Infusion of
endotoxin into domestic pigs induces an acute
respiratory failure that has many similarities with the
adult respiratory distress syndrome. We hypothesized that mono-
hydroxyeicosatetraenoic acids (
HETE) and
platelet-activating factor (PAF) might be involved in this model of
respiratory failure.
Escherichia coli endotoxin (055-B5) was infused intravenously into anesthetized young pigs at 5 micrograms/kg the first hour, followed by 2 micrograms/kg/hour for 3 hours in the presence and absence of
SRI 63-675, a specific PAF receptor antagonist.
SRI 63-675 (10 mg/kg before
endotoxin + 3 mg/kg/hour during
endotoxemia) blocked or attenuated
endotoxin-induced
pulmonary hypertension, bronchoconstriction,
hypoxemia,
thrombocytopenia, increased permeability of the alveolar-capillary membrane, and the increases in plasma (at 3 and 4 hours) and bronchoalveolar lavage fluid concentrations of 5-, 12-, and
15-HETE. In a separate group of pigs, before treatment with
SRI 63-675, ex vivo stimulation of whole blood with
calcium ionophore (at -25 min) caused large increases in plasma concentrations of
5-HETE and, to a lesser extent,
12-HETE. At 4 hours, these increases were not significantly modified in blood derived from pigs treated with
SRI 63-675 (10 mg/kg + 3 mg/kg/hour from 0 to 4 hours), indicating no direct inhibition of 5- or
12-lipoxygenase and suggesting that the in vivo effects were PAF receptor-mediated. We conclude that PAF contributes to the release of HETEs during
endotoxemia and that this phenomenon could be important in the pathophysiology associated with
endotoxin-induced
lung injury in anesthetized pigs.