Abstract |
The aim of this study was to evaluate the presence of type-II secretory phospholipase A2 (sPLA2-IIA) in alveolar space and its possible role in the destruction of surfactant in three rat models of acute lung injury. Alveolar instillation of either lipopolysaccaride or live Pseudomonas aeruginosa resulted in a significant increase in lung oedema and in a decrease in static compliance of the respiratory system together with alveolar-neutrophil influx as compared with healthy control rats. The upregulation of messenger ribonucleic acid and sPLA2-IIA by the lung was evident. This was associated with surfactant degradation and a decrease in large:small ratio of surfactant aggregates in bacteria-instilled rats. A negative correlation between compliance and sPLA2-IIA activity in bronchoalveolar lavage fluid was shown. By contrast, during alpha naphthylthiourea-induced injury, neither alveolar-neutrophil influx nor increase in sPLA2-IIA activity was observed. Additional experiments in rats treated with a specific inhibitor of type-II secretory phospholipase A2 activity (3 acetamine-1-benzyl-2 ethylindolyl-5 oxy; propane phosphonic acid (LY311727)) demonstrated no improvement in physiological parameters despite a biochemical effect, suggesting that its activity is only one of the multiple factors involved in the pathophysiology of lung injury.
|
Authors | H L Attalah, Y Wu, M Alaoui-El-Azher, F Thouron, K Koumanov, C Wolf, L Brochard, A Harf, C Delclaux, L Touqui |
Journal | The European respiratory journal
(Eur Respir J)
Vol. 21
Issue 6
Pg. 1040-5
(Jun 2003)
ISSN: 0903-1936 [Print] England |
PMID | 12797501
(Publication Type: Journal Article)
|
Chemical References |
- Pulmonary Surfactants
- Phospholipases A
- Group II Phospholipases A2
- Phospholipases A2
|
Topics |
- Animals
- Bronchoalveolar Lavage Fluid
(chemistry)
- Disease Models, Animal
- Group II Phospholipases A2
- Lung Compliance
(physiology)
- Male
- Phospholipases A
(analysis, physiology)
- Phospholipases A2
- Pneumonia
(complications, physiopathology)
- Pulmonary Alveoli
(chemistry, physiopathology)
- Pulmonary Edema
(complications, physiopathology)
- Pulmonary Surfactants
(chemistry)
- Rats
- Rats, Sprague-Dawley
- Respiratory Distress Syndrome
(etiology, physiopathology)
- Severity of Illness Index
|