extracellular matrix (ECM) remodeling parameters and to correlate them with functional and electrical impedance tomography (EIT) variables . Methods: Twenty-three healthy female Landrace pigs were divided into three groups: 1) Sham (n=5): animals subjected to preparation and monitoring; 2) Injury (n=9): animals subjected to the injury protocol and euthanized after 3 hours. 3) Injury+MV (n=9): animals subjected to the injury protocol and euthanized after 40 hours of ARDSnet mechanical ventilation. Histological parameters measured by image analysis included: alveolar area, septal thickening index, neutrophils density, hyaline membrane, hemorrhage, alveolar edema and collagen fibers content. The parameters values were normalized by Sham group median values. Gene expression of ECM proteins (collagen type I and type III, versican, biglycan and decorin) was quantified by Real Time-PCR. Regional ventilation was measured by EIT. For each variable the anterior and posterior regions of the lung were analyzed. Results: Density neutrophil was lesser in the Injury+MV group (p=0.02). Alveolar area in the posterior regions of the Injury+MV group was lesser than the anterior regions (p=0.012). However, the septal thickening was higher in Injury+MV group, especially in the anterior regions, when compared to the Injury group (p <= 0.01). In consonance with such findings, the hyaline membrane and alveolar edema index in the anterior region was higher than the posterior region in both groups (p < 0.03) and the expression of collagen type I was significantly higher in the anterior region compared to the posterior region in lungs of Injury+MV (p=0.001). The EIT showed that the non-dependent regions (anterior) received more ventilator influx than the dependent regions (p<0.001) in the Injury group. In these animals, the regional ventilation was correlated to neutrophil density (r=0.48; p=0,04), hemorrhage index (r=0.74; p=0.001) and hyaline membrane index (r=0.56; p=0.016). In Injury+MV group, the regional ventilation was correlated to collagen type I (r=0.494; p=0.05), collagen type III (r=0.656; p=0.006) and versican (r=0.732; p=0.001) expressions. Conclusion: This study shows the histopathological progression and the regional presentation of the pulmonary lesion in the ARDS pig model. In our model, the support with protective ventilation was efficient to reduce parenchymal inflammation, but did not inhibit the injury progression and signaling to the fibroproliferative process. Animals ventilated for 40 hours, the anterior regions underwent a progressive reduction in the alveolar lumen associated with alveolar walls thickening and hyaline membrane deposition. The injury progressed with diffuse activation of tissue repair pathway, but with the predominance of collagen type I expression in anterior regions. However, in our study, the deposition of collagen rich matrix is a later event

Cette thèse a pour cadre la modélisation du dépôt de particules dans le poumon humain afin d'optimiser l'administration de médicaments par voie inhalée. La région alvéolaire du poumon jouant un rôle physiologique et fonctionnel crucial, l'objectif de ce travail est de mettre en place un modèle de dépôt au sein de la région acinaire qui soit intégrable à un modèle intégrant le poumon complet. Les deux premiers chapitres rappellent les caractéristiques anatomiques et fonctionnelles du poumon et en particulier de la région alvéolaire ainsi que les principes physiques mis en jeu lors de l'écoulement de l'air et du transport de particules dans l'arbre pulmonaire. Puis un modèle numérique d'écoulement dans une géométrie alvéolaire simplifiée est présenté. Le transport d'un bolus d'aérosol y est étudié par une approche eulérienne, au cours de plusieurs cycles respiratoires ; l'impact des irréversibilités de l'écoulement sur la dispersion du bolus est ensuite quantifié. Le dernier chapitre présente l'intégration des résultats précédents au sein d'un modèle analytique de dépôt de particules dans le poumon. Les résultats générés par ce modèle sont ensuite comparés aux données expérimentales issues de la littérature ou obtenues lors d'une étude clinique en cours, spécifiquement orientée sur la mesure du dépôt de particules dans les voies aériennes. Les résultats du modèle montrent une augmentation du dépôt de particules dans la région acinaire, présentant un bon accord avec les données expérimentales. Ce modèle pourrait aider à la conception de thérapies ciblant spécifiquement la région alvéolaire du poumon / The context of this thesis is the modelling of particle deposition in the human lung in order to optimise the administration of inhaled drugs. As the alveolar region plays a crucial role both physiologically and functionally, especially for systemic delivery, the objective of this work is to set-up a particle deposition model specific to the acinar region which could be integrated in whole lung deposition model. The first two chapters concentrate on the anatomical and functional aspects of the lung and on the physical principles involved in the flow and particle transport mechanisms in the lung. Then a computational fluid dynamics model was setup in a simplified alveolar geometry. Aerosol bolus transport was studied through an Eulerian approach, for one or several breathing cycles. The impact of flow irreversibilities on bolus dispersion was quantified. The last chapter deals with the integration of the previous results in an analytical model of particle deposition in the whole lung. The results generated by this model are then compared to experimental data from the literature or obtained from an ongoing clinical trial. The results of the new theoretical model show an increase of particle deposition in the acinar region which improves correlation of theory with experimental data. This model could favourably help designing therapies targeting the alveolar region of the lung